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  1. www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
    January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training Virtual Healthcare Environments Versus Traditional Interactive Team Training Principal Investigator: Jeffrey M. Taekman, MD Investigative Team: Noa Segall, PhD David Turner, MD Gene Hobbs, CHT Cheryl Jacobs Barb…
  2. www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
    January 01, 2024 - Final Report: Improving Drug Safety Final Report: Improving Drug Safety PI: David Magid, MD, MPH Co-PI: Marsha Raebel, PharmD Project Manager: David Brand, MSPH Project Staff: Bates, David, MD Chester, Elizabeth, PharmD Glasgow, Russell, PhD Nelson, Kent, PharmD Palen, Ted, MD, PhD Platt, Richard, MD, MSc…
  3. www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
    January 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project Chronic Care Technology Planning Project John M. Branscombe, Jr., MSB, Principal Investigator Team Members and Organizations: David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine Joy Barresi-Saucier, RN, The Aroostook Medic…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Appendix: State Overviews (continued) Previous Page   Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engagi…
  6. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  7. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 3. Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers…
  8. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection across the Health Care System Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers …
  9. www.ahrq.gov/research/findings/final-reports/iomracereport/reldatasum.html
    October 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Disparities among…
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
    January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Effectively engaging practices in a primary care quality improvement (QI) initiative, including both the initi…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
    January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
    June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
    February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments 469 Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib Abstract The United States Army per…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
    January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices 409 A Model-based Approach to Prioritizing Medical Safety Practices Richard S. Marken Abstract This report shows how a model of skilled human performance can be used to evaluate safety practices aimed at reducing medical error when randomized tr…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
    January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care 57 A Clinical Assessment Program to Evaluate the Safety of Patient Care Richard J. Snow, Martin S. Levine, Dwain L. Harper, Sharon L. McGill, George Thomas, Joseph P. McNerney Abstract The American Osteopathic Association’s Clinical Asses…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - Common Cause Analysis: Focus on Institutional Change Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN; Annette Bollig, MSN, RN; James Steven, MD, SM Abstract The Children’s Hospital of Philadelphia has created a mechanism …
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
    April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams The Nature, Characteristics and Patterns of Perinatal Critical Events Teams William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD; Kristi Miller, RN, MS; Reinhard Priester, JD Abstract The Institute …
  20. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - The learning lab will use a variety of methods, including machine learning, critical incident technique

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