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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 …
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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…
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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/…
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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…
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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
…
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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 ...............................................................................…
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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…
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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…
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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…
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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…
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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
…
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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…
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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
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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
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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
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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…
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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…
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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…
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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…
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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,