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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
May 01, 2021 - Diffusion of Innovations. Fifth edition.
Free Press: New York.
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www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - This gap is a common
challenge for new innovations in healthcare.
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - Primary care in the United States - Innovations in primary care in the United States.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - Artificial Intelligence and Healthcare: A Journey
through History, Present Innovations, and Future Possibilities
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - TeamSTEPPS for Improving Diagnosis Participant Workbook
TeamSTEPPS® for
Diagnosis Improvement
Participant Workbook
Participant Workbook
This page is intentionally blank.
Contents
Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1
Module 1: Introducti…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
January 01, 2016 - A Decisionmaker’s Guide to Adopting
Innovations (Brach, et al., 2008, available at http://innovations.ahrq.gov … A decisionmaker’s guide to adopting
innovations.
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www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health
AHRQ Grant Final Progress Report
Title of Project
Safe delivery of primary care to vulnerable populations: Using simulation (Unanno…
-
www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
January 01, 2024 - Final Progress Report: Building Consensus Among States on Patient Safety Reporting
Final Report
“Building Consensus Among States on Patient Safety Reporting”
William E. Golden, M.D.
Vice President for Quality Improvement
Health Care Quality Improvement Programs
Office of Projects and Analysis
Arkansas F…
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
II. Hotline Design and Development
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
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www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population?
Principal Investigator: Thamer, Mae
FINAL REPORT
TITLE PAGE
Title: Do Safety Warnings Change Prescribing among the US Dialysis Population?
Principal Investigator and Team Members: M Thamer, PI, and other team members (…
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
January 01, 2024 - Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy
Principal Investigator/Program Director (Last, First, Middle): Ferguson, T. Bruce Jr.
Project Title: Cardiovascular Care Disparities: Safety-Net HIT
Strategy
T. Bruce Ferguson, Jr., MD LSU HSC, HCSD Principal Investigator
Michael M .…
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home
Project Title: Enhancing the Safety of Warfarin in the Nursing Home
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD,
MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
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www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003
THE NATIONAL QUALITY FORUM
ANNUAL MEETING 2003
PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH
TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E. POWER,
M. STEGUN, L. THOMPSON
9/20/2003 – 9/19/2004
FEDERAL PROJECT OFFICE…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Mutual Support: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Mutual Support
Severe Hypertension
Module 5 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the
different facets of mutual support and strategies for supporting each.
1 …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - Mutual Support: Severe Hypertension - PowerPoint Presentation
Mutual Support
Severe Hypertension
Module 5 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutual …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
June 02, 2025 - Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary
1
National Collaborative for Innovation in Quality Measurement (NCINQ)
Measures to Assess the
Safe and Judicious Use of Antipsychotics in Children and Adolescents
Field Test Summary
This report sum…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - Metabolic Monitoring for Children and Adolescents on Antipsychotics
1
Metabolic Monitoring for Children and Adolescents
on Antipsychotics
Section 1. Basic Measure Information
1.A. Measure Name
Metabolic Monitoring for Children and Adolescents on Antipsychotics
1.B. Measure Number
0150
1.C. Measure Descripti…