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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
January 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project
Chronic Care Technology Planning Project
John M. Branscombe, Jr., MSB, Principal Investigator
Team Members and Organizations:
David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine
Joy Barresi-Saucier, RN, The Aroostook Medic…
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022
Principal Investig…
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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…
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Meeting Minutes (Draft), November 2023
Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 12, 2023, Meeting Summary
AHRQ Director’s Highlights
Consumer Experience Measurement: C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
January 01, 2000 - Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care
7
Using Specialized Information Technology to
Reduce Errors in Emergency Cardiac Care
Denise Hartnett Daudelin, Manlik Kwong,
Joni R. Beshansky, Harry P. Selker
Abstract
Information Technology (IT) solutions to patient safe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation?
291
Can an Academic Health Care
System Overcome Barriers to
Clinical Guideline Implementation?
Debra Quinn, Mary Cooper, Lynn Chevalier,
Jerry Balentine, Lawrence Kadish, Steven Walerstein,
Fredric Weinbaum, Mark Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year 2025:
Eight Perspectives
Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton,
FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE;
David M. Gaba, MD;…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams
The Nature, Characteristics and Patterns
of Perinatal Critical Events Teams
William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD;
Kristi Miller, RN, MS; Reinhard Priester, JD
Abstract
The Institute …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - Rotating shiftwork schedules: can we enhance
physician adaptation to night shifts?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - theory—such as the effect of pre- and post-training
factors on training outcomes, the effect of practice schedules
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - The training and education subcommittee
coordinates and schedules regional and statewide training sessions
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www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
November 01, 2016 - for me to present to you and let me thank those who have joined us today for taking time from their schedules
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www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - Delays in proper
treatment or preventive
services
Increasing access to care through more timely appointments
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www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes
Title of Project: Translating simulation-based team leadership training into patient-level outcomes
Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol,
G; Arbabi, S; Chao, GT
O…