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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results
2025 AHRQ Surveys on Patient Safety Culture®
(SOPS®) Nursing Home Survey Version 2.0 Pilot
Test Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety Climate Survey:
Tool Development and Lessons Learned
Lynne M. Connelly, Judy L. Powers
Abstract
Objective: A key tenet of patient safety programs is the elimination of the
“culture of blame.” The On-line P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors
Marvin P. Fried, Richard Satava, Suzanne Weghorst,
Anthony Gallagher, Clarence Sasaki, Douglas Ross,
Mika Sinanan, Hernando Cuellar, Jose I. Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of…
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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-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year 2025:
Eight Perspectives
Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton,
FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE;
David M. Gaba, MD;…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care
57
A Clinical Assessment Program to
Evaluate the Safety of Patient Care
Richard J. Snow, Martin S. Levine, Dwain L. Harper,
Sharon L. McGill, George Thomas, Joseph P. McNerney
Abstract
The American Osteopathic Association’s Clinical Asses…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams
The Nature, Characteristics and Patterns
of Perinatal Critical Events Teams
William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD;
Kristi Miller, RN, MS; Reinhard Priester, JD
Abstract
The Institute …
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
June 16, 2016 - National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
CHARTBOOK
ON
CARE
COORDINATION
National Healthcare Quality and Disparities Report
This document is in the public domain and…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOC-PIV-Field-Guide.pdf
June 01, 2015 - Opportunities for Integrating MOC Part IV Requirements into PBRN Practices
Opportunities for Integrating
MOC Part IV Requirements
into PBRN Practices
JUNE 2015
Opportunities for Integrating MOC Part IV Requirements
into PBRN Practices
Prepared for:
Agency for Healthcare Research and Quality
U.…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - Practice-Based Research Network Business Opportunities with ACOs and Other Health Care Systems: Training and Technical Assistance
PRACTICE-BASED RESEARCH NETWORK
BUSINESS OPPORTUNITIES
WITH ACOs AND OTHER HEALTH CARE SYSTEMS:
Training and Technical Assistance
PBRN
TRAINING &
TECHNICAL
ASSISTANCE
HEALTH
CAR…
-
www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation
Final Report:
Risk-Informed Interventions in Community Pharmacy:
Implementation and Evaluation
Principal Investigator:
Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon)
Team Members:
Judy L. Smetzer, RN, BSN,…
-
www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care
O’Connor, Patrick J.
Final Report
MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care
Patrick J. O’Connor MD MPH, Principal Investigator
Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …
-
www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture
AHRQ Grant Final Progress Report
Title of Project: Using Team Simulation to Improve Error Disclosure to Patients and Safety
Culture
Principal Investigator: Thomas H. Gallagher, MD
Co-Investigators: Sarah Shann…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care Summary Report
AHRQ Safety Program for Perinatal Care
Summary Report
Prepared for:
Agency for Healthcare Research and
Quality, U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20850
www.ahrq.gov
Contract No. HHSA290201000024I
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
November 01, 2019 - Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies
Availability of Multidisciplinary Outpatient Care for
Women with High-Risk Pregnancies
Section 1. Basic Measure Information
1.A. Measure Name
Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancie…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
January 01, 2014 - Follow-Up Referral After Positive Developmental Screen
Follow-Up Referral After Positive Developmental
Screen
Section 1. Basic Measure Information
1.A. Measure Name
Follow-up Referral after Positive Developmental Screen
1.B. Measure Number
0204
1.C. Measure Description
Please provide a non-technical descri…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
June 01, 2019 - Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported
1
Neonatal Intensive Care All-Condition Readmissions
with Gestational Age Reported
Section 1. Basic Measure Information
1.A. Measure Name
Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported
1.B. Measu…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report
Neonatal Intensive Care All-Condition Readmissions
Without Gestational Age
Section 1. Basic Measure Information
1.A. Measure Name
Neonatal Intensive Care All-Condition Readmissions Without Gestational Age
1.B. Measure Number…