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  1. www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
    January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority FINAL REPORT A new approach to the allocation of decisional authority Simon Whitney, MD, JD, Principal Investigator Team members Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of Family …
  2. www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference Final Progress Report Grant Number 1R13HS018321-01 Project Period 8/1/2009 - 1/31/2010 Conference: Diagnostic Error In Medicine PI: Mark L. Graber, MD SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day confer…
  3. psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
    March 27, 2024 - administrative-level prioritization to know that of the many things they're thinking through, this should be top of mind
  4. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
    October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 4. Observations About the Evaluation Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key F…
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
    November 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Behavior Changes …
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
    April 01, 2022 - CLABSI Event Reporting Tool CAUTI Event Report Tool: Data for Event Analysis This event report tool is designed to be used as a guide through the initial investigation for a defect analysis where the primary goal is to learn what happened and what factors may have contributed to the catheter-associated urinary trac…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide The Four Es of Early Mobility SAY: This module explains how to apply the Four Es of the TRIP framework to Early Mobility: engage, educate, execute, and evaluate. Slide 1 Learning Objectives SAY: A…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33710/psn-pdf
    May 01, 2011 - In Conversation with…Albert Wu, MD, MPH May 1, 2011 In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0 Editor's note: Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins School of Public Health. A…
  9. www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
    February 01, 2024 - Teaching Implementation Coaching for Culture Change Coaching Objectives and Overview Display Slide 42, “Coaching for Culture Change,” as you transition to the culture section. Present Slide 43, “Objectives,” after you complete the implementation planning section. Note that executing a plan requires subs…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33664/psn-pdf
    March 01, 2008 - It's important for anyone considering starting up a procedure service to keep in mind that a procedure
  11. psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
    January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice. Citation Text: Nichols A. The Unhappy Patient Leaves Against Medical Advice.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33643/psn-pdf
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006 In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma Editor's Note: J. Bryan Sexton, PhD, MA, is Assistant Professor, Department of Anesthesiology and Critic…
  13. www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…
  14. psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
    September 15, 2024 - COVID-19: Team and Human Factors to Improve Safety Citation Text: Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar…
  15. WITHIN 3 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/shah.pdf
    May 29, 2025 - Designing with the health care professional in mind, it's really -- it's a short phrase there, but
  16. psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
    January 01, 2024 - Spotlight Spotlight A Fatal Twist in Pseudohyperkalemia 1 Source and Credits This presentation is based on the August 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Justin L. Devera, MD, David K. Barnes, MD, FACEP, and William R. Le…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
    January 01, 2025 - Table of Contents: Volume 1. Assessment Contents Volume 1. Assessment Prologue: Laying the Foundation Kerm Henriksen Looking Forward, Benefiting from the Past Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, Caitlin Oppenheimer, Lucian Leape, et al. What Exactly Is Patien…
  18. www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
    April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa AHRQ Grant No.: HS024379 Proj…
  19. www.uspreventiveservicestaskforce.org/home/getfilebytoken/h5Tt4jScmQJeHeztmo93hu
    February 25, 2020 - A second trial (the Maximizing Independence at Home [MIND] Care Coordina- tion Trial) (n = 303)40 assessed … care coordination intervention for elders with memory disorders: the maximizing independence at home (MIND
  20. S5 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
    October 01, 2007 - Creating and synthesizing evidence with decision makers in mind: integrating evidence from clinical trials