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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
    May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures Hospital Language Services: Quality Improvement and Performance Measures Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN; Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA Abstract For a growing segment…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
    March 22, 2014 - On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide - Electronic Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 1 Pressure Ulcer Prevention Reports Slide AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator…
  5. www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
    January 01, 2024 - Final Progress Report: Optimizing OTC labels for older adults AHRQ Grant Final Progress Report Optimizing OTC labels for older adults: Empirical evaluation of labels designed to provide older users the information they need to minimize adverse drug events Principal Investigators: Mark W. Becker, Ph…
  6. www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home AHRQ Grant Final Progress Report TITLE PAGE Title of Project: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home 1 Principal Investigators Kathleen E. Walsh, M…
  7. www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
    January 01, 2024 - Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) Lambert, Bruce L. 5U18HS016973-04 FINAL REPORT UIC CENTER FOR EDUCATION AND RESEARCH ON THERAPEUTICS Tools for Optimizing Prescribing, Monitoring and Education (TOP-…
  8. www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
    January 01, 2024 - Final Progress Report: Evaluating treatment options and patterns of care in early pregnancy failure Principal Investigator/Program Director (Last, First, Middle): Dalton, Vanessa, Kathleen 1. Title Page Evaluating treatment options and patterns of care in early pregnancy failure Study Team: Vanessa K. Dalton MD…
  9. www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
    January 01, 2025 - Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) Final Progress Report TITLE PAGE Title: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco A…
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - Pharmacy personnel worked with representatives of the medical and nursing staffs to analyze all aspects
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time - - Slide AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training: Overview of On-Time T…
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
    March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
    September 03, 2014 - PowerPoint Presentation Using Checklists and Audit Tools To Improve Care in Hemodialysis Facilities 1 Objectives Describe the importance of using data in the Quality Assurance and Performance Improvement (QAPI) process Describe methods for using the National Opportunity to Improve Care in End Stage Renal Disease (…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
    March 01, 2018 - Improving Patient Safety in Long-Term Care Facilities Module 1. Detecting Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating C…
  15. www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
    September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia SAY: Welcome to this …
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
    October 01, 2024 - Optimizing Environmental Cleaning: Webinar Slide Presentation AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Optimizing Environme…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Hand Hygiene Promotion ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Hand Hygiene Promotion 1 Educational Objectives De…
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task …
  20. www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
    January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Principal Investigator: Joshua J. Fenton, MD, MPH Team Members: Anthony Jerant. MD Camille Cipri, BS Melissa Gosdin, PhD Daniel Tancredi, PhD Guibo Xing, P…

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