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  1. www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
    January 01, 2024 - Final Progress report: Creating High Reliability Organizations Creating High Reliability Organizations Principal Investigator: Stephen D. Small, MD Key Team Members: Kay Metis, MS, MA Bobbie J. Sweitzer, MD Paul Barach, MD (2001-2002) Additional funded collaborators: Julie Mohr, PhD David Meltzer, MD, …
  2. www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
    January 01, 2024 - Final Progress Report: Medication Reconciliation: A Team Approach AHRQ Small Conference Grant Final Report Title of Project: Medication Reconciliation: A Team Appr oach Principal Investigator: Jeffrey L . Greenwald, MD, FHM Team Members: Jeffrey L. Greenwald, MD, FHM (SHM), PI and Conference Chair; …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
    November 30, 2013 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Introduction to Preventable Hospital and ED Visits Reports Preventable Hospital and ED Visits Electronic Reports Electronic Reports Transfer Risk Report – High Risk Transfer Risk Report – Medium Ris…
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - EvidenceNow Key Drivers and Change Strategies EvidenceNow Key Drivers and Change Strategies Tools & Resources Change Strategy: Develop a process to search for new evidence and other changes related to Key Driver 1 Change Strategy: Develop an inter-professional QI team and other changes related to Key Driver…
  5. www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Person- and Family-Centered Care September 2016 Slide 2 National Healthcare Quality and Disparities Report …
  6. 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 …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
    January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data 119 Medical Injury Identification Using Hospital Discharge Data Peter M. Layde, Linda N. Meurer, Clare Guse, John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn, Karen J. Brasel, Stephen W. Hargarten Abstract Objective: Determine the feasi…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
    January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
    April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration Robert R. Campbell, JD, MPH, PhD; An…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
    February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS; Patricia Ruddick,…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
    July 31, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human S…
  14. www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Integrating Primary Care Practices and Community-based Resources to Manage Obesity A Bridge-building Toolkit for Rural Primary Care Practices Prepared for Agency for Healthcare Research and Quality 540 Gaither Road Rockv…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0090-fullreport.pdf
    July 25, 2016 - Tobacco Use and Help With Quitting Among Adolescents Tobacco Use and Help With Quitting Among Adolescents Section 1. Basic Measure Information 1.A. Measure Name Tobacco Use and Help With Quitting Among Adolescents 1.B. Measure Number 0090 1.C. Measure Description Please provide a non-technical description …
  16. 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…
  17. www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
    January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set Summary Report Background Report on 2013 Retirement of CHIPRA Measures from the Child Core Set Prepared for: Agency for Healthcare Research and Quality Rockville, MD Prepared by: RTI International Resear…
  18. 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…
  19. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
    January 01, 2018 - an ambulatory care setting owned by a hospital (an HOPD), the physician practice receives a greatly reduced
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-section-6b.pdf
    January 01, 2013 - In other words, using appendectomy to inform coverage reduced the error with respect to the ACS survey

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