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  1. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
    July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
    January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD; Sheila W. C…
  3. www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
    January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) References Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Introduction Methods Results Summary References Appendix A. Grants Database Search Terms & An…
  4. www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
    January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk Assessment of Primary Care of the Elderly Principal Investigator and Team Members: Ben-Tzion Karsh, PhD (PI) Brian Arndt, MD John Beasley, MD Vicki Bier, PhD Roger Brown, PhD Pascale Carayon, PhD Sue Dovey, P…
  5. www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
    June 01, 2020 - 6. Research Gaps and Prioritization of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report One of the study’s key research questions focuses on identifying research gaps—understudied or underfunded areas in HSR and PCR that, if addressed, would move the fields fo…
  6. www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
    June 01, 2012 - trying to place blame; rather, everyone is working to determine what is best for the resident and the institution
  7. www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
    January 01, 2024 - Ideally, grantee findings will be scalable within any hospital or research institution looking to assess
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - randomized 749 Jack BW, Chetty VK, Anthony D, controlled trial hospitalized patients at a single institution
  9. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
    May 01, 2018 - focused their efforts on these goals, they were able to bring together key stakeholders within each institution
  10. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - on an ad hoc basis at the point of care as specific patient transitions occurred within a single institution
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - precipitate errors or make errors more likely to occur when combined with the latent factors existing at an institution
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
    April 19, 2008 - Non-anesthesiology pediatric practitioners who are credentialed in tracheal intubation in our institution
  13. www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Integrating Primary Care Practices and Community-based Resources to Manage Obesity A Bridge-building Toolkit for Rural Primary Care Practices Prepared for Agency for Healthcare Research and Quality 540 Gaither Road Rockv…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
    November 01, 2007 - Patient Self-Management Support Programs: An Evaluation Final Contract Report ______________________________________________________________________________ Patient Self-Management Support Programs: An Evaluation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
    November 01, 2017 - for pediatric inpatient care; it is the intended placement location for the sickest children in the institution
  16. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
    April 30, 2025 - Improving Healthcare Safety by Enhancing Medication Safety AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Medication Safety Overview Medication safety refers to the practices and measures implemented to minimize the risk of medication errors and adverse drug events (ADEs) i…
  17. www.ahrq.gov/news/newsletters/e-newsletter/914.html
    May 01, 2024 - AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care Issue Number 914 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 21, 2024 AHRQ Stats Access more data on this topic in the associated statistical brief , plus a…
  18. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
    September 01, 2013 - Patient Family Engagement PowerPoint Content and Alternate Text CUSP Toolkit The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed …
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
    April 01, 2011 - Sustaining Pressure Ulcer Prevention Practices at Your Hospital Sustaining Pressure Ulcer Prevention Practices at Your Hospital Presented by Dan Berlowitz, M.D., M.P.H. Bedford VA Medical Center Boston University School of Public Health 2 Welcome! Thank you for joining this webinar about how to sustain pr…
  20. www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
    April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL) Principal Investigator: George Blike, M.D., Dartmouth-Hitchcock, Lebanon, NH AHRQ Grant No.: HS024403 Project Period: 09/30/15-03/31/20 Description: The overall goal of this project was to create the ideal hospital rescue system. Minimizing fai…

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