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4101. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
      January 01, 2024 - Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Principal Investigator: Jinoos Yazdany, MD, MPH Co-investigators: Gabriela Schmajuk, MD, MSc Urmimala Sarkar, MD, MPH R. Adams Dudley, MD, MBA Stephen Shiboski, PhD De…

4102. Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
      January 01, 2024 - Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care Identification and Dissemination of Best Practices for Patient-Centered Care Final Report Principal Investigator: Hanan Aboumatar, MD, MPH Project Coordinator: Bickey Chang, MHA Armstrong Institute for Patient …

4103. Final Progress Report: EMR Planning To Improve North Iowa Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
      January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare AHRQ Grant Final Progress Report Title of Project: EMR Planning to Improve North Iowa Healthcare Principal Investigator and Team (Steering Committee) Members: • Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …

4104. Final Progress Report: Patient Safety and the Primary Care Testing Process (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
      January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process Final Report 1. Title page Patient Safety and the Primary Care Testing Process PI: Nancy C. Elder, MD, MSPH Department of Family and Community Medicine University of Cincinnati PO Box 670582 3235 Eden Ave, 142 HPB Cincinnati, OH 45267…

4105. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
      July 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Addressing Violence in the Workplace June 27, 2023 2:00-3:00 PM ET Special Guest Speakers 2 Martin Hatlie, JD President & CEO, Project P…

4106. 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-meps-methods.pdf
      December 01, 2023 - 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables 2023 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research…

4107. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      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 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

4108. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      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…

4109. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      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…

4110. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      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…

4111. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
      April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD Abstract The Califo…

4112. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - The Patient Safety Education Project: An international Collaboration The Patient Safety Education Project: An International Collaboration Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD; Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD Abstract The Patient Safety Edu…

4113. Compendium of U.S. Health Systems, 2023, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
      January 01, 2023 - This issue may be especially relevant to systems in rural and frontier communities. 2. … Limitations Missing Data Our analyses suggest that missing AHA data on insurance products was not a major issue

4114. Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
      January 01, 2020 - Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care 1 Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Section 1. Basic Measure Information 1.A. Measure Name Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused …

4115. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
      April 01, 2019 - Cost is also an issue (Callaghan, Kerber, Pace, et al., 2014).

4116. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
      November 01, 2019 - Cost is also an issue.

4117. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
      November 01, 2019 - Cost is also an issue.

4118. Chapter-2 - Failure-To-Rescue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
      March 01, 2020 - Importance of Harm Area Failure to rescue is a well-established issue in patient safety and healthcare

4119. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update August 8, 2013 Download accessible version of slides (PDF, 920 KB) National Quality Strategy: 2013 Annual Progress Report Update [Slide 1] Ann Gordon: Welcome everyone. My name is Ann Gordon and I'll be facilitating…

4120. Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
      June 01, 2022 - Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript Understanding SOPS Surveys: A Primer for New Users February 19, 2020 – Webcast Transcript Speakers: Naomi Yount, Ph.D. Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westat (Moderator) Laura Gra…