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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - Fall Prevention Toolkit Fall Prevention Toolkit Module 1 Tools Tool 1E: Resource Needs Assessment Miake-Lye IM, Hempel S, Ganz D, et al. Chapter 19. Preventing in-facility falls. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 2013. Agency for Healthcar…
  2. View Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nw.pdf
    August 23, 2018 - View Survey Healthy Hearts Northwest Practice Survey …
  3. 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 …
  4. 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 …
  5. 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…
  6. 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…
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
    January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies 349 Observing Nurse Interaction with Infusion Pump Technologies Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt, Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks, Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande Abstract…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
    January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection 181 “Near-miss” Reporting System Development and Implications for Human Subjects Protection Harvey J. Murff, Daniel W. Byrne, Paul A. Harris, Daniel J. France, Christa Hedstrom, Robert S. Dittus Abstract Background: R…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
    July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC Care Coordination Quality Measure for Primary Care (CCQM-PC) Development and Pilot Test of the CCQM-PC v 1.0; Guidance for Use of CCQM-PC v 2.0 Overview of the Care Coordination Quality Measure…
  13. 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…
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults References Previous Page   Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in Older Ad…
  15. www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
    January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management 1. TITLE PAGE Comprehensive Pediatric Hypertension Diagnosis and Management Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD, Katherine E. Twomb…
  16. www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
    January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty Title Page TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in times of diagnostic uncertainty PRINCIPAL INVESTIG…
  17. www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
  18. www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
    January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…
  19. 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…
  20. 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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