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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…
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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…
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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…
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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 …
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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…
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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…
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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
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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,…
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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, …
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - Nurse Leader 2019;17(4):365-70. Schnock KO, et al.
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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
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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
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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
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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…
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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
…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters
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Examples of Urinary Incontinence-Focused Newsletters
Examples of Urinary
Incontinence-Focused
Patient Pa…
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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…
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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…
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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…