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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/Schillinger.pdf
    January 01, 2004 - Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? 199 Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? Dean Schillinger, Edward L. Machtinger, Frances Wang, Lay-Leng …
  2. 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…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
    April 07, 2008 - Pillars of a Smart, Safe Operating Room Pillars of a Smart, Safe Operating Room F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD Abstract Major gains in patient safety can be achieved through development of innovative approaches to the care of surgical patients. Investigators and clinicians have…
  5. www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
    October 18, 2012 - Teres D, 2002 Effects of severity of illness on resource use by survivors and nonsurvivors of severe
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
    July 07, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Additional Exercises Nutrition Risk Reports Information Exercises ........................................................................…
  7. www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
    January 01, 2024 - Final Progress Report: Consumer-Led Workshop To Advance Patient Safety Report to the Agency for Healthcare Research & Quality from the Consumer-Led Workshop to Advance Patient Safety1 (October 16-18, 2003, Houston, TX) Prepared on Behalf of Workshop Participants by Jonathan Peck, Institute for Alternative Futu…
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
    June 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 3 Chartbook on Health Care for Hispanics Part 3: Trends in Access and Priorities of the National Quality Strategy 2014 National Healthcare Quality and Disparities Report | 41 PART 3: TRENDS IN ACCESS AND PRIORITIES OF THE NATIONAL QUALITY STRATEGY 2014 QDR Cha…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
    March 01, 2009 - Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa Technical Review #17 Nutrition Research Series Volume 3: Reporting of Systematic Reviews of Micronutrients …
  10. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
    December 31, 2022 - Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care Getting Started Laying the Groundwork for Implementing Automatic Referral & Effective Care Coordination This presentation is designed to help you understand the steps required for laying the necessary foundati…
  11. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_cg_cahps_chartbook.pdf
    January 01, 2014 - 2014 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Clinician & Group Survey Database 2014 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
    April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office 101 Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, James D. Bramble, Wendy Taylor, Kevin G. Moores Abst…
  13. www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home Principle Investigator: Steven M. Handler, MD, PhD Team Members: Joseph T. Hanlon…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…
  15. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation March 2016 Authored by: Jeff Hummel, MD, MPH Peggy C. Evans, Ph…
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …
  17. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…
  18. www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
    January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Evidence Behind Decolonization 1 Educational Objectives Discuss the imp…
  20. www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
    December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) Webinar Transcript May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Operator 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:0…

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