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  1. 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…
  2. 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. …
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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 …
  12. 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,…
  13. 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 …
  14. 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
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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 …
  20. 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…

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