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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
References
Previous Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: Overcoming …
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www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
January 01, 2024 - Final Progress Report: Distance Management of High-Risk Obstetrical Patients
Project Title: Distance Management of High-Risk Obstetrical
Patients
Candice Ferguson, MSPH Woman’s Hospital, BR Project Director
Stephanie Anderson, BS, CPA Woman’s Hospital, BR Investigator
Kim Duplechain…
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …
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www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
Failure Modes and Effects Analysis Based on
In Situ Simulations: A Methodology to Improve
Understanding of Risks and Failures
Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
December 01, 2012 - Assessing the Health and Welfare of the HCBS Population
Technical Appendix
Previous Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCBS Population
Outcomes …
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www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
January 01, 2024 - Final Progress Report: Health Journalism 2010, national conference on healthcare journalism
Final Grant Report for
Agency for Healthcare Research and Quality
Title:
Principal Investigator:
Organization:
Grant Period:
Federal Project Officer:
Acknowledgement of Agency Support:
Grant Number:
Health Journalis…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Access to Health Care Chartbook: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparitites Report
Chartbook on Access to Health Care
May 2016
Slide 2
National Healthcare Quality and Disparities Report
Annual report to Congress m…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II
Medical Office Survey on Patient Safety Culture:
2018 User Database Report
Part II
Appendix A—Overall Results by Medical Office Characteristics
Appendix B—Overall Results by Respondent Characteristics
Prepared for:
Agency for …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - Slide 1
Preventing CAUTI in Special Populations:
Focus on Procedure-Related Catheter Use
1
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiology, Infection Prevention and Control
Hospital of the University of Pennsylvania
Gregory D. Kennedy, MD, PhD
Ass…
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www.ahrq.gov/teamstepps-program/resources/videos/index.html
June 01, 2023 - JavaScript is disabled
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
March 01, 2020 - Promoting the most effective prevention and treatment practices for the leading causes of mortality, … Working with communities to promote wide use of best practices to enable healthy living.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration
Racial Disparities in Patient Safety Indicator (PSI)
Rates in the Veterans Health Administration
Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT;
Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Items for
Nursing Homes: 2025 Updated Results
Part I
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Se…
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www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - Final Progress Report: ESDP in Community Hospitals
Holland R03 Final Report 1
Title Page
Include the following:
•Title of Project.
ESDP in Community Hospitals
•Principal Investigator
Diane E. Holland, PhD, RN
Team Members.
Cheryl Brandt, PhD, RN, Co-I
Vy Nguyen, Study Coordinator
Adriana Delgado, MAdm, CCRP, St…
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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs
AHRQ Grant Final Progress Report
Title of Project:
Encoding and Processing Patient Allergy Information in EHRs
Principal Investigator:
Li Zhou, MD, PhD
Associate Professor
Brigham and Women’s Hospital, Harvard Medical School
Team…
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room
AHRQ Grant Final Progress Report
Title of Project: Context-Based Hand-Gesture Recognition for the Operating Room
Principal Investigator:
Juan P. Wachs, Assistant Professor, School of Industrial Engineering, Purdue U…