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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Chapter 3. Risk-Informed Interventions
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapt…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter1.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 1: Background
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Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter 4, Emerging Trends in Care Co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Selected …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4e
Selected Best Practices and Suggestions for Improvement
PSI 08: Postoperative Hip Fracture
Why Focus on Postoperative Hip Fracture?
• Hip fracture…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4q
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on retained forei…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…
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www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Model State Enhancement Efforts
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Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - Implementing imported practices helped hospitals achieve initial phase
improvement but not later phase … steps were more likely to experience engagement,
perceive efficacy, foresee and manage barriers, and achieve
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - Too often, well-meaning staff and clinical teams undertake patient safety projects, achieve improvements … Communicated and Rewarded
Effective leaders and managers should always acknowledge unit teams that achieve
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www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine
Consolidated Imaging: Implementing a Regional
Health Information Exchange System
for Radiology in Southern Maine
Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD
Abs…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine
Consolidated Imaging: Implementing a Regional
Health Information Exchange System
for Radiology in Southern Maine
Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD
Abs…
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology
Final Progress Report
Title of Project: Improved Patient Safety with Information Technology
Principal Investigator: J. Marc Overhage, MD, PhD
Team Members: Irmina Gradus-Pizlo, MD
Chris Steinmetz, MD
Karen Wolf, MD
JingJin Li, PhD…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
June 01, 2020 - References
Health Services and Primary Care Research Study: Comprehensive Report
42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq.
42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.”
AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - Voluntary Hospital Coalitions to Promote Patient Safety
493
Voluntary Hospital Coalitions
to Promote Patient Safety
Kimberly J. Rask, Dorothy “Vi” Naylor, Linda Schuessler
Abstract
Translating research or care innovation into broader clinical practice requires
more than simply the publication of new findin…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Appendix A. Key Characteristics of Transforming Primary Care Grants
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Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summar…
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www.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Appendix A. Key Characteristics of Transforming Primary Care Grants
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summar…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
November 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. Reducing Adverse Drug Events in Older Adults
Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P.
Reviewers: Scott Winiecki, M.…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - for practice leaders, IT staff, and
practice personnel, the guide outlines practical approaches to achieve