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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World
Resident Sign-Out: A Precarious Exchange of Critical
Information in a Fast-Paced World
Stephen M. Borowitz, MD, Linda A. Waggoner-Fountain, MD, Ellen J. Bass, PhD,
and Justin M. DeVoge, MS
Abstract
Background: Sign-out is a …
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www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Eliminating CLABSI,
A National Patient Safety
Imperative
A Companion Guide to the National On the CUSP: Stop BSI
Project Final Report
A Project of:
Health Research & Educational Trust
Johns Hopkins Medicine A…
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions
1
Final report-2011/11/29 (limited to 20 pages)
AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions
Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…
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www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
January 01, 2024 - Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care
1
Title of Project
Physician Organization and the Efficiency of Surgical Specialty Care
Principal Investigator and Team Members
Dr. David C. Miller
Dr. John D. Birkmeyer
Organization
The Regents of the University of Mi…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
February 01, 2014 - Rehospitalization for Childhood Asthma: Timing, Variation, and Opportunities for Intervention
Rehospitalization for Childhood Asthma: Timing, Variation, and
Opportunities for Intervention
Ch�en C. Kenyon, MD1,2, Patrice R. Melvin, MPH3, Vincent W. Chiang, MD2,4, Marc N. Elliott, PhD5,
Mark A. Schuster, MD, PhD2,4, …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - A Unit Guide To Infection Prevention for Long-Term Care Staff
Acknowledgments
Content leads for the preparation of this document were as follows:
Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC
Infection Preventionist
Lutheran Home/Lutheran Life Communities
Arlington Heights, IL
Steven J. Sc…
-
www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE)
Advancing Patient Safety Innovation in Rheumatology (ASPIRE)
Principal Investigator:
Jinoos Yazdany, MD, MPH
Co-investigators:
Gabriela Schmajuk, MD, MSc
Urmimala Sarkar, MD, MPH
R. Adams Dudley, MD, MBA
Stephen Shiboski, PhD
De…
-
www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management
1. TITLE PAGE
Comprehensive Pediatric Hypertension Diagnosis and Management
Principal Investigator: Michael L. Rinke, MD, PhD
Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD,
Katherine E. Twomb…
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www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty
Title Page
TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in
times of diagnostic uncertainty
PRINCIPAL INVESTIG…
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix A. Teleconferences with AHRQ & CDC
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1.…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - AHRQ Comparative Health System Performance Initiative: Annual Workshop
AHRQ Comparative Health System
Performance Initiative
Annual Workshop
Presentation at AHRQ Headquarters
Rockville, Maryland
September 29, 2016
Mathematica Policy Research
22
Agenda for the Day
• Welcome (9:00–9:20)
• CoE updates and pr…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
199
Preventing Medication Errors in
Ambulatory Care: The Importance of
Establishing Regimen Concordance
Dean Schillinger, Eddie Machtinger, Frances Wang,
Maytrella Rodriguez, Andrew Bindman
Objective: Mis…
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
October 01, 2018 - Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2016, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of …
-
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection
181
“Near-miss” Reporting System
Development and Implications
for Human Subjects Protection
Harvey J. Murff, Daniel W. Byrne, Paul A. Harris,
Daniel J. France, Christa Hedstrom, Robert S. Dittus
Abstract
Background: R…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
Failure Modes and Effects Analysis Based on
In Situ Simulations: A Methodology to Improve
Understanding of Risks and Failures
Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Tobacco Use and Dependence, General References
General References
1. Fiore MC, Bailey WC, Cohen SJ, et al.
Smoking cessation. Clinical Practice
Guideline No. 18. Rockville, MD, U.S.
Department of Health and Human Services,
Public Health Service, Agency for Health
Care Policy and Research. AHCPR
Publication …
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes:
On-Time Pressure Ulcer Healing Facilitator Training
Slide 2: On-Time Pressure Ulcer…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention
Slide Presentation
Slide 1: Best Practices in Pressure Injury Prevention
ADD Hospital Name
Module 3
Slide 2: Best Practices
Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…