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  1. www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
    September 01, 2015 - Emergency Nurses Association content and transcript AHRQ Safety Program for Reducing CAUTI in Hospitals The Emergency Nurses Association Presents CAUTI Slides and Transcript AHRQ Pub No. 15-0073-5-EF September 2015 Contents Attribution......................................................................…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
    January 01, 2008 - Strategy 1: Working with Patients & Families as Advisors (Tool 11) Insert hospital logo here Working With Patient and Family Advisors: Part 1. Introduction and Overview [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Working With Patient and Family Advisors Training (Tool 11) Guid…
  3. www.ahrq.gov/evidencenow/tools/keydrivers/description.html
    October 01, 2020 - EvidenceNow Key Drivers and Change Strategies Below are descriptions of each key driver and change strategy in the EvidenceNOW Key Driver Diagram. Key Driver 1: Seek, select, and customize the best evidence for use by the practice The practice of medicine evolves in response to new knowledge about what care…
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  5. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-resource-guide.pdf
    March 01, 2023 - Getting Started Resource Guide Getting Started Resource Guide Acronym List Term Abbreviation AR Automatic Referral CC Care Coordination CPT Current Procedural Terminology CR Cardiac Rehabilitation CRCP Cardiac Rehabilitation Change Package ICD-10 International Classification of Diseases (10th edition) …
  6. www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
    January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Principal Investigator: Hardeep Singh Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
  7. www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
    June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes VIEWPOINT Bridging the feedback gap: a sociotech…
  8. 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…
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
    May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 3: Are You Ready To Improve? Visit the AHRQ Website for the full Guide. May 2017 (updated) https://www.ahrq.gov/cahps/quality-improve…
  10. www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
    January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Principal Investigator: Joshua J. Fenton, MD, MPH Team Members: Anthony Jerant. MD Camille Cipri, BS Melissa Gosdin, PhD Daniel Tancredi, PhD Guibo Xing, P…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
    January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? 291 Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? Debra Quinn, Mary Cooper, Lynn Chevalier, Jerry Balentine, Lawrence Kadish, Steven Walerstein, Fredric Weinbaum, Mark Ca…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
    April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium 411 Lessons in Safety Climate and Safety Practices from a California Hospital Consortium Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert, David M. Gaba, Kathryn M. McDonald, Laurence C. Baker Abstract…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
    January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices 409 A Model-based Approach to Prioritizing Medical Safety Practices Richard S. Marken Abstract This report shows how a model of skilled human performance can be used to evaluate safety practices aimed at reducing medical error when randomized tr…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
    February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices Creating Safety in the Testing Process in Primary Care Offices Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD; Jennie J. Gallimore, PhD Abstract Background: The testing process in primary care is complex, and it varies from o…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…
  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/hai/abate/introduction/intro-overview.pdf
    March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities Toolkit for Decolonization of Hospital Non-ICU Patients With Indwelling Devices Based on the ABATE Infection Trial Protocol Abbreviated Title: Decolonization of Non-ICU Patients With Devices I…
  19. www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Community Connections Linking Primary Care Patients to Local Resources for Better Management of Obesity Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health…
  20. www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Integrating Primary Care Practices and Community-based Resources to Manage Obesity A Bridge-building Toolkit for Rural Primary Care Practices Prepared for Agency for Healthcare Research and Quality 540 Gaither Road Rockv…

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