-
www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
-
www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population?
Principal Investigator: Thamer, Mae
FINAL REPORT
TITLE PAGE
Title: Do Safety Warnings Change Prescribing among the US Dialysis Population?
Principal Investigator and Team Members: M Thamer, PI, and other team members (…
-
www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare
AHRQ Grant Final Progress Report
Title of Project: EMR Planning to Improve North Iowa Healthcare
Principal Investigator and Team (Steering Committee) Members:
• Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …
-
www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study)
1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma
(REDEFINE Study)
Principal Investigator and Team Members/Organization:
Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and Affective Approach
Pat Croskerry
Abstract
Diagnosis is the foundation of medicine. Effective treatment cannot begin until an
accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of
clinic…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
October 01, 2020 - This two-part technique first requires the team to discuss what went well.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
May 01, 2017 - This two-part technique first requires the team to discuss what went well.
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - Diagnostic excellence requires a shift in per-
spective, from considering diagnostic safety improvement
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
January 01, 2019 - Displaying questions online: What are the merits of displaying several questions on a page (which
requires
-
www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/grants/active/dissrt12/dissrt12.pdf
January 31, 2014 - AHRQ's Health Services Research Dissertation Grant Program: New Starts Fiscal Year 2012
Introduction
The mission of the Agency for
Healthcare Research and Quality
(AHRQ) is to improve the safety,
quality, efficiency, and effectiveness of
health care for all Americans. To help
achieve the Agency's mission, AHRQ
suppo…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
-
www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
January 01, 2011 - AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011
Introduction
Healthcare-associated infections (HAIs)
are infections that people acquire while
they are receiving treatment for another
condition in a health care setting. They
are costly, deadly, and largely
preventable. A core part of the Ag…
-
www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation
Final Progress Report
Improving Patient Safety and Disease Management While on Contact Isolation
Daniel Morgan (PI)
Anthony Harris (Mentor)
University of Maryland School of Medicine
Dates of Project: 7/01/09–6/30/14…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - PowerPoint Presentation
Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery
How the Approach Has Evolved, with
Current Recommendations on the Right Approach
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. No. 23-0052
June 2023
AHRQ Safety Program for Improvin…
-
www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork
Agency for Healthcare Research and Quality
Modeling Risk and Reducing Liability through
Better Communication and Teamwork
FINAL REPORT
April 2012
Presented to:
James Battles
Agency for Healthcare Research and Quality
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-27-EF
January 2017
Overview of CUSP for MVP ‹#›
AHRQ Safety Program for Mechanically Ventilat…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsguide.pdf
April 12, 2016 - If your Board requires
http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_haguide.pdf
January 14, 2016 - If your Board requires more than one round of follow-up data collection, you
will be automatically directed