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3701. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers Risk Assessment of Pediatric Emergency Transfers Final Report AHRQ P20 HS17125-01 Project Period: 09.31.07 – 02.28.09 Principal Investigator: Jane L. Holl, MD, MPH Northwestern University Institute for Healthcare Studies Co- Investigators: D…

3702. Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
      January 01, 2012 - Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process Recommendations to Improve Children’s Health Care Quality Measures Background Report on the 2012 Process Structured Abstract Background: In 2009, the Children’s Health Insurance Program Reauthorizati…

3703. Preparing for and Recovering After Colorectal Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
      November 01, 2023 - Preparing for and Recovering After Colorectal Surgery Preparing for and Recovering After Colorectal Surgery e Colorectal Surgery Patient Education Guide 1 Preparing for and Recovering After Colorectal Surgery Patient Name ___________________________________________________________________ Surgeon Name __…

3704. Preparing for and Recovering After Gynecologic Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gynecologic-booklet.pdf
      November 01, 2023 - Preparing for and Recovering After Gynecologic Surgery Preparing for and Recovering After Gynecologic Surgery e Gynecologic Surgery Patient Education Guide 1 Preparing for and Recovering After Gynecologic Surgery Patient Name ___________________________________________________________________ Surgeon Nam…

3705. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…

3706. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
      March 01, 2004 - Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments 69 Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments Christie Teigland, Richard Gardiner, Hailing Li,…

3707. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - physician, nurse, patient, caregiver), performing tasks (e.g., discussing ED disposition alternatives, sharing

3708. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - Sharing experiences Regularly communicating to others personal stories and experiences about near misses

3709. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies Final Report: Using Risk Models to Improve Safety with Dispensing High-Alert Medications in Community Pharmacies Principal Investigator: Michael R. Cohen, RPh, MS, ScD Team Members: Judy L. Smetzer, R…

3710. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
      June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…

3711. Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
      January 01, 2024 - Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders AHRQ Grant Final Progress Report Title: The Value of Hospital-Related Patient-Saftey Interventions to Key Stakeholders Principal Investigator and Mentors: PI: Teryl K. Nuckols, MD, MSHS Mentors: José J. Escar…

3712. Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
      January 01, 2024 - Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative AHRQ Grant Final Progress Report Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative GRANT NUMBER: R18 HS18645-03 PRINCIPAL INVE…

3713. Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
      January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2007, National Conference On Health Care Journalism Principal Investigator: Leonard J. Bruzzese Organization: Center for Excellenc…

3714. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…

3715. 2024 Network of Patient Safety Databases Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
      January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events 2024 NETWORK OF PATIENT SAFETY DATABASES CHARTBOOK: MEDICATION AND OTHER SUBSTANCE EVENTS U.S. DEPARTMENT OF …

3716. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…

3717. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…

3718. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
      January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…

3719. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
      April 06, 2008 - Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act William Riley, PhD; Bryan A. Liang, MD, PhD, JD; William Rutherford, MD; William Hamman, M…

3720. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - Department of Veterans Affairs Emergency Airway Management Initiative Department of Veterans Affairs Emergency Airway Management Initiative Erik J. Stalhandske, MPP, MHSA; Michael J. Bishop, MD; James P. Bagian, MD, PE Abstract Over the last 2 years, the U.S. Department of Veterans Affairs (VA) undertook a …