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  1. 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…
  2. 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 (…
  3. 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, …
  4. 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…
  5. 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…
  6. 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…
  7. 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, …
  8. 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.
  9. Coaching-Facnotes (doc file)

    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.
  10. 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
  11. 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
  12. 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…
  13. 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 & …
  14. 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…
  15. 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…
  16. 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…
  17. 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 …
  18. 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…
  19. 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
  20. 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

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