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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes 245 Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes Mark Van Tuinen, Susan Elder, Carolyn Link, Susan Li, John H. Song, Tracey Pritchett Abstract Objectives: This study estimated the validity of 2…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
    December 01, 2004 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges 51 Patient Safety Research in Medical Group Practices: Measurement and Data Challenges Amy R. Wilson, Bryan E. Dowd, John E. Kralewski Abstract This paper attempts to identify and discuss some of the major challenges to co…
  3. www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
    June 01, 2018 - Introduction and Methods National Healthcare Quality and Disparities Report This document describes the contents of the National Healthcare Quality and Disparities Report and the methods used to compile and analyze data. Contents Acknowledgments Introduction and Methods     Background on …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? 199 Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? Dean Schillinger, Edward L. Machtinger, Frances Wang, Lay-Leng …
  5. 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…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
    April 07, 2008 - Pillars of a Smart, Safe Operating Room Pillars of a Smart, Safe Operating Room F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD Abstract Major gains in patient safety can be achieved through development of innovative approaches to the care of surgical patients. Investigators and clinicians have…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdf
    February 05, 2015 - Conducting health assessments involves both the questions you systematically ask your patients about
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
    January 01, 2016 - It involves developing a small-scale plan to test a proposed change (Plan), carrying out the plan (Do
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
    March 29, 2016 - Patient Self-Management Support: A Chronic Conditions Practice Improvement Activity Advancing Excellence in Health Care–•–www.ahrq.gov Patient Self­Management Support A Chronic Conditions Practice Improvement Activity User Guide Resources To use a screen reader application with this module, please change your …
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
    October 25, 2022 - 2022 National Healthcare Quality and Disparities Report Appendixes 2022 National Healthcare Quality and Disparities Report Appendixes U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov AHRQ Publication No. 22(23)-0030 …
  11. www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
    July 01, 2024 - Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act PATIENT SAFETY e Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act This page intentionally left blank. e Issue Brief 19 Electronic Test Result Communication …
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
    September 19, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 3: Trends in Access and Priorities of the National Quality Strategy National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics 1 2014 QDR Chartbooks 2014 QDR …
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
    June 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 3 Chartbook on Health Care for Hispanics Part 3: Trends in Access and Priorities of the National Quality Strategy 2014 National Healthcare Quality and Disparities Report | 41 PART 3: TRENDS IN ACCESS AND PRIORITIES OF THE NATIONAL QUALITY STRATEGY 2014 QDR Cha…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
    February 01, 2020 - Communication of Weight Classification for Children Who Are Overweight or Obese 1 Communication of Weight Classification for Children Who Are Overweight or Obese Section 1. Basic Measure Information 1.A. Measure Name Communication of Weight Classification for Children Who Are Overweight or Obese 1.B. Measu…
  15. 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 …
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
    January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Se…
  17. www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
    January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention Labor and Delivery Nurse Staffing: A Patient Safety Intervention Team members: Barbara L. Wilson, PhD, RN Principal Investigator (PI) Associate Professor University of Utah College of Nursing Barbara.wilson@nurs.utah.edu R…
  18. www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs AHRQ Grant Final Progress Report Title of Project: Encoding and Processing Patient Allergy Information in EHRs Principal Investigator: Li Zhou, MD, PhD Associate Professor Brigham and Women’s Hospital, Harvard Medical School Team…
  19. www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
    January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…
  20. www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
    January 01, 2024 - Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety AHRQ Grant Final Progress Report Field, Terry S. Grant Award Number: R18HS017906 TITLE PAGE Title of Project: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety Principal Investigator: Ter…

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