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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
Overview
According to the Joint Commission, in 2022, failures in communication, teamwork, a…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/early-evidence-on-pcmh-white-paper.pdf
February 01, 2012 - Benjamin, M.D., M.B.A., Surgeon General
Agency for Healthcare Research and Quality
Carolyn M.
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - represent a range of
professional backgrounds, including medicine (e.g., ED attending physician, trauma surgeon
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Implementation Guide for
AHRQ’s Making Informed
Consent an Informed Choice
Training Modules
Implementation Guide for AHRQ’s Making Informed Consent an Informed Choice Training Modules
Implementation Guide for AHRQ’s Making Informed Consent an Informed Choice Training Modules
Implementation Guide for
AHRQ’s Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Implementation Guide for AHRQ's Making Informed Consent an Informed Choice - Training Modules
Implementation Guide for
AHRQ’s Making Informed
Consent an Informed Choice
Training Modules
Implementation Guide for AHRQ’s Making Informed Consent an Informed Choice Training Modules
Implementation Guide for AHRQ’s …
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
August 01, 2016 - AHRQ Individual Research Career Development (K) Award Program
AGENCY FOR HEALTHCARE
RESEARCH AND QUALITY
INDIVIDUAL RESEARCH CAREER
DEVELOPMENT (K) AWARD PROGRAM
Evaluation Report
Evaluation Report
Agency for Healthcare Research and Quality
Individual Career Development (K) Award Program
Prepa…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pptx
March 04, 2016 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT
Chartbook on Patient Safety
March 2016
This presentation contains notes. Select View, then Notes page to read them.
1
National Healthcare Qua…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Issue Brief 14
Pediatric Diagnostic Safety:
State of the Science and
Future Directions
PATIENT
SAFETY
e
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e
Issue Brief 14
Pediatric Diagnostic Safety: State of
the Science and Future Directions
…
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www.ahrq.gov/downloads/monahrq/pdf/LEWINVA-526037-v1MONAHRQDesignImp_FinalRpt_013111.pdf
January 31, 2011 - risk-adjusted outcome
measures (volume, utilization) and mandates public reports on CABG surgery by
surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
October 01, 2011 - At the same time, a few non-surgeon physicians and staff from the
medical center’s department of medicine
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
March 01, 2014 - Surgeon General reports that obesity accounts for nearly 300,000 deaths in the U.S.
each year.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report
National Opportunity To Improve
Infection Control in ESRD (NOTICE)
Phase Two Final Report
Prepared for:
Agency for Healthcare Research and Quality
Contract Number: HHSA2902010000251 Task Order …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
June 16, 2016 - National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
CHARTBOOK
ON
CARE
COORDINATION
National Healthcare Quality and Disparities Report
This document is in the public domain and…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - Surgeon
9. Causes of diagnostic error may include:
a. Poor clinical reasoning.
b.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - Surgeon
9. Causes of diagnostic error may include:
a. Poor clinical reasoning.
b.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/care-coord-account-measures-pc.pdf
January 01, 2012 - Practice Scale (CPS): Physician Scale
8 Breast Cancer Patient and Practice Management Process Measures Surgeon
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www.ahrq.gov/sites/default/files/publications/files/pcpaccountability.pdf
January 01, 2012 - Practice Scale (CPS): Physician Scale
8 Breast Cancer Patient and Practice Management Process Measures Surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
January 01, 2013 - Mental health: A report of the Surgeon
General. Washington, DC 1999.
60.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - corporate culture change, as well as shifts in the environment: new naloxone product
availability, the Surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - Slide 1
Preventing CAUTI in Special Populations:
Focus on Procedure-Related Catheter Use
1
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiology, Infection Prevention and Control
Hospital of the University of Pennsylvania
Gregory D. Kennedy, MD, PhD
Ass…