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  1. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021 Network of Patient Safety Databases Chartbook, 2021 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2021. Rockvi…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 4: Selecting Care Management Interventions Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Progra…
  4. www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
    January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department Title Page Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department PI: Elizabeth Schoenfeld, MD, MS Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
    January 01, 2017 - Presentation: Program Overview Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-54-EF January 2017 LTVV Intro, Evidence, Implementation ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning…
  6. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
    January 01, 2011 - Section 5, Figure 1 and Tables 1-5 Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for Children with Complex Needs Suboptimal Care- Seeking by Parent/Pt •Lack of a PCMH •Urgent care/ED use instead of PCMH •Lack o…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
    February 01, 2018 - time-sensitive nature of sepsis syndrome protocols can be tracked by EHRs as clinicians progress through the prescribed
  9. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
    May 01, 2018 - Note: Importance: Patients who have problems taking their medications as prescribed are at risk
  10. www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - Many medications have not been evaluated for safety in pediatric use and are routinely prescribed off
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
    December 01, 2021 - 2021 National Healthcare Quality and Disparities Report consequences: the need or use of medicines prescribed
  12. www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
    March 01, 2025 - patients with dementia or cognitive impairment could become agitated in the ED and consequently be prescribed
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
    June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…
  14. www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
    July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
    September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…
  17. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
    July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia SAY: Welcome to this …
  19. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
    June 01, 2022 - Section 2. Implementing Recommendations in Academic Curricula Implementing USPSTF Recommendations into Health Professions Education This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) rec…
  20. 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…

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