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  1. www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
    January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title of Project Creating Safe Ambulatory Care: The Path to Resilience Principal Investigator Christopher Nemeth, PhD Team Members James Walter, MD Robert Wears, MD, MS Richard Cook, MD Organization The University of Ch…
  2. www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients FINAL REPORT Agency for Healthcare Research and Quality Title of Project: Enhancing The Disclosure Of Medical Errors To Patients Principal Investigator and Team Members: Thomas H. Gallagher, MD Carolyn Prouty, DVM Mary Lucas Organizati…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50614/psn-pdf
    October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc October 30, 2019 In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of Medicine at the…
  5. psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
    March 27, 2024 - In Conversation With… David Blumenthal, MD, MPP July 1, 2012  Citation Text: In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citati…
  6. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…
  7. psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - Health Plan Patient Safety Initiatives Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
  8. psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
    July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Helwig A, Sousane Z, …
  9. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-pain-management-grand-rounds-slides.pptx
    March 01, 2022 - AHRQ Slide Template AHRQ Evidence-based Practice Center (EPC) Program Welcome and thank you for joining the EPC Grand Rounds Full EPC Report Links The information provided in this presentation only represents a summary of report data. For detailed information, please visit the AHRQ website links below to read the …
  10. psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - The Evolution of Patient Safety in Surgery Robert M. Wachter, MD | December 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
  11. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
    August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation National Center for Excellence in Primary Care Research Presents Research Methods for Studying the Primary Care Workforce May 2, 2024 Presented by: Hannah Neprash, PhD Lawrence P. Casalino, MD, PhD Sylvia Hysong, PhD Moderated by: …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation March 15, 2023 Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/about/PROD_AI_FieldTestRpt.pdf
    September 25, 2006 - Summary of Analyses of American Indian Field Test CAHPS® American Indian Survey Summary of Analyses of the Field Test September 25, 2006 Beverly Weidmer, Patrik Johansson, Debbie Dalpoas, David Wharton, Charles Darby, and Ron D. Hays Background The CAHPS® American Indian Survey was developed as part of a c…
  14. psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…
  15. www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/autism-spectrum-disorder-in-young-children-screening
    February 16, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Autism Spectrum Disorder in Young Children: Screening February 16, 2016 Recommendations made by the USPSTF are independent of the U.S. governmen…
  16. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…
  17. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
    January 01, 2023 - Health Information Technology and Improving Medication Use Project Final Report ( PDF , 368.03 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of …
  18. cdsic.ahrq.gov/sites/default/files/2025-03/Innovation%20Center%20Q1%202025%20Progress%20Report_03.25.25.pdf
    January 01, 2025 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT M A R C H 2 0 2 5 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the Univer…
  19. psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
    July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up Citation Text: Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Sch…
  20. psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…