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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
    May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors 333 Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino, Sandra A. McDougal, Joann M. Pilliod…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
    April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…
  3. www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
    January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study Principal Investigator: Gershon, RRM Safety in the Home Healthcare Sector: A pilot study (Final Report) Safety in the Home Healthcare Sector: A Pilot Study Final Report September 30, 2010 Grant Number: R03 HS018284-01 Project Period: 10…
  4. www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
    January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates TITLE PAGE Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates Principal Investigator: Daniel Joseph France, PhD, MPH Team Members: Key Pe…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
    February 01, 2012 - Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts Technical Review 17 Nutritional Research Series Volume 4: Effects of Eicosapentanoic Aci…
  6. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023 Network of Patient Safety Databases Chartbook, 2023 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2023. R…
  7. www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
    January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…
  8. www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
    January 01, 2024 - Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II Minimizing Error, Maximizing Outcome (MEMO): Physician Worklife Study II Mark Linzer, MD, Principal Investigator (University of Wisconsin-Madison) Mark Schwartz, MD, Co-Principal Investigator (New York Universi…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System 145 Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System Radhika Desikan, Melissa J. Krauss, W. Claiborne Dunagan, Erin Christensen Rachmiel, Thomas Bailey, Victoria J. Fraser Abstract Ba…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
    January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH; Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA; Stephanie M.…
  11. www.ahrq.gov/data/apcd/envscan/app-c.html
    May 01, 2025 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence Appendix C. Environmental Scan Resources Included Previous Page   Table of Contents All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of C…
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
    December 01, 2017 - Transforming Hospitals Designing for Safety and Quality Transforming Hospitals: Designing for Safety and Quality , a video from the Agency for Healthcare Research and Quality (AHRQ), reviews the case for evidence-based hospital design and how it increases patient and staff satisfaction and safety, quality of …
  13. www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
    January 01, 2024 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Cynthia F. Corbett, PhD, RN: Principal Investigator Alice A. Dupler, JD, APRN-BC Stephen M. Setter, PharmD, DVM, CGP Ke…
  14. www.ahrq.gov/talkingquality/assess/evaluation-plan.html
    January 01, 2023 - Elements of an Evaluation Plan An evaluation plan should be an integral part of your overall written plan for a quality reporting project. To support the planning of an evaluation, this page covers the following topics: Purpose of the Evaluation Evaluation Questions Evaluation Criteria Timetable and W…
  15. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
    July 01, 2013 - Slide 1 Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI * Barbara Meyer Lucas, MD, MHSA Project Consultant Michigan Health & Hospital Association Keystone Center for Patient Safety and Quality Milisa Manojlovich, PhD, RN, CCRN Associate Professor Division of Nursing Business & Hea…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Monitoring Ventilator-Associated Events SAY: Today, we will discuss monitoring ventilator-associated events. Slide 1 Learning Objectives SAY: After this session, you will be able to describe the …
  17. www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
    January 01, 2024 - Final Progress Report: Electronic Communications Across Provider Settings AHRQ Grant Final Progress Report Electronic Communications Across Provider Settings Deane Morrison - Principal Investigator Wendy Angelo, MD - Project Co-Director Josie Bendiks - Project Co-Director Dan Venecek - Project Manager …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
    January 01, 2012 - Project Report - Lean Sigma * National Content Webinar CUSP: A Framework for Success March 7, 2012 * * Today’s Speakers Marge Cannon, Medical Officer, CMS Minet Javellana, Health Insurance Specialist, CMS Barb Edson, Vice President of Clinical Quality, HRET Chris George, Director of National Projects, MHA…
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.pdf
    January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - Spanish SOPS® Value and Efficiency Supplemental Item Set for the SOPS Hospital Survey 2.0 Language: Spanish • Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals as…
  20. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: The Science of Improving Patient Safety and Identifying Defects Say: The topic of this module is the science of patient safety. The discussion will include the importance of unders…

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