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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
    March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium 33 The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger Abstract In response to the Agency for Healthca…
  2. www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
    January 01, 2013 - One SNAC member suggested that a better measure for reducing antibiotic use for viral infections is
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
    January 01, 2011 - Section 5, Figure 1 and Tables 1-5 Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for Children with Complex Needs Suboptimal Care- Seeking by Parent/Pt •Lack of a PCMH •Urgent care/ED use instead of PCMH •Lack o…
  4. www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
    January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities Final Report 1. Title Page Principal Investigator: Ellen Taylor Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer healthcare facilitie…
  5. www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
    January 01, 2024 - Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety AHRQ Grant Final Progress Report Title of Project: Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety Principal Investigator: Elizabeth D. Cox, MD, PhD, Associate Professor, Department of Pediatrics a…
  6. www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
    January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth 1 AHRQ Final Progress Report Title: What about mom? Using Administrative Data to Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth Principal In…
  7. www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
    November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities May 13, 2014 Download accessible version of slides (PDF, 1.1 MB) Introducing Nine Levers to Support the Aims and Priorities [Slide 1] Ann Gordon: Welcome to today's event featuring t…
  8. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules Health Services and Primary Care Research Study: Comprehensive Report This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results: D…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
    January 01, 2008 - Strategy 1: Working with Patients & Families as Advisors (Tool 11) Insert hospital logo here Working With Patient and Family Advisors: Part 1. Introduction and Overview [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Working With Patient and Family Advisors Training (Tool 11) Guid…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
    March 15, 2016 - Documentation and Coding for the AHRQ Pediatric Quality Indicators Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.4 i Documentation and Coding for the AHRQ Pediatric Quality Indicators Note: This tool was updated based on test software provided by AHR…
  11. www.ahrq.gov/evidencenow/tools/keydrivers/description.html
    October 01, 2020 - EvidenceNow Key Drivers and Change Strategies Below are descriptions of each key driver and change strategy in the EvidenceNOW Key Driver Diagram. Key Driver 1: Seek, select, and customize the best evidence for use by the practice The practice of medicine evolves in response to new knowledge about what care…
  12. www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
    January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1 Title Page Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients: Randomized Trial Principal Investigator and Team M…
  13. www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
    January 01, 2024 - Final Progress Report: ED Staffing and Patient Outcomes ED Staffing and Patient Outcomes Final Report Nina A. Bickell, MD, MPH, Principal Investigator Team Members: Rebecca Anderson, MPH, Project Manager Carol Barsky, MD, Co-Investigator Mary Rojas, PhD, Co-Investigator Department of Health Policy Moun…
  14. www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
    January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures? FINAL PROGRESS REPORT: ARE VOLUME STANDARDS ACCURATE MEASURES? Principal Investigator: Laurent G. Glance, M.D. Co-Investigators: Andrew W. Dick, Ph.D. Turner M. Osler, M.D. Dana B. Mukamel, Ph.D. Organization: University of Rochester School of Medic…
  15. 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; …
  16. 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…
  17. 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…
  18. 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 …
  19. 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…
  20. 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…

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