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4501. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing Safety Cultures in Medicine: What We Learn by Watching Physicians Timothy J. Hoff, Henry Pohl, Joel Bartfield Abstract This study explores the workplace dynamics associated with physicians and medical mistakes. …

4502. Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
      December 01, 2024 - Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients 1 Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients Prepared by: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …

4503. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
      January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki Grant Number: R03 HS21583-01 AHRQ Grant Final Progress Report Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki, MD, MSCE Team Members: Vinay …

4504. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…

4505. Introduction to the Case Studies | Agency for Healthcare Research and Quality
      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 …

4506. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives 161 Prescribing Safety in Ambulatory Care: Physician Perspectives Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung, Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson, Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…

4507. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
      January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA; Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD; …

4508. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool Primary Care Practice Facilitation Curriculum Module 16: Academic Detailing as a Quality Improvement Tool Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

4509. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - 2018 National Healthcare Quality and Disparities Report Data Sources 2018 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …

4510. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report 1 Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity Section 1. Basic Measure Information 1.A. Measure Name Follow-up Visits for Children Who Are Obese or Overweight wi…

4511. Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
      January 01, 2025 - Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System Immersive Simulation for Design and Evaluation of an Emergency Department IT System Principal Investigator: Ann Bisantz, PhD1 Co-Investigators: Rollin J. Terry Fairbanks, MD1, 2,5 Li Lin, PhD1 A. Zachary He…

4512. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Outcomes by HCBS Participant Characteristics Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators f…

4513. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care SAY: Thank you for joining us. This…

4514. Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
      July 01, 2012 - Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Prepared for: Agency for Healthcare Research and Quality Rockville, MD 20850 Contract No. …

4515. Heart Healthy Ohio Initiative Payer Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/55-ohio-hhoi-payer-survey.pdf
      May 01, 2022 - Heart Healthy Ohio Initiative Payer Survey __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Page 1 Heart Healthy Ohio Initiative Payer Survey Dear potential collaborators,  Thank you to…

4516. Table 19. Utilization of outpatient health services by health status. All project sites. Fiscal year 2010. | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab19.html
      December 01, 2017 - Table 19. Utilization of outpatient health services by health status. All project sites. Fiscal year 2010. ARRA Grants Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing deliver…

4517. American College of Physicians Uses AHRQ Research to Improve Clinical Practice Guidelines | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/coe0904.html
      October 01, 2014 - American College of Physicians Uses AHRQ Research to Improve Clinical Practice Guidelines Search All Impact Case Studies May 2009 The American College of Physicians (ACP) uses AHRQ research in creating clinical practice guidelines for its members. ACP relies primarily on two AHRQ programs—the Evidence-based…

4518. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
      July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…

4519. CAHPS Health Literacy Item Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/index.html
      December 01, 2022 - CAHPS Health Literacy Item Sets The CAHPS Health Literacy Item Sets ask about providers' efforts to foster and improve the health literacy of patients. Health literacy is commonly defined as patients' ability to obtain, process, and understand the basic health information and services they need to make appropri…

4520. Hospital Financial Measures Database List of Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/hfmd-measures-list.pdf
      May 01, 2024 - Hospital Financial Measures Database List of Measures Hospital Financial Measures Database List of Measures Dimension Definition Brief Rationale Profitability Net Revenue Margin to Total Cost a Patient Revenue – Total Costb Markup from cost of patient care services to net revenue. Can indicate motivation …