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www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture
Title of Project: Impact of state policies on nursing home patient safety culture
Principal Investigator: Yue Li, Ph.D., University of Rochester
Team Members: Helena Temkin-Greener, Ph.D., University of Rochester
Xueya Cai, Ph…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
June 02, 2025 - 1
TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7
Purpose and Overview
This implementation guide is designed to help you think through the steps you can take to
troubleshoot a successful automatic referral (AR) order set for your hospital/health system.
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Appendix: State Overviews (continued)
Previous Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Program
Section 2: Engagi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Sustainability Module
Facilitator Notes
SAY:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
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www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children
FINAL PROGRESS REPORT
Title of Project: Profiling the Needs of Dying Children
Principal Investigator: Chris Feudtner, MD, PhD, MPH
Organizations: The University of Washington (2000-2002) and
The Children's Hospital of Philadelphia (2002-2006)
Date…
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures?
FINAL PROGRESS REPORT:
ARE VOLUME STANDARDS ACCURATE MEASURES?
Principal Investigator: Laurent G. Glance, M.D.
Co-Investigators: Andrew W. Dick, Ph.D.
Turner M. Osler, M.D.
Dana B. Mukamel, Ph.D.
Organization: University of Rochester School of Medic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium
411
Lessons in Safety Climate
and Safety Practices from a
California Hospital Consortium
Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert,
David M. Gaba, Kathryn M. McDonald, Laurence C. Baker
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. Wears, Shawna J. Perry,
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro,
Christopher Beach, Pat Croskerry, Ka…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care
57
A Clinical Assessment Program to
Evaluate the Safety of Patient Care
Richard J. Snow, Martin S. Levine, Dwain L. Harper,
Sharon L. McGill, George Thomas, Joseph P. McNerney
Abstract
The American Osteopathic Association’s Clinical Asses…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders
299
Creating a Curriculum for Training
Health Profession Faculty Leaders
Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad
Abstract
Objectives: An interprofessional, collaborative group of educators, patient safety
officers, and Federal …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture
Hospital Administrative Staff vs. Nursing Staff
Responses to the AHRQ Hospital Survey
on Patient Safety Culture
Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS;
Patricia Ruddick,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - Posters
addressed indicator initiatives in Argentina, Belgium, the Netherlands, Italy,
Sweden, the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Insert Cover Here
Findings From the AHRQ Transforming Primary
Care Grant Initiative: A Synthesis Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Hum…
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www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
January 01, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative
Issue Brief
The Agency for Healthcare Research and Quality and the Coordinating Center of the Comparative Health System Performance Initiative held a workshop September 29, 2016, to share learning a…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - PowerPoint Presentation
Nursing Home Antimicrobial
Stewardship Guide
Determine Whether To Treat
Toolkit 2. Common Suspected Infections: Communication and Decision Making for
Four Infections
Tool 4. Tools To Improve Communication and Decision Making
www.ahrq.gov/NH-ASPGuide ● May 2014
AHRQ Pub. No. AHR…
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - The Four Es of Early Mobility: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: The Four Es of Early Mobility
Say:
This module explains how to apply the Four Es of the TRIP framework to Early Mobility: engage, educate, execute, and evaluate.
Slide 2: Learning Objecti…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Measure Descriptions for Daily Early Mobility
SAY:
In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measures in your unit.
Slide 1
…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 3. Outline the Evidence and Identify Best Practices
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Anal…