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5441. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Voices unheard: barriers to the expression of dissatisfaction with health plans.

5442. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…

5443. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - Rafael Borja American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Association Chicago, Tuesday, September 9, 2014 scheduled for 11:00 a.m. Central Time. Ladies and gentlemen, than…

5444. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) Webinar Transcript American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Associ…

5445. Final Progress Report: Cultural Competency and African Women’s Health Services (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
      January 01, 2024 - Final Progress Report: Cultural Competency and African Women’s Health Services Title (revised): Cultural Competency and African Women’s Health Services Original title: Cultural Competency and Maternal Health in African Women Principal Investigator: Jennifer Carroll, MD, MPH Team Members: Ronald Epstein, MD; Kevin …

5446. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations 1 Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations Principal Investigator: Victoria J. Fraser, MD Co-Principal Inv…

5447. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential u…

5448. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…

5449. The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
      July 01, 2024 - The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health 1 Mental health issues…

5450. Recuperación después de una laparotomía de emergencia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy_spanish.pdf
      October 01, 2023 - Recuperación después de una laparotomía de emergencia Recuperación después de una laparotomía de emergencia e Guía educativa para pacientes con laparotomía de emergencia 1 Recuperación después de una laparotomía de emergencia Nombre del paciente _____________________________________________________________ …

5451. Comparing Patient Safety in Rural Hospitals by Bed Count (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
      January 01, 2004 - Comparing Patient Safety in Rural Hospitals by Bed Count 391 Comparing Patient Safety in Rural Hospitals by Bed Count Stephenie L. Loux, Susan M. C. Payne, Astrid Knott Abstract Objectives: Patient safety is an important national issue. To date, there has been little attention paid to patient safety in rura…

5452. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron, Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer Abstract New Yor…

5453. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - The Mobile Mock Operating Room: Bringing Team Training to the Point of Care The Mobile Mock Operating Room: Bringing Team Training to the Point of Care John T. Paige, MD; Valeriy Kozmenko, MD; Tong Yang, MD, MS; Ramnarayan Paragi Gururaja, MD; Isidore Cohn, Jr., MD; Charles Hilton, MD; Sheila Chauvin, MEd, PhD …

5454. Outcomes Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/rice/ceoutc.html
      October 01, 2018 - Outcomes Measurement Research Initiative in Clinical Economics Clinical Economics Resource Links Outcomes Measurement U.S. Valuation of the EuroQol EQ-5D™ Health States Office of Management and Budget (OMB) 2003 Report to Congress Medical Expenditure Panel Survey (MEPS) U.S. Valuat…

5455. Identifying Key Areas for Delivery Systems Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
      December 01, 2017 - Identifying Key Areas for Delivery Systems Research Slide Presentation by Lawrence Casalino On February 16, Lawrence Casalino made this slide presentation at the AHRQ Expert Meeting on the Challenge and Promise of Delivery System Research. Sign up: Quality Measure Tools Email updates Slide 1 Identif…

5456. HHS AHRQ Freedom of Information Annual Report - FY 2010 (2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/foiafy10a.html
      October 01, 2014 - HHS AHRQ Freedom of Information Annual Report - FY 2010 (2) Freedom of Information Act Annual Report for Fiscal Year 2010. HHS Freedom of Information Annual Report—FY 2010 (continued) VI. Administrative Appeals of Initial Determinations of FOIA Requests Received, Processed, and Pending Administrative Ap…

5457. HHS AHRQ Freedom of Information Annual Report - FY 2010 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/foiafy10.html
      November 01, 2020 - HHS AHRQ Freedom of Information Annual Report - FY 2010 Freedom of Information Act Annual Report for Fiscal Year 2010. Annual report on Freedom of Information Act (FOIA) requests and activities by the Department of Health & Human Services (HHS) Agency for Health Care Policy and Research (AHRQ). I. Basic Inf…

5458. HHS AHRQ Freedom of Information Annual Report - FY 2009 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/foiafy09.html
      October 01, 2014 - HHS AHRQ Freedom of Information Annual Report - FY 2009 Freedom of Information Act Annual Report for Fiscal Year 2009. I. Agency: Agency for Healthcare Research and Quality (AHRQ) Report Prepared By: Nancy Comfort (no longer at AHRQ) Title: Freedom of Information Officer Address: 5600 Fishers Lane…

5459. HHS AHRQ Freedom of Information Annual Report - FY 2008 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/foiafy08.html
      October 01, 2014 - HHS AHRQ Freedom of Information Annual Report - FY 2008 Freedom of Information Act Annual Report for Fiscal Year 2008. I. Agency: Agency for Healthcare Research and Quality (AHRQ) Report Prepared by: Nancy Comfort (no longer at AHRQ) Title: Freedom of Information Officer Address:   5600 Fishers Lane,…

5460. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily1.html
      July 01, 2018 - Guide to Patient and Family Engagement Introduction Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informa…