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  1. 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…
  2. 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, …
  3. 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 …
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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 .................................................…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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.…
  19. 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…
  20. 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…

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