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www.ahrq.gov/cpi/about/nac/snac-chin.html
December 01, 2021 - SNAC Member: Marshall H. Chin, M.D.
Richard Parrillo Family Professor of Healthcare Ethics
The University of Chicago Medicine
Marshall H. Chin, M.D., is a practicing general internist and health services researcher who has dedicated his career to reducing health disparities through interventions at individu…
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www.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions
High rates of readmissions are a major patient safety problem associated with adverse events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care settings. Building on the Agency's previous investm…
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www.ahrq.gov/coronavirus/whats-new.html
December 01, 2024 - COVID-19 What's New
The Agency for Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving the safety, quality, and value of patient care delivered by America's healthcare system. The AHRQ Views blog posts and press releases listed below offer insights and updates about how AHRQ…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
January 01, 2014 - there is any information about this measure that is important for
the review process but has not been addressed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
June 02, 2025 - The questions in each Self-Assessment are tailored to the On-Time
adverse event being addressed. … Discussion
questions are tailored to the On-Time adverse event being
addressed. … Do any barriers need to be addressed?
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - 20%
40%
60%
80%
100%
Physical therapy focus,
skilled nursing/ chronic
care needs not
addressed … patient continues on this
pathway when their complex or comprehensive needs are not identified and addressed … Agencies had not
established procedures to ensure patients’ needs were fully addressed in the care plans
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - How gaps in staff education and competency will be addressed. … Other items addressed in the Action Plan include:
Staff accountability for monitoring implementation
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www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - Our project addressed current medication safety gaps by first
prospectively identifying NH residents … of omission), error related to medical
judgment, or the patient’s health status was not adequately addressed … This project
addressed ADE prevention of these high-risk drugs in this high-risk population. … This project
addressed a faulty retrospective 30-day MRR process and provided a model for more frequent
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www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
January 01, 2024 - the project
parameters: the clinical team, the technology, team and the finance team, and all three
addressed … basic project parameters
(see section II, Purpose, Specific Goals), identifying additional areas to be addressed … RESULTS
Principal Findings:
Through the planning process, we identified and addressed the major obstacles
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www.ahrq.gov/data/apcd/backgroundrpt/review.html
July 01, 2022 - These methodological issues and measure gaps will need to be addressed for States and others to fully … policy-relevant data from APCDs for State decisionmakers, while the barriers described above are being addressed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - Staff
trainings addressed issues
related to privacy and
confidentiality. … Staff trainings, using the PowerPoint
presentation included in the Guide (Tool 3), addressed nurses’ … • Mandatory staff trainings
addressed concerns and
set expectations. … Training addressed nurses’ concerns and emphasized key elements of
bedside shift report.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - a fall occursThe questions in each Self-Assessment are tailored to the On-Time adverse event being addressed … Do any barriers need to be addressed? … Do any barriers need to be addressed?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
September 03, 2014 - Learning from Defects form to determine potential opportunities for improvement and identify areas to be addressed … Two or three issues that can be easily addressed
Be Prepared To Operate Differently … Because our patients deserve the best care possible, it is a challenge that needs to be addressed.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - Detailing as a Quality Improvement
Tool
Instructor’s Guide
Practice facilitator (PF) competencies addressed … probing skills and relevant key messages,
features/benefits, and enablers.
5.Gain confirmation that you addressed … Was there
anything important you feel I haven’t answered or addressed about managing
your patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - assessed the physicians’ self-reported likelihood of future errors with a
novel nine-item scale that addressed … attention has been paid to stress in physicians, and few
studies of stress in health care workers have addressed … Fortunately, some causality questions will be
addressed in the third phase of our study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - mandatory reporting system and incident review process supported within the
hospitals, the survey addressed … Barriers to use of reporting systems
The following set of questions addressed potential barriers to … the use of both
mandatory and close-call reporting systems, including a set of questions that
addressed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - The use of these standardized forms also addressed the problem of poor
documentation of patient’s baseline … Study protocols have addressed this issue with very intensive
postoperative follow-up and strict algorithms … Finally, the difficulties encountered in the coordination of perioperative
care need to be addressed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - review
The 1999 Institute of Medicine (IOM) report, To Err Is Human: Building a
Safer Health System,2 addressed … the individuals involved.2, 9, 10 Errors were considered individual
performance problems and were addressed … , included 6,053
different issues addressed by 5,621 respondents.
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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-Raebel_53.pdf
May 07, 2008 - patient safety project, change management issues should be encouraged to surface and
then be effectively addressed … These issues were addressed using several tools and techniques. … We paid
attention to and addressed the demands of testing interventions in everyday work settings, and
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
September 01, 2017 - Which pressure injury prevention practices go beyond a single unit and how they will be addressed. … How gaps in staff education and competency will be addressed.