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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
    January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients 173 Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients Joseph G. Weaver, Judy Enders McManus, Tammy Leung, Rhonda B. Mangione, Heidi R. Snow, Staci…
  2. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency NPSD Data Spotlight This document is in the public domain and may b…
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
    March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals Pilot Study Results From the 2017 AHRQ Surveys on Patient Safety Culture (SOPSTM) Health Information Technology Patient Safety Supplemental Item Set for Hospitals Prepared for: Agency for Healthca…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
    September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…
  6. www.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Results References …
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Hand Hygiene in the Perioperative Setting SAY: Welcome to this presentatio…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…
  11. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
    June 01, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration  Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration P…
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease …
  14. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Agency for Healthcare Research and Quality Advancing Excellence in Healt…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
    April 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results Results From the 2014 AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Pilot Study Prepared for: Agency for Healthcare Research and Quality (AHRQ) U.S. Department of Health and Human Services (HHS) 540 Gaithe…
  16. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
    November 01, 2014 - executive vice president for health services (now subsumed under the title of president and chief operating officer
  17. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
    March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation 2014 National Healthcare Quality and Disparities Report Contents Introduction Part 1: Overviews of the Report and the Hispanic Population Part 2: Trends in Priorities of the Heckler Report Part 3: Trends in Access and Priorities of the National Qua…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
    April 30, 2025 - Improving Patient Safety by Engaging Patients and Families AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Engaging Patients and Families Overview Research has shown that involving patients, as well as their families and caregivers, in the planning, delivery, and evaluation of their heal…
  19. 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…
  20. www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
    January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients FINAL PROGRESS REPORT 1. TITLE, TEAM, DATES Interactive HIT to promote ambulatory safety among vulnerable diabetes patients Urmimala Sarkar, M.D., M.P.H. Dean Schillinger, M.D. Margaret Handley, Ph.D., M.P.H. Ned…

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