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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies John S. Webster, MD, MBA; Heidi B. …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
    January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD; Sheila W. C…
  3. www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
    January 01, 2024 - For this reason, the materials have been developed to meet the needs of a variety of individuals on the
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
    April 30, 2025 - concluded that ambulation should not be considered an adequate prophylaxis for VTE, nor an adequate reason
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
    March 01, 2018 - the 2018 report, 11 hospitals were excluded from one or more composite- level calculations for this reason
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
    September 29, 2014 - Circle “No” if catheter hubs are not connected aseptically for any reason including being allowed to
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
    June 01, 2015 - hospitals when the rate at which they readmit Medicare patients within 30 days of discharge (for any reason
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
    April 01, 2010 - Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience W O R K I N G P A P E R Improving Hospital Inpatient Nursing Care A Case Study of One Hospital’s Intervention to Improve the Patient’s Care Experience …
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
    January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I PATIENT SAFETY SURVEYS ON PATIENT SAFETY CULTURETM (SOPS®) HOSPITAL SURVEY 2.0 2022 User Database Report Surveys on Patient Safety Culture™ [This page intentionally left blank] Surveys on Patient Safety Cultu…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
    March 01, 2021 - Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I Surveys on Patient Safety CultureTM Hospital Survey 1.0: 2021 User Database Report PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®) Hospital Survey 1.0: 2021 Us…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
    March 01, 2018 - the 2018 report, 11 hospitals were excluded from one or more composite- level calculations for this reason
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
    June 01, 2023 - AHRQ-Funded Patient Safety 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Research has shown that health information technology (HIT)i and health information exchange (HIE)ii make it …
  13. www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings Project Title: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings Principal Investigator and Team Members: o Principle Investigator: Shin Hye Park, P…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
    May 28, 2008 - Using Home Visits to Understand Medication Errors in Children Using Home Visits to Understand Medication Errors in Children Kathleen E. Walsh, MD, MSc; Christopher J. Stille, MD, MPH; Kathleen M. Mazor, EdD; Jerry H. Gurwitz, MD Abstract Current research methods are not well designed to detect medication e…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization SAY: Welcome to this presentation on the implemen…
  16. www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - The Relationship Between Hospital Workload and Patient Safety The Relationship between Hospital Workload and Patient Safety Final Research Report to AHRQ Principal Investigator: Joel S. Weissman, PhD Co- Principal Investigator: Jeffrey Rothschild, MD Co-Investigators and Study Staff (In alphabetical order): ----…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
    December 01, 2017 - Presentation: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: This module is the first of two parts discussing briefings and debriefings. Te…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
    January 01, 2020 - Recent Insights into CAHPS Survey Modes and Response Rates Understanding CAHPS Surveys: A Primer for New Users January 2020  Webcast Speakers Caren Ginsberg, Ph.D., CPXP, Director, CAHPS & SOPS, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, MD Dal…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide AHRQ Safety Program for Ambulatory Surgery AHRQ Safety Program for Ambulatory Surgery Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide AHRQ Publication No. 16(17)-0019-3-EF May 2017 …
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
    June 02, 2025 - Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Transcript release date 5/24/11 www.talkingquality.ahrq.gov Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Moderator: Lise Rybowski, Consultant, Talking…

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