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  1. www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…
  2. www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
    January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations 1 Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations Principal Investigator: Victoria J. Fraser, MD Co-Principal Inv…
  3. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
    September 01, 2015 - ACOs thinking about business partnerships with PBRNs should be aware of several assets and areas of … Some leaders we spoke to thought that 80% research and 20% QI service would be the optimal division
  4. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
    October 19, 2021 - review publications), entrepreneur (founding a healthcare start-up that was acquired), and a global thought … s Meeting 3:05 pm – 4:35 pm Operation Paper Outline 4:35 pm – 4:50 pm BREAK 4:50 pm – 5:50 pm Thinking
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
    December 01, 2017 - Your team can use the Perioperative Staff Safety Assessment (PSSA) to gather their thoughts. … They thought the correct gentamicin dose would be nephrotoxic.
  6. www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
    January 01, 2024 - member understanding of methods and appropriate level of rigor • Engage project teams in systems-level thinking … adoption and spread throughout the pilot included both technical and workflow challenges (e.g., patients thinking
  7. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - Preliminary findings from the attorney surveys are encouraging: 90 percent of respondents thought the … JDN program had reduced litigation costs for their case, 80 percent thought the JDN was a positive contribution … The thinking was that the DRPs would be utilized by the hospitals to disclose adverse events, and the
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - Review formal survey measures and readmission rates and talk to people about their thoughts on discharge
  9. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
    May 01, 2024 - questions and provide an additional forum to ensure that all TEP members had an opportunity to share their thoughts … advocated for disease prevention through screening action.14 Many individuals screen without a second thought … This tool was used to ensure that all TEP members had an opportunity to share their thoughts and fully
  10. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
    July 01, 2021 - ASPE typically selects both short-turnaround and forward-thinking projects to build capacity for anticipated
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
    June 09, 2020 - establish validity of a surrogate or intermediate measure, we will describe major alternative ways of thinking
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
    April 01, 2025 - Stanford University Stanford, California R18 HS29123 [Grant] Applying Human Factors Science, Design Thinking
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - implications of health care error, error as an issue in medical education, and the need for systems thinking
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
    October 01, 2024 - The CUSP team has prudently been thinking about and planning feedback mechanisms since their earliest
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
    February 18, 2021 - When thinking back on the process, many participants emphasize that the kickoff was essential.
  16. www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
    January 01, 2024 - Thinking clearly in an emergency. Can. Med. Assoc. J. Apr 2001;164(8):1170-1175. 18.
  17. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
    October 01, 2017 - Module 2: How To Manage Change Training Guide Module Aim The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program. Module Goals The goals of Module 2 are to identify necessary actions to improve or…
  18. Ldusafety Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Labor and Delivery Unit Safety SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Labor and Delivery Unit Safety Say: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations AHRQ Publication No. 17-0003-22-EF May 2017 SAY: Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for…

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