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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
    June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
    January 01, 2006 - 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive …
  3. www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
    January 01, 2024 - Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative R18HS019531 Final Progress Report 9-30-14; Gallagher TH, PI. 1 Title Page Title of Project: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative Principal Investigator and Team Memb…
  4. www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
    June 01, 2020 - We have a formal consultation process where we go out to visit each of our agencies.
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
    October 01, 2024 - To learn more about the 4 Es, access the one-pager on the 4 Es, or visit the What Are The 4 Es?
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
    January 01, 2025 - information on how the percent positive response is calculated for positively and negatively worded items, visit
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
    January 01, 2015 - (To learn more, visit https://cahpsdatabase.ahrq.gov/DataResearchers.aspx).
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
    January 01, 2025 - information on how the percent positive response is calculated for positively and negatively worded items, visit
  9. www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - education that could be done prior to hospital discharge and/or with a follow-up phone call or home visit
  10. www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - discharge instructions, such as information on how to manage the condition, what should trigger a return visit … hospital interpreter was present at the time of the adverse event or was used at any time during the visit
  11. www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
    June 01, 2012 - . • Daughters visit on weekends. • Liquid diarrhea. • Falling blood pressure, rising heart rate. • … hip fracture, followed by hospital and rehabilitation stays. › Walks with a walker. › Daughters visit … Paul comes to visit his father after work; he is aware that his father fell yesterday, without injury
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/state/how-to-guide/how-to-guide.pdf
    August 01, 2024 - The recommended minimum number of contacts was one in- person visit and two phone/video/email contacts
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
    November 01, 2021 - AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches   Melinda Abrams, MS The Commonwealth Fund Ms. Abrams, as Senior Vice President, oversees The Commonwealth Fund's Delivery System Reform and International Health Policy programs. Since coming to the Fund in 1997, Ms. Abrams has worked…
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
    August 01, 2025 - AHRQ-Funded Patient Safety Project Highlights AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Preventing Procedural Harms and In-Facility Injuries In the delivery of healthcare, practices are implemented that prevent procedural harms and in-facility injuries to improve the safety of …
  15. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
    August 01, 2022 - specific to communication included communication with the patient before, during, and after an office visit
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Instructor Guide Slide Presentation Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Prevention Reports AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention …
  17. www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
    January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department Title Page Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department PI: Elizabeth Schoenfeld, MD, MS Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
  18. www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
    January 01, 2024 - Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care Title of Project: Prescribing Errors in Ambulatory Pediatric Care Principal Investigator and Team Members: Basco, William T. = PI Simpson, Kit = Mentor Hulsey, Thomas = Mentor, Director of Masters Degree Program Ebeling, Myla = Co-investig…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
    December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…
  20. www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
    April 01, 2019 - Meeting Minutes, November 2018 National Advisory Council Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 18, 2018, Meeting Summary Director's Welcome and Update Update on AH…

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