- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis
121 
The AAFP Patient Safety Reporting System: 
Development and Legal Issues Pertinent to 
Medical Error Tracking and Analysis 
Robert L. Phillips, Susan M. Dovey, John S. Hickner,  
Deborah Graha… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
April 27, 2004 - Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs
185 
Outpatient Benzodiazepine Prescribing, 
Adverse Events, and Costs 
Dustin D. French, Andrea M. Spehar, Robert R. Campbell,  
Polly Palacios, Roy W. Coakley, Nicholas Coblio, Heidi Means,  
Dennis C. Werner, David M. Angaran 
Abstract 
Objectives… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004
7 
A Strategic Approach for Funding Research: 
The Agency for Healthcare Research and 
Quality’s Patient Safety Initiative 2000–2004 
Margaret A. Keyes, Eduardo Ortiz, Deborah Queenan, 
Ro… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
January 01, 2003 - Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities
193 
Standardized Simulated Events for 
Provocative Testing of Medical Care  
System Rescue Capabilities 
George Blike, Joseph Cravero, Steve Andeweg,  
Jens Jensen, Klaus Christoffersen 
Abstract 
Background: Human er… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
June 02, 2025 - On-Time Falls Prevention: Electronic Reports
On-Time Falls Prevention: Electronic Reports 
Four types of reports are described here. Each section presents a sample report followed by 
purpose, description, and users and potential uses. The types of reports are: 
• On-Time Falls High-Risk Report. 
• Quarterly Summar… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
June 01, 2020 - SOPS™ 101 Webcast Transcript
    November 2018                         https://www.ahrq.gov/sops/index.html      1 
Understanding SOPS Surveys: A Primer for New Users 
October 23, 2018 – Webcast Transcript 
Speakers:  
Laura Gray, M.P.H. 
Senior Study Director 
User Network for the AHRQ Surveys on Patient Safety C… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook
Nurse Bedside Shift Report Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text]	[Type text]	[Type text]
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patient and Family Engagement
	… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facnotes-spanish.docx
June 02, 2025 - Notas para el facilitador
	DIGA: 
El módulo Participación de los directivos de este kit de herramientas se centra en los roles y las responsabilidades de los directivos dentro del equipo de seguridad del centro. Impulsar la participación de los directivos disminuye la distancia entre los directivos administrativos y l… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - Vascular Access Device (VAD) Policy,  Adult
Version 3.0
Policy Number IFC035
Effective Date 03/01/2008
The Johns Hopkins Hospital
Interdisciplinary Clinical Practice Manual
Infection Control
Approval Date N/A
Page 1of 16Subject
Vascular Access Device (VAD) Policy, Adult
Supercedes 08/01/2007
Keywords: Vascula… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
July 01, 2024 - The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health 
The Prevalence of Mental Health 
Conditions Was on the Rise Before 
the COVID-19 Pandemic and the 
Pandemic Had a Negative Effect on 
Mental Health 
1
Mental health issues… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization
      
 
 
       
     
     
   
 
 
    
      
       
    
      
      
  
Title of Project:  Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize 
Utilizati… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - Just Culture Webcast November 2016
Using Just Culture to Improve Hospital Survey on Patient Safety Culture Results 
November 9, 2016 – Webcast Transcript 
Speakers: 
Celeste Mayer, PhD  
Patient Safety Officer, University of North Carolina Health Care System, Chapel Hill, NC 
(Presenter) 
Theresa Famolaro, MPS, MS… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
TITLE PAGE 
AHRQ Final Progress Report
Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
Principle Investigator: Steven M. Handler, MD, PhD
Team Members: Joseph T. Hanlon… 
                                     
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www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - Appropriate Assertion Call (Transcript) 
 
 
 
 December 14, 2010 
 Operator:  Good day, ladies and gentleman and welcome to the CUSP Content Call. At this time, all participants are in a listen only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should … 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Mutual Support: Obstetric Hemorrhage
SPPC‐II 
Toolkit 
   
 
     
                               
                 
Hospital AIM
Team
Leads
SPPC II
Mutual  Support 
Obstetric  Hemorrhage 
Module 5 of 8 
‐
SCRIPT 
Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the 
diffe… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
Mutual Support
Obstetric Hemorrhage
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 mutua… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
March 15, 2008 - Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach
Creating an Accurate Medication List in the Outpatient 
Setting Through a Patient-Centered Approach 
 
Kathryn Kraft Leonhardt, MD, MPH; Patti Pagel, RN; Deborah Bonin, RHIA, CPHQ;  
D. Paul Moberg, PhD; Mitchell L. Dv… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities: Training Modules
Improving 
Patient Safety 
in Long-Term 
Care Facilities:
Training Modules
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care     www.ahrq.gov
Module 1. 
Detecting  Change 
in a Resident’s
Condition
Module 2.
Comm… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ)
NIRSQ-1 
 
DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL 
INSTITUTES OF HEALTH 
National Institute for Research on Safety and Quality (NIRSQ) 
 
FY 2021 Budget                   …