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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon K. Ulep, Sheryl L. Moran Abstract Moving to a Web-based system for tracking patient safety events is a goal o…
  3. www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
    January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Agency for Healthcare Quality and Research Research Grant Final Report December 5, 2024 Watchful Waiting as a Strategy for Reducing Low-valu…
  4. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 3. Description of Methods Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & No…
  6. www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
  7. www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
    January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics Title Page • Title of Project: PURSUING PERFECTION IN PEDIATRIC THERAPEUTICS • Principal Investigator and Team Members: CAROLE MARIE LANNON, MD, MPH; Peter Margolis, MD, PhD; Michael Seid, PhD; Jeffrey Anderson, MD, MPH, MBA; Patrick Brady, MD, MS…
  8. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection Across the Health Care System (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  9. www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
    January 01, 2024 - Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care Identification and Dissemination of Best Practices for Patient-Centered Care Final Report Principal Investigator: Hanan Aboumatar, MD, MPH Project Coordinator: Bickey Chang, MHA Armstrong Institute for Patient …
  10. www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
    January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Cook, Ann F. Title of the Project: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Ann Cook, Ph.D. Co-investigator: Helena Hoas, Ph.D. Team Member: Katarina Guttmannova, Ph.D. Organizat…
  11. www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
    January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice 1 Title Page Title of Project: Quality Factors in Nursing Home Choice Principal Investigator: JoAnn G. Congdon Team Members: Co-Principal Investigator: Joan K. Magilvy Investigator: Mary A. Blegen Investigator: Katherine R. Jones Investigator: Nor…
  12. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
    July 01, 2018 - Guide to Patient and Family Engagement Methods (continued, 2) Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/instructions-for-analyzing-data-50.pdf
    June 01, 2025 - entities of equal importance (wgtresp and wt_type = 1) Precision: by number of respondents Maintain
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - is persistent over time, meaning that facilities providing poor or high-quality care are likely to maintain
  15. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
    January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Heal…
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 14. Delirium Delirium 14-1 14. Delirium Authors: Lynn Hoffman M.A., M.P.H., Aline Holmes D.N.P., R.N., Jennifer Riggs, Ph.D., R.N., and Stephanie Schneiderman, M.P.P. Introduction Patient safety research and quality improvement efforts have been underway in the delirium harm …
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
    January 01, 2020 - entities of equal importance (wgtresp and wt_type = 1) Precision: by number of respondents Maintain
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache 1.B. Measure Num…
  19. www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
    June 23, 2023 - Patient-Centered Outcomes Research Trust Fund (PCORTF) External Stakeholder Report June 2023 i i Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Trust Fund External Stakeholder Report Prepared for: Agency for Healthcare Research and Quali…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
    January 01, 2004 - A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 7 A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 Margaret A. Keyes, Eduardo Ortiz, Deborah Queenan, Ro…

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