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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - Nursing Home Workplace Safety Resource List
Improving Workplace Safety in Nursing Homes:
A Resource List for Users of the AHRQ Workplace
Safety Supplemental Item Set
Purpose
This document includes references to websites and other publicly available resources nursing
homes can use to improve workplace safety fo…
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www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia
5R01HS018413-02 REVISED Tanner CM
I
FINAL PROGRESS REPORT
Project Title:
Principal Investigator:
Team Members:
Project Dates:
Federal Project Officer:
Acknowledgment of Agency Support
and Grant Number:
DIAGNOSTIC ERROR IN DYSTONIA
Tanner, Caroline M., MD, …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
January 01, 2020 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled …
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology
Final Progress Report
Title of Project: Improved Patient Safety with Information Technology
Principal Investigator: J. Marc Overhage, MD, PhD
Team Members: Irmina Gradus-Pizlo, MD
Chris Steinmetz, MD
Karen Wolf, MD
JingJin Li, PhD…
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www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
January 01, 2024 - Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH)
Medications at Transitions and Clinical Handoffs (MATCH)
Principal Investigator: Gary A. Noskin, MD
David Baker, MD
Gerard Castro, MPH
Andrew Chang, JD, MPH
Joseph Feinglass, PhD
Kristine Gleason, RPh
David Liebovitz, MD
David Liss, B…
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www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - Final Progress Report: Blood Product Transfusion & Safe Practices
Blood Product Transfusion & Safe Practices
Final Progress Report
Principal Investigator: Loreen A. Herwaldt, MD
Team Members: Lee Carmen, BS
Linda K. Chase, RN, MA, CNAA
Comried, Lynn A., BSN, MA
Susan K. Dane, BA
Deborah Green
Charles M. Hel…
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www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors?
Show Your Work:
Do Prescription Annotations Impact Near-miss Medication Errors?
Kevin B. Johnson, MD, MS (PI)
Associate Professor, Biomedical Informatics
Associate Professor, Pediatrics
Vanderbilt Universi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - Surgical Complication Prevention Guide
AHRQ Safety Program for Surgery
Surgical Complication Prevention Guide
AHRQ Publication No. 16(18)-0004-13-EF
December 2017
AHRQ Safety Program for Surgery Surgical Complication
Prevention Guide
Contents
Introduction .................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
June 02, 2025 - TAKEheart Care Coordination Implementation Guide – Part 1 -- Module 6
Laying the Groundwork for Effective Care Coordination
Purpose and Overview
The overall goal of TAKEheart is to increase the enrollment and successful completion of
cardiac rehabilitation (CR) by eligible patients. The evidence demonstrate…
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Error Disclosure Training and Organizational Culture
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children
213
Methodological Challenges in Describing
Medication Dosing Errors in Children
Heather McPhillips, Christopher Stille, David Smith, John Pearson,
John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis
Abstract
Alth…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors
333
Establishing a Culture of Patient
Safety Through a Low-tech Approach
to Reducing Medication Errors
Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino,
Sandra A. McDougal, Joann M. Pilliod…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
January 01, 2004 - Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies
507
Suicide Risk Response: Enhancing
Patient Safety Through Development
of Effective Institutional Policies
Laura Bonner, Bradford Felker, Edmund Chaney, Karen Vollen,
Karen Berry, Barbara Revay, Barbara Sim…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice
441
From Science to Service: A Framework
for the Transfer of Patient Safety
Research into Practice
Veronica F. Nieva, Robert Murphy, Nancy Ridley,
Nancy Donaldson, John Combes, Pamela Mitchell,
Christine Kovner…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project
Harnessing the Potential of Health Care
Collaboratives: Lessons from the Keystone ICU
Project
Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD
Abstract
In October 2003, the Quality and Safety Research…
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www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
October 01, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide
Is Our Pharmacy Meeting
Patients’ Needs? A Pharmacy
Health Literacy Assessment Tool
User’s Guide
This user’s guide was produced under contract to the Agency for Healthcare Research
and Quality (AHRQ) under Contract No.…
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities
Final Report
1. Title Page
Principal Investigator: Ellen Taylor
Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer
healthcare facilitie…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 6. Horizon Hospital—Lakeview Healthcare
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Centra…