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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
    January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study 35 Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study Adrianne C. Feldstein, David H. Smith, Nan R. Robertson, Christine A. Kovach, Stephen B…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
  5. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
    January 01, 2021 - Further integration in NIH is expected in future years that differentiates AHRQ’s focus on systems-based
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
    March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1. General Information 1.1. Background The Agency for Health Care Research and Quality (AHRQ) developed…
  7. www.ahrq.gov/data/apcd/envscan/findings.html
    July 01, 2022 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence Findings Previous Page Next Page Table of Contents All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence E…
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
    March 01, 2009 - Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa Technical Review #17 Nutrition Research Series Volume 3: Reporting of Systematic Reviews of Micronutrients …
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
    April 05, 2017 - Pediatric Lower Respiratory Infection Readmission Measure Pediatric Lower Respiratory Infection Readmission Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Lower Respiratory Infection Readmission Measure 1.B. Measure Number 0131 1.C. Measure Description Please provide a non-technic…
  10. www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
    March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This guide is a practical resource designe…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy References Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References Appe…
  12. www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
    January 01, 2024 - related to the technology environment, including successful prior experiences with technology and its integration
  13. 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…
  14. 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…
  15. 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 …
  16. 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…
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Evidence Behind Decolonization 1 Educational Objectives Discuss the imp…
  18. 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…
  19. 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…
  20. 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…

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