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  1. www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
    January 01, 2024 - Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians AHRQ Grant Final Progress Report Title of Project: Developing Peer-to-Peer Learning Tools for Critical Care Physicians: Peer- and Competency- based Ongoing Approach for Critical Healthcare Evaluations of Skills (P-COACHES) …
  2. www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
    January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports Final progress report Developing Evidence for Safety Surveillance from Device Adverse Event Reports Grant number: 1R03HS026291-01 Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY Research Team Principal invest…
  3. www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
    February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program The National Evaluation of the CHIPRA Quality Demonstration Grant Program Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program FINAL SUMMARY This report was prepared for the Agen…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation SAY: This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…
  5. www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
    January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator: David M. Studdert, LLB, ScD Team Members: Harvard School of Public Health: Allison Nagy, BA Ann Louise Puo…
  6. www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
    January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study AHRQ grant final progress report TITLE The Effect of EMR on Medication Safety: A SPUR-Net Study PRINCIPAL INVESTIGATORS AND TEAM MEMBERS Principal Investigator: Grace M. Kuo, PharmD, MPH Study Co-Investigators: Jeffrey R. Steinbauer,…
  7. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - EvidenceNow Key Drivers and Change Strategies EvidenceNow Key Drivers and Change Strategies Tools & Resources Change Strategy: Develop a process to search for new evidence and other changes related to Key Driver 1 Change Strategy: Develop an inter-professional QI team and other changes related to Key Driver…
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
    February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program The National Evaluation of the CHIPRA Quality Demonstration Grant Program Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program FINAL SUMMARY This report was prepared for the Agen…
  9. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
    September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 4: CME Design Features Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs) Par…
  10. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
    January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Effectively engaging practices in a primary care quality improvement (QI) initiative, including both the initi…
  11. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
    January 01, 2020 - National Advisory Council Meeting, July 14, 2020: Minutes National Advisory Council, July 14, 2020 Page 1 Agency for Healthcare Research and Quality National Advisory Council Meeting (Virtual Meeting) July 14, 2020 SUMMARY NAC Members Present Tina M. Hernandez-Boussard, Ph.D., M.…
  12. www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
    November 01, 2020 - Meeting Minutes, July 2020 National Advisory Council Minutes from the July 14, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. ( Virtual Meeting ) Contents Summary Call to Order and Approval of March 26, 2020, Meeting Summary Overview and Recent Accomplis…
  13. www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
    January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
    January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience 131 Quantitative and Qualitative Analysis of Medication Errors: The New York Experience Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Abstract Objectives: In June 2000, the New Yo…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative David R. West, John M. Westfall, Rodrigo Araya-G…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
    March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders 299 Creating a Curriculum for Training Health Profession Faculty Leaders Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad Abstract Objectives: An interprofessional, collaborative group of educators, patient safety officers, and Federal …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…
  19. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
    September 01, 2015 - Practice-Based Research Network Business Opportunities with ACOs and Other Health Care Systems: Training and Technical Assistance PRACTICE-BASED RESEARCH NETWORK BUSINESS OPPORTUNITIES WITH ACOs AND OTHER HEALTH CARE SYSTEMS: Training and Technical Assistance PBRN TRAINING & TECHNICAL ASSISTANCE HEALTH CAR…
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
    June 01, 2013 - Environmental Scan of Patient Safety Education and Training Programs Contract Final Report Environmental Scan of Patient Safety Education and Training Programs Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, M…

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