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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
    April 01, 2004 - Safe Practices for Better Health Care 23 Safe Practices for Better Health Care Kenneth W. Kizer, Laura N. Blum Abstract Modern health care is highly complex, high risk, and error prone. Not surprisingly, health care errors and consequent adverse events are a leading cause of death and injury, even though wel…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…
  4. www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
    January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology Improving Medication Management Practices and Care Transitions through Technology Penny H. Feldman, Ph.D. – Principal Investigator Liliana E. Pezzin, Ph.D. – Co-Investigator Timothy R. Peng, Ph.D. – Co-Inv…
  5. www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
    September 01, 2023 - AHRQ Comparative Health System Performance Initiative Publications Updated September 2023 This page intentionally left blank Comparative Health System Performance Initiative Publications 1 Comparative Health System Performance Initiative Publications Journal Articles Agniel D, Haviland A, Shekelle P, Sc…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
    December 01, 2017 - Presentation: Program Overview Program Overview AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: You have embarked on a unique journey. 1 Never doubt that a small group of thoughtful, committed citizens ca…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
    January 01, 2015 - Appendix F. Interventions Guide to Improving Patient Safety in Primary Care Settings b…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
    August 01, 2012 - NCINQ Measure Submission: Tobacco Use and Help with Quitting Among Adolescents Attachment A: CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) Italics indicate instructions for how to complete a specific field. << >> indicates the name of a text field in the online version o…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiih.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher. Slide…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sli…
  15. www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
    January 01, 2024 - Final Progress Report: Measuring Mistrust in Healthcare Grant Title: Measuring Mistrust in Healthcare Principal Investigator: Thomas A. LaVeist, Ph.D. Professor of Health Policy and Management Organization: Johns Hopkins Bloomberg School of Public Health Inclusive Dates of Project: 7/1/2002 - 12/31/2003 Federal…
  16. www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
    January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients FINAL PROGRESS REPORT 1. TITLE, TEAM, DATES Interactive HIT to promote ambulatory safety among vulnerable diabetes patients Urmimala Sarkar, M.D., M.P.H. Dean Schillinger, M.D. Margaret Handley, Ph.D., M.P.H. Ned…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Results Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care New Models of Primary Care Workforce and Financing Case Example Stanford Coordinated Care1 New Models of Primary Care Workforce and Financing Case Example #1: Stanford Coordinated Care Prepared for: Agen…
  19. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
    July 01, 2019 - Case Example #1: Stanford Coordinated Care This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, M…
  20. www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
    January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …

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