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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Perioperative Infection Prevention Strategies Surgical Services For: Most Surgery Types Slide Title and Commentary Slide Number and Slide Perioperative Infection Prevention Strategies SAY: This presentation is titled Perioperative Infection Prevention Strategie…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Perioperative Infection Prevention Strategies Surgical Services For: Most Surgery Types Slide Title and Commentary Slide Number and Slide Perioperative Infection Prevention Strategies SAY: This presentation is titled Perioperative Infection Prevention Strategie…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS; Sally Reynolds, M…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
    May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
    June 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B Appendix B: Clinical Materials to Share With Primary Care Providers Diagnoses and Conditions ■ Anemia of Prematurity ■ Apnea of Prematurity ■ Bronchopulmonary Dysplasia ■ Gastroesophageal Reflux ■ Nephrocalcinosis ■ Patent D…
  7. www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
    January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal Investigator: Donna Woods, PhD, EdM Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
  8. www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
    January 01, 2024 - Final Progress Report: Technology To Improve Medication Safety in Nursing Homes Nursing Home Medication Safety 1 Technology to Improve Medication Safety in Nursing Homes Jill Scott-Cawiezell, PhD Principal Investigator Marilyn Rantz, PhD, Lanis Hicks, PhD, Richard Madsen, PhD, & Greg Petroski, PhD Investigators …
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
    June 02, 2025 - Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Transcript release date 5/24/11 www.talkingquality.ahrq.gov Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Moderator: Lise Rybowski, Consultant, Talking…
  10. www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/TalkingQuality_Audience_Webcast_2011_05_11_Transcript.pdf
    January 01, 2011 - Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Transcript release date 5/24/11 www.talkingquality.ahrq.gov Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Moderator: Lise Rybowski, Consultant, Talking…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System 145 Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System Radhika Desikan, Melissa J. Krauss, W. Claiborne Dunagan, Erin Christensen Rachmiel, Thomas Bailey, Victoria J. Fraser Abstract Ba…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
    April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part II Appendix A—Overall Results by Medical Office Characteristics Appendix B—Overall Results by Respondent Characteristics Prepared for: Agency for …
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
    January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Medical Office Survey: 2022 User Database Report Part II: Appendix A – Results by Medical Office Characteristics Appendix B – Results by Respondent Characteristics Pre…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - Chapter-3 - Sepsis Recognition Sepsis Recognition 3-1 3. Sepsis Recognition Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S. Introduction Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years, and accounts for more hospital admissions and spending than…
  15. www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - Final Progress Report: ESDP in Community Hospitals Holland R03 Final Report 1 Title Page Include the following: •Title of Project. ESDP in Community Hospitals •Principal Investigator Diane E. Holland, PhD, RN Team Members. Cheryl Brandt, PhD, RN, Co-I Vy Nguyen, Study Coordinator Adriana Delgado, MAdm, CCRP, St…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
    December 31, 2015 - CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Manage…
  17. www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
    April 01, 2013 - Appropriate Assertion Call (Transcript) December 14, 2010 Operator: Good day, ladies and gentleman and welcome to the CUSP Content Call. At this time, all participants are in a listen only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should …
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
    January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis 121 The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis Robert L. Phillips, Susan M. Dovey, John S. Hickner, Deborah Graha…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
    May 05, 2008 - From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety Diane Valade, MS; A.B. Orlik; Ruth Mohr, RN, MPH, PhD; Vicky Debold, RN, PhD; …

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