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  1. 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 …
  2. 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…
  3. 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 …
  4. 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 …
  5. 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…
  6. 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…
  7. 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 …
  8. 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…
  9. 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…
  10. 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 …
  11. 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…
  12. 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 …
  13. 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…
  14. www.ahrq.gov/teamstepps-program/resources/videos/index.html
    June 01, 2023 - JavaScript is disabled In order to continue, we need to verify that you're not a robot. This requires JavaScript. Enable JavaScript and then reload the page.
  15. 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.
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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