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  1. www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
    November 01, 2016 - Meeting Minutes, July 2016 National Advisory Council Minutes from the July 22, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of April 20, 2016, Summary Report Director's Update Update on the Synthesis of Evide…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
    May 05, 2014 - The National Primary Care Extension Program: Next Steps A White Paper based upon the Proceedings of the National Primary Care Extension Program Meeting in Washington, DC Feb 21, 2014 Executive Summary The Primary Care Extension Program (PCEP) is a strategy to improve community health by helping primary care practices a…
  4. 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 …
  5. www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
    January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care Final Report TIPI Systems to Reduce Errors in Emergency Cardiac Care Principal Investigator: Harry P. Selker, MD, MSPH Tufts-New England Medical Center, Boston, MA Dates of Project: September 15, 2000, to August 31, 2004 Project Offi…
  6. www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
    January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 The National Quality Forum National Annual Policy Conference 2006 Principal Investigator: Robyn Y. Nishimi, PhD Team Members: D. Feeney, L. Gorban, J. Lewis, M. Stegun, L. Thompson 09/30/06 – 09/29/07 Federal Project Offi…
  7. 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
  8. www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
    January 01, 2025 - Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste Johns Hopkins Medicine Principal Investigator: Adam Sapirstein, MD Project Team Members: Ravi Aron, PhD Noah Barasch, MS Howard Carolan, MBA,…
  9. 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, …
  10. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - Nurse Leader  2019;17(4):365-70. Schnock KO, et al. 
  11. 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
  12. 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
  13. 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
  14. 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…
  15. 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 …
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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