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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon K. Ulep, Sheryl L. Moran Abstract Moving to a Web-based system for tracking patient safety events is a goal o…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
    July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN; Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
    January 20, 2008 - Measuring IT Sophistication in Nursing Homes Measuring IT Sophistication in Nursing Homes Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell Abstract Objective: Little activity has occurred in nursing home (information technology) IT adoption. The purpose of this study was to de…
  8. www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
    February 01, 2014 - Anecdotal evidence suggests that these conversations have become less frequent in recent years in
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
    February 01, 2014 - Anecdotal evidence suggests that these conversations have become less frequent in recent years in
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
    September 01, 2015 - • If you came back in 5 years after a sabbatical and this problem had been solved, what would you see
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
    September 08, 2015 - Engaging Stakeholders to Improve the Quality of Children's Health Care The National Evaluation of the CHIPRA Quality Demonstration Grant Program Engaging Stakeholders to Improve the Quality of Children’s Health Care Ellen Albritton, Margo Edmunds, Veronica Thomas, Dana Petersen, Grace Ferry, Cindy Brach, and …
  12. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
    March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…
  13. www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
    January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs Title Page Title of Project: Risks Of Inaccurate Or Incomplete Preoperative Assessments In Freestanding ASCs Principal Investigator: Nancy Kupka DNSc, MPH, RN - The Joint Commission Team Members: Diana Bickham, …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
    January 01, 2004 - Organizational Climate of Staff Working Conditions and Safety—An Integrative Mode 467 Organizational Climate of Staff Working Conditions and Safety—An Integrative Model Patricia W. Stone, Michael I. Harrison, Penny Feldman, Mark Linzer, Timothy Peng, Douglas Roblin, Jill Scott-Cawiezell, Nicholas Warren, E…
  15. www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
    May 01, 2011 - (either personally, through a family member, or through someone for whom they care) in the last 10 years … event (either personally or regarding a family member or someone for whom they care) in the past 10 years
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
    May 01, 2011 - (either personally, through a family member, or through someone for whom they care) in the last 10 years … event (either personally or regarding a family member or someone for whom they care) in the past 10 years
  17. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hospital-linkage-techdoc-rev.pdf
    January 01, 2021 - In previous years, they were reported separately.
  18. www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
    October 01, 2007 - age and the distributions of gender, race/ethnicity, educational attainment, and duration of time (years
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
    August 08, 2025 - False Residents 75 years old or younger cannot display on the Nutrition Report: High Risk but may
  20. www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
    January 01, 2024 - Approximately 73% were women, 81% were younger than 65 years old, 65% had completed at least some college

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