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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
    January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study 65 Organizational Climate, Stress, and Error in Primary Care: The MEMO Study* Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams, Ann Maguire, Julia McMurray, Mary Beth Plane* Abstract Background: The impact of organizatio…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
    January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
    July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency 105 Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder, Lisa J. Jaser, Nancy Safer, Paul Davern Abstract The Medicar…
  4. www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
    March 01, 2021 - Meeting Minutes, November 2020 Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. ( Virtual Meeting ) Contents Summary Call to Order and Approval of July 14, 2020, Meeting Summary Overview and Recent AHRQ Accomplishments AHRQ …
  5. www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
    January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
    January 01, 2005 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database 277 Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database Elaine M. Furmaga, Peter A. Glassman, Francesca E. Cunningham, Chester B. Good Abstract Objective: In view of the wi…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
    April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
  9. 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 …
  10. www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
    January 01, 2025 - Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions, Version 2: Evaluation Report January 2025 Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions, Version 2 Evaluation Report Prepared for Agency for Healthcare Research and Quality …
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - It is a common reason for hospital admission and readmission, with an estimated incidence of 6 percent
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - Improving Surgical Care and Recovery Core and Surgery Specific Pathways Worksheet Use this worksheet to develop enhanced recovery pathways for use at your hospital. The information in this tool is based on evidence reviews (see appendix) conducted by the National Project Team at the American College of Surgeons and Jo…
  13. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Monitoring, Control, and Sustainment "The reason that I think we're still doing it is because
  14. 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…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
    November 01, 2019 - We designed the measures to identify reduced availability for any reason, including geographic isolation
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0090-fullreport.pdf
    July 25, 2016 - For this reason, NCINQ chose to evaluate the known-groups validity, defined as the ability of the measure
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
    July 01, 2014 - 2013 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Da…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
    January 01, 2013 - 2013 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Da…
  19. www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
    March 01, 2025 - such as expanded telehealth options or urgent care clinics, do not alleviate boarding for the same reason
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
    January 01, 2004 - the above Pressure Ulcer Baseline Assessment for Nursing Assistant What is the most common reason … All of the above Nursing Assistant What is the most common reason a patient gets a pressure

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