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  1. 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 …
  2. www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
    January 01, 2024 - Final Progress Report: Deaf People and Healthcare Deaf People and Healthcare PI: Steven Barnett Primary mentor: Kevin Fiscella Co-mentors: Ron Hays Jonathan Klein Thomas Pearson Robert Pollard University of Rochester 9/30/2006 – 9/29/2012 AHRQ Project Officer: Kay Anderson This project was supported by gr…
  3. www.ahrq.gov/sites/default/files/2024-01/sangasubana-report.pdf
    January 01, 2024 - Final Progress Report: The elderly and OTC labeling information: A randomized controlled experiment test 1 FINAL PROGRESS REPORT Funded by The Agency for Healthcare Research and Quality (AHRQ) Federal Project Officer: Ronda Hughes Grant Number: R03 HS16801 Inclusive Dates of Project: From 03/01/2007 through 02/28/…
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix D. Falls Engineer Instructions Previous Page   Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…
  5. www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
    May 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary …
  6. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery Page 1 of 17 Engineering Safe Practices Affinity Group Strategies to Better Engineer Safety into Healthcare Delivery March 6, 2025 Table of Contents Problem Statement ...............................................................................…
  7. www.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
    June 02, 2025 - RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) Frequentl…
  8. www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
    February 01, 2018 - Meeting Minutes, November 2017 National Advisory Council Minutes from the November 3, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 26, 2017, Summary Report Director's Update The Healthcare Cost and Ut…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
    January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
    July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work 279 Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
    April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…
  13. www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
    November 01, 2016 - explained, we too have a very rigorous measurement and reporting technical committee that has met every month
  14. www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - questionnaire collected by onsite study coordinators, we also ascertained patient volume during the 1-month
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - The number of events entered and the number of full investigations carried out over a 6-month period
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
    June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
    July 01, 2016 - What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Matern Child Health J (2017) 21:187–198 DOI 10.1007/s10995-016-2108-8 What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Anna L. Christe…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
    June 30, 2025 - Improving Healthcare Safety by Enhancing Care Coordination AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Care Coordination Overview Care coordination is defined as the process of organizing patient care activities and sharing information among all individuals concerned wi…
  19. www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
    January 01, 2024 - Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) P30 Principal Investigators: Susan Moffatt-Bruce MD, PhD, MBA Chief Executive Officer Royal College of Physicians and Surgeons o…
  20. www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
    January 01, 2025 - Each month the top 25 EMS users are identified and the Street Calls Team (consisting of paramedics,

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