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  1. www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
    January 01, 2025 - Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) Principal Investigator and Team Members: Name Role Medical University of South Carolina Ken Catchpole, PhD Principal Investigator Myrtede …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
    March 01, 2004 - Almost all had a leader or change agent (often the administrator or director of nursing or quality improvement
  3. www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …
  4. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - Nurse Leader  2019;17(4):365-70. Schnock KO, et al. 
  5. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
    March 01, 2023 - • A QI Leader will understand challenges associated with a quality improvement project and can lend
  6. www.ahrq.gov/sops/about/faq/index.html
    June 01, 2022 - items) Response to Error (4 items) Staffing and Work Pace (4 items) Supervisor, Manager, or Clinical Leader
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - knowledge is an essential element in achieving safety and quality in health care.1 As stated by a leader
  8. www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
    January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing Elaine M. Fle…
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
    November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters ``` Examples of Urinary Incontinence-Focused Newsletters Examples of Urinary Incontinence-Focused Patient Pa…
  10. www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
    January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model RISK AND RECOVERY IN COMPLEX ENVIRONMENTS: LABOR AND DELIVERY AS A MODEL Final Progress Report Grant Award: 1 UC1 HS014376-01 June 30, 2006 Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
    June 02, 2025 - Follow-up Practice Survey Codebook Including Core and Optional Items …
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
    November 01, 2017 - 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Medical Office SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 2…
  13. www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
    November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
    January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
    March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes 401 Technology for Improving Medication Monitoring in Nursing Homes Kate L. Lapane, Kathleen Cameron, Janice Feinberg Abstract A 1997 report entitled Prescription Drug Use in Nursing Homes, by the Department of Health and Human Services’ Office…
  16. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
  17. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - This appeared to be particularly true if a practice clinical leader had not embraced safety as an essential
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue Alarm Fatigue 13-1 13. Alarm Fatigue Authors: Meghan Woo, Sc.D., and Olivia Bacon Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM Introduction Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm desensitiz…
  19. www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
    June 01, 2012 - You might have a leader introduce the session to show that it’s important. 8. … You might have a leader introduce the session to show that it is important. 8. … You might have a leader introduce the session to show that management believes the training is important
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - About Qualis Health Qualis Health is a national leader in improving care delivery and patient outcomes

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