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  1. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
    April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
    March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …
  5. www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
    January 01, 2024 - Final Progress Report: Emergency Department Overcrowding and Quality of Acute Asthma Care for Children Title of Project: Emergency Department Overcrowding and Quality of Acute Asthma Care for Children Principal Investigator and Team Members: Marion R. Sills, MD, MPH, Principal Investigator Diane Fairclough, DrPH,…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives 161 Prescribing Safety in Ambulatory Care: Physician Perspectives Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung, Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson, Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
    March 01, 2004 - Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings 375 Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings Lucy A. Savitz, Cheryl B. Jones, Shulamit Bernard Abstract Objective: In this era of patient safety, quality indicators associated with the nursing profession have…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
    March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagement Patient and Family Advisor Orientation Manual Guide to Patient and Family Engagement Table of Contents About This Orientation Manual ..........................................................…
  11. www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
    January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) Contents On Page 1 of 2: 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input From Stakeh…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…
  13. www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 3. Designing and Testing Methods to Stratify Risk of Surgical Site Infections Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome …
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
    June 02, 2025 - Appendix 2: CED Compiled Public Comment Themes Summary_Out of Scope Comments There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Implementation Guide Purpose of This Guide This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiih.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  17. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 4: Defining Language Need and Categories for Collection, cont. Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  18. www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
    January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Principal Investigator: Ronilda Lacson, MD, PhD Team Members: Ramin Khorasani, MD, MPH Katherine Andriole, PhD Luciano Prevedello, MD, MPH Tejal …
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Results Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…
  20. www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
    January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics FINAL PROGRESS REPORT Title of Project: Pursuing Perfection in Pediatric Therapeutics Principal Investigator: Carole Lannon, MD, MPH Team Members: Research Director: Michael Seid, PhD Education Liaison: Peter Margolis, MD, PhD Program Manage…

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