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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.pdf
    March 04, 2009 - CAHPS American Indian Survey CAHPS® American Indian Survey Version: Adult Language: English For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.com. File name: american-indian-eng-851.docx Last updated: March 4, 2009 mailto:cahps1@westat.com CAHPS America…
  3. www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
    December 01, 2015 - Meeting Minutes, July 24, 2015 National Advisory Council Minutes from the July 24, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 27, 2015, Summary Report Director's Update 2014 National Healthcare Q…
  4. www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
    May 01, 2016 - Meeting Minutes, November 2015 National Advisory Council Minutes from the November 3, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 24, 2015, Summary Report Director's Update Health Information Technol…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
    May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
    January 01, 2012 - Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process Recommendations to Improve Children’s Health Care Quality Measures Background Report on the 2012 Process Structured Abstract Background: In 2009, the Children’s Health Insurance Program Reauthorizati…
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
    January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2012 CAHPS Clinician & Group Survey Database 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shaller Janice…
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
    January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2012 CAHPS Clinician & Group Survey Database 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shaller Janice…
  10. www.ahrq.gov/prevention/resources/vision/resources/vision3.html
    October 01, 2002 - Chapter 3 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Behavioral Modification and Social Support The psychosocial aspects of low vision are increasingly recognized as important to the rehabilitation process. The American Academy of Ophthalmology 21 notes that many individuals wit…
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
    November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters ``` Examples of Urinary Incontinence-Focused Newsletters Examples of Urinary Incontinence-Focused Patient Pa…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD 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…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems New Models of Primary Care Workforce and Financing Case Example Cherokee Health Systems 7 New Models of Primary Care Workforce and Financing Case Example #7: Cherokee Health Systems …
  14. www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
    January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model RISK AND RECOVERY IN COMPLEX ENVIRONMENTS: LABOR AND DELIVERY AS A MODEL Final Progress Report Grant Award: 1 UC1 HS014376-01 June 30, 2006 Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
  15. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …
  16. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
    July 01, 2023 - Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of oxytocin during labor. The key elements are presented within the framework of the Comprehensive U…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
    July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6) Insert hospital logo here Communicating to Improve Quality Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 2: Communicating to Improve Quality Training (Tool 6) Guide to Patient & Family Engagement As people enter the …
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
    November 01, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Action Planning Tool for the AHRQ Surveys on Patient Safety Culture Public Domain Notice This document is in the public domain and may be used and reprinted without permission in the United States for noncommercial purposes, unl…
  19. www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
    December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…

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