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  1. www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…
  2. www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
    March 01, 2020 - Meeting Minutes, November 2019 Minutes from the November 21, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 24, 2019, Meeting Summary AHRQ Accomplishments Budget Update Challenges and Opportunities To L…
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023nhqdr-introduction-rev.pdf
    December 07, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Introduction This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quality and D…
  4. www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
    March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Key Study Outcomes Across Grants Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overvi…
  5. www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - estimates of error with the proposed interventions in place, the models quantified the impact of the strategy … If a similar risk-reduction strategy were employed during data entry of prescriptions—that is, 8
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives from the Frontlines Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD; Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA Abstract Although patient safety experts have focused on event…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
    July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - Safety Climate on Hospital Units: A New Measure 429 Safety Climate on Hospital Units: A New Measure Mary A. Blegen, Ginette A. Pepper, Joseph Rosse Abstract Objectives: The purpose of this project was to create a measure of safety climate for hospital inpatient care units and to determine the psychometric …
  9. www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
    January 01, 2025 - Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory Final Progress Report to AHRQ Project Title: NYU Patient Imaging, Quality and Safety Laboratory Principal Investigator: Leora Horwitz, MD, MHS Team members: Project PIs Soterios Gyftopoulos, MD Danil Makarov, MD Eric Aaltonen, MD Saul Bleck…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training Instructor Guide Slide 1: Introduction to Falls Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Introduction to Falls Reports Say: In this session we will in…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…
  12. www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
    January 01, 2024 - Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes 1. Title Page Title of Project: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes Principal Investigator: Jeffrey A. Gold Co-Inve…
  13. www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs AHRQ Grant Final Progress Report Title of Project: Encoding and Processing Patient Allergy Information in EHRs Principal Investigator: Li Zhou, MD, PhD Associate Professor Brigham and Women’s Hospital, Harvard Medical School Team…
  14. www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
    January 01, 2024 - Final Progress Report: Cultural Competency and African Women’s Health Services Title (revised): Cultural Competency and African Women’s Health Services Original title: Cultural Competency and Maternal Health in African Women Principal Investigator: Jennifer Carroll, MD, MPH Team Members: Ronald Epstein, MD; Kevin …
  15. www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
    January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant Final Report Re-engineering the Hospital Discharge for Patient Safety Safe Practices Implementation Challenge Grant Dates of Project: 09/30/03-09/29/04 Federal Project Officer: Deborah Que…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
    February 01, 2012 - Performance measurement serves as an important component in a quality improvement strategy but performance
  17. www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
    January 01, 2024 - A prospective, observational study of the effects of implementation strategy on compliance with a surgical
  18. www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) Grant Final Report Grant ID: R01HS015164 Toward an Optimal Patient Safety Information System (TOPSIS) Inclusive Dates: 09/30/04 - 03/31/08 Principal Investigator: Richard Koss, MA Team Members: Stacey…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - Because of this strategy, the MPSMS sample overrepresents care delivered in smaller hospitals.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
    May 05, 2008 - This strategy allows regulatory requirements for a demonstration of competency to be met.

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