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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …
  2. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hospital-linkage-techdoc-021224.pdf
    January 01, 2022 - Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health a…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking Learning From Defects Through Sensemaking AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program For Surgery – Implementation This module focuses on the process of Learning from Defects throug…
  4. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
    January 01, 2009 - Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition Technical Review 17 Nutritional Research Series Volume 1: Application of Systematic Review Methodology to the Field of…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
    November 01, 2022 - Analysis of Requirements for Coverage With Evidence Development (CED) - Topic Refinement Topic Refinement Analysis of Requirements for Coverage With Evidence Development (CED) – Topic Refinement Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers La…
  6. www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
    September 01, 2012 - Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit Evaluation and Research on Antimicrobial Stewardship’s Effect on Clostridium difficile (ERASE C. difficile) Project Toolkit for Reduction of Clostridium difficile Through Antimicrobial…
  7. www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
    July 01, 2024 - Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act PATIENT SAFETY e Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act This page intentionally left blank. e Issue Brief 19 Electronic Test Result Communication …
  8. 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…
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
    January 01, 2020 - Children With Disabilities Algorithm Children with Disabilities Algorithm Section 1. Basic Measure Information 1.A. Measure Name Children with Disabilities Algorithm (CWDA) 1.B. Measure Number 0144 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measur…
  10. www.ahrq.gov/sites/default/files/2024-12/romano-report.pdf
    January 01, 2024 - Final Progress Report: Information about Quality in a Randomized Evaluation (INQUIRE) 1 FINAL PROGRESS REPORT Information about Quality in a Randomized Evaluation (INQUIRE) Principal Investigator: Patrick S. Romano, MD MPH Professor of Medicine and Pediatrics University of California Davis School of Medicine …
  11. www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
    January 01, 2024 - Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs Factors Associated with Quality of Care Delivered to Children in US EDs PI: James P. Marcin, MD Co-Investigators: Madan Dharmar, MBBS, PhD; Patrick Romano, MD; Nathan Kuppermann, MD, MPH Organization: Regents of the Uni…
  12. www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
    January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality Final Progress Report 1. Title Page Title: Development and Validation of a Tool to Evaluate Handoff Quality Principal Investigator and Team Members: Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…
  13. www.ahrq.gov/hai/pfp/haccost2017-ref.html
    May 01, 2023 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions References Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…
  14. www.ahrq.gov/sites/default/files/2024-03/kerfoot-conlin-report.pdf
    January 01, 2024 - Final progress Report: Spaced Education to Optimize Prostate Cancer Screening Title Page Title of Project: Spaced Education to Optimize Prostate Cancer Screening Principal Investigator and Team Members: B. Price Kerfoot, MD, EdM – Principal Investigator Paul R. Conlin, MD – Primary Mentor Organization: Harvard Uni…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process aims to change that. Slide 1 Say: To get started, let’s watch this video. Video: Do Less…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 5: Response and Disclosure Communication In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. 1 Objectives Define the Response and Disclosure component of the CANDOR Proc…
  17. www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…
  18. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
    October 01, 2013 - How the CHIPRA quality demonstration elevated children on State health policy agendas Evaluation Highlight No. 4 Authors: Nicole Cafarella Lallemand, Elizabeth Richardson, Kelly Devers, and Lisa Simpson Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes …
  19. www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
    January 01, 2019 - Third Annual CHSP CoE Workshop ISSUE BRIEF Third Annual Workshop of the Comparative Health System Performance Initiative Executive Summary The Agency for Healthcare Research and Quality (AHRQ) hosted the Comparative Health System Performance (CHSP) Initiative’s third annual workshop on September 25, 2018, to …
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
    April 01, 2021 - SOPS Diagnostic Safety Pilot Study Report Pilot Study Results From the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockvil…

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