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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
    January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices Prepared for: Agency for Healthcare Research and Qual…
  2. www.ahrq.gov/sites/default/files/2024-10/klein-report.pdf
    January 01, 2024 - Final Progress Report: Validity assessment of a real-time indicator of attentional load and task-induced fatigue in the MIS environment Final Progress Report to the Agency for Healthcare Research and Quality Title of Project Validity assessment of a real-time indicator of attentional load and task-induced fatigue i…
  3. www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
    January 01, 2025 - Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting Evaluating and Improving Present-On-Admission for Performance Reporting L. E lizabeth Goldman, MD, MCR, Principal Investigator Andrew Bindman, MD, Peter Bacchetti, PhD, Co-Investigators University of California, San …
  4. www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry Grant Final Report Grant ID: 5R01HS015226-03 Improving Safety and Quality with Outpatient Order Entry Inclusive dates: 09/03/04 - 08/31/08 Principal Investigator: Tejal K. Gandhi, MD, MPH Team members: Eric G. Poon, MD, MPH Thomas D.…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Overview Slide AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pre…
  6. www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Organization: Brigham and Women's Hospital Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
  7. 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…
  8. www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
    January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study AHRQ grant final progress report TITLE The Effect of EMR on Medication Safety: A SPUR-Net Study PRINCIPAL INVESTIGATORS AND TEAM MEMBERS Principal Investigator: Grace M. Kuo, PharmD, MPH Study Co-Investigators: Jeffrey R. Steinbauer,…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services New Models of Primary Care Workforce and Financing Case Example Fairview Health Services3 New Models of Primary Care Workforce and Financing Case Example #3: Fairview Health Services …
  10. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
    September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 4: CME Design Features Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs) Par…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings Auditing Your Briefings and Debriefings Process AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: Let’s continue our discussion around briefings and debriefings. T…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
    July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit Hospital AIM Team Leads SPPC‐II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implementation…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
    July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit Hospital AI Tea Lea SPPC‐ M m ds II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implement…
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - 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…
  16. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/qual-methods-pcr-080323.pptx
    January 01, 2025 - Qualitative Methods Used in AHRQ-Funded Primary Care Research - Slide Presentation National Center for Excellence in Primary Care Research Presents Qualitative Methods Used in AHRQ-Funded Primary Care Research August 3, 2023 Presented by: Anna Steeves-Reece, PhD, MPH Neera Goyal, MD Ellen Lipstein, MD, MPH Moder…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
    May 01, 2023 - Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set SOPS Workplace Safety for Hospitals Supplemental Item Set Resource List 1 Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set I…
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …
  19. www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
    June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes VIEWPOINT Bridging the feedback gap: a sociotech…
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

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