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  1. 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…
  2. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Chapter 3. Linking With a Community Partner Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Ch…
  3. www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
    January 01, 2024 - Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety AHRQ Grant Final Progress Report Field, Terry S. Grant Award Number: R18HS017906 TITLE PAGE Title of Project: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety Principal Investigator: Ter…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_2.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #2: The Health Center New Models of Primary Care Workforce and Financing Case Example The Health Center 2 New Models of Primary Care Workforce and Financing Case Example #2: The Health Center Prepared for: Age…
  5. www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
    January 01, 2024 - Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model Final Progress Report Brief, Risky, High-Benefit Procedures: Best Practice Model Colin F. Mackenzie, MD, Principal Investigator Co-investigators: Yan Xiao, PhD, Grant Bochicchio, MD, Peter Hu, MS, CNE, F. Jacob Seagull, PhD…
  6. www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
    January 01, 2024 - Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness Title: Exploratory Study Using Queuing Theory to Improve Nurse Staffing Effectiveness Principal Investigator Patricia W. Stone Team Members: Linda Green Haomiao Jia Pam de Cordova Sookyung Hyun Stephanie Goldbe…
  7. www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
    January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant Final Report Re-engineering the Hospital Discharge for Patient Safety Safe Practices Implementation Challenge Grant Dates of Project: 09/30/03-09/29/04 Federal Project Officer: Deborah Que…
  8. 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…
  9. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
    January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project 283 Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project Nancy E. Donaldson, Rosemary K. Plank, Ann Williamson, J…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - Development and Validation of the Medication Administration Error Reporting Survey 475 Development and Validation of the Medication Administration Error Reporting Survey Bonnie J. Wakefield, Tanya Uden-Holman, Douglas S. Wakefield Abstract Analysis of medication errors can lead to system improvement and reduc…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives from the Frontlines Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD; Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA Abstract Although patient safety experts have focused on event…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
    February 02, 2008 - The Impact of Standardized Order Sets on Quality and Financial Outcomes The Impact of Standardized Order Sets on Quality and Financial Outcomes David J. Ballard, MD, MSPH, PhD; Gerald Ogola, MS, MPH; Neil S. Fleming, PhD; Dave Heck, MD; Julie Gunderson, RN, BSN, MM ; Raaj Mehta; Roger Khetan, MD; Jeffrey D. Ker…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
    May 05, 2008 - From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety Diane Valade, MS; A.B. Orlik; Ruth Mohr, RN, MPH, PhD; Vicky Debold, RN, PhD; …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
    March 29, 2016 - AHRQ) contracted with Westat and its subcontractor— the University of Colorado School of Medicine—to produce
  17. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
    April 01, 2025 - screening instrument.[54] Guidelines for translating health surveys include having two translators each produce
  18. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
    October 01, 2014 - Treating Tobacco Use and Dependence Quick Reference Guide for Clinicians This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
    January 01, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Qual…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
    June 01, 2020 - SOPS™ 101 Webcast Transcript November 2018 https://www.ahrq.gov/sops/index.html 1 Understanding SOPS Surveys: A Primer for New Users October 23, 2018 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety C…

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