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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Next Steps and a Call to Action Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Actio…
  2. www.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
    December 01, 2017 - Supplemental Tools Surgical Care Audit Tools Surgical Site Infection Investigation Tool ( Word , 1.8 MB) This tool will help your safety program team understand lapses in infection prevention processes that may have contributed to the surgical site infection case. It can help your team identify practice …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
    March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 Supporting Patient and Family Engagement: Best Practices for Hospital Leaders The Guide to Patient and Family Engagement in Hospital Quality …
  4. www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
    June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes VIEWPOINT Bridging the feedback gap: a sociotech…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
  6. www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
    January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science References Previous Page   Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement: Overcoming …
  8. www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
    July 01, 2021 - 7. Conclusions and Recommendations Health Services and Primary Care Research Study: Comprehensive Report Since its emergence as an independent field of study in the 1960s, HSR has helped establish an evidence base to support decisionmaking and improvements in the quality, safety, effectiveness, and efficiency…
  9. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
    January 01, 2020 - National Advisory Council Meeting, July 14, 2020: Minutes National Advisory Council, July 14, 2020 Page 1 Agency for Healthcare Research and Quality National Advisory Council Meeting (Virtual Meeting) July 14, 2020 SUMMARY NAC Members Present Tina M. Hernandez-Boussard, Ph.D., M.…
  10. www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
    November 01, 2020 - Meeting Minutes, July 2020 National Advisory Council Minutes from the July 14, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. ( Virtual Meeting ) Contents Summary Call to Order and Approval of March 26, 2020, Meeting Summary Overview and Recent Accomplis…
  11. www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
    July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
    December 01, 2017 - Presentation: Implementing Your SSI Prevention Bundle Implementing Your Surgical Site Infection Prevention Bundle AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation This module is about implementing your surgical site infe…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
    January 08, 2008 - Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives Inga Adams-Pizarro, MHS; ZeAmma Walker, MHSA, PMP; Jan…
  14. www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
    January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room Title Page Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room Principal Investigator: • Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University. Co-Investigators: • Richar…
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
    January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I PATIENT SAFETY Surveys on Patient Safety CultureTM (SOPSTM) Ambulatory Surgery Center Survey: 2020 User Database Report [This page is intentionally left blank] Surveys on Patient Safety CultureTM…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
    January 01, 2004 - Theory-based design for easily learned interfaces.
  17. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
    September 01, 2015 - help create communities of practice that bring together peers to share best practices and lessons learned
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
    January 01, 2017 - What have we learned about interventions to reduce medical errors?
  19. www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
    March 01, 2016 - In cognitive testing, physicians are asked to tell, in their own words, what they learned from different … As much can be learned from implementation failures as from successes yet null findings on any topic … Data feedback efforts in quality improvement: lessons learned from US hospitals.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
    April 01, 2016 - there opportunities to improve trainings, competencies and orientation sessions by including lessons learned

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