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  1. www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Hardeep Singh, MD Team Members: • Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…
  2. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
    January 01, 2021 - Spotlight Spotlight Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care Source and Credits • This presentation is based on the November 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Han…
  3. www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
    January 01, 2024 - Final Progress Report: Deaf People and Healthcare Deaf People and Healthcare PI: Steven Barnett Primary mentor: Kevin Fiscella Co-mentors: Ron Hays Jonathan Klein Thomas Pearson Robert Pollard University of Rochester 9/30/2006 – 9/29/2012 AHRQ Project Officer: Kay Anderson This project was supported by gr…
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …
  5. psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
    January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD January 1, 2009  Also Read an Essay Citation Text: In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  6. psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Disclosure of Medical Error Allen Kachalia, MD, JD | January 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Kachalia A. Disclosure of Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
  7. www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
    February 01, 2023 - Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript Module 1: Overview Slide 1 “Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tract infectio…
  8. psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014  Also Read an Essay Citation Text: In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
  9. Cerner-Q-A-Session (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
    June 02, 2025 - 1 EHR Q&A Sessions Introduction Prior to each EHR Q&A event, participants were asked to submit questions related to the implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians regar…
  10. Layout 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Telehealth_Issue_Paper_Final_1.pdf
    December 01, 2008 - Layout 1 Using Telehealth to Improve Quality and Safety Findings from the AHRQ Health IT Portfolio gency for Healthcare Research and Quality dvancing Excellence in Health Care www.ahrq.govA A Health IT Using Telehealth to Improve Quality and Safety Findings from the AHRQ Health IT Portfolio Prepared for: Agen…
  11. psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
    March 01, 2009 - In Conversation with...Dean Schillinger, MD March 22, 2009  Also Read an Essay Citation Text: In Conversation with..Dean Schillinger, MD. PSNet [internet]. 2009.In Conversation with...Dean Schillinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
  12. www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
    January 01, 2025 - Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Title of Project: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Principal Investigator and Team Members: Haut, Elliott (PI); Owodunni, Oluwafemi (Postdoc); Webster, Kristen Li…
  13. www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
    January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) Contents On Page 1 of 2: 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input From Stakeh…
  14. www.ahrq.gov/patient-safety/reports/advances/index.html
    July 01, 2022 - Advances in Patient Safety Next Page Table of Contents Advances in Patient Safety Acknowledgments Preface Peer Reviewers for Volume 1. Research Findings Peer Reviewers for Volume 2. Concepts and Methodology Peer Reviewers for Volume 3. Implementation Issues Peer Reviewers for Volume 4. Pro…
  15. psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
    December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.…
  16. cdsic.ahrq.gov/sites/default/files/2025-03/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202025.pdf
    January 01, 2025 - CDSiC Stakeholder Center Progress Report STAKEHOLDER CENTER PROGRESS REPORT M A R C H 2 0 2 5 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018…
  17. cdsic.ahrq.gov/sites/default/files/2023-09/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdf
    January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT S E P T E M B E R 2 0 2 3 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contrac…
  18. psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
    December 23, 2020 - SPOTLIGHT CASE Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care Citation Text: Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. Rockville (MD): Agency f…
  19. digital.ahrq.gov/sites/default/files/docs/lesson/09-0012-ef-telehealth.pdf
    December 01, 2008 - Using Telehealth to Improve Quality and Safety Using Telehealth to Improve Quality and Safety Findings from the AHRQ Health IT Portfolio Ag ency for Healthcare Research and Quality A dvancing Excellence in Health Care www.ahrq.gov Health IT http://www.ahrq.gov Using Telehealth to Improve Quality and Saf…
  20. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery Page 1 of 17 Engineering Safe Practices Affinity Group Strategies to Better Engineer Safety into Healthcare Delivery March 6, 2025 Table of Contents Problem Statement ...............................................................................…