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www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
January 01, 2024 - Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety
AHRQ Grant Final Progress Report
Field, Terry S.
Grant Award Number: R18HS017906
TITLE PAGE
Title of Project: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and
Safety
Principal Investigator: Ter…
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room
AHRQ Grant Final Progress Report
Title of Project: Context-Based Hand-Gesture Recognition for the Operating Room
Principal Investigator:
Juan P. Wachs, Assistant Professor, School of Industrial Engineering, Purdue U…
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www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
January 01, 2025 - For
example, one unit identified their top two priorities and developed sub-
committees to address the
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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, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - How does Just Culture
address the item staff worry that mistakes they make are kept in their personnel
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Thus, it does not directly address errors in prescribing or dispensing medications. … Address correspondence to: Bonnie J.
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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-Ballard_12.pdf
February 02, 2008 - Following revisions to address any issues identified through the pilot testing, the order set is
reviewed … Address correspondence to: David J Ballard, MD, MSPH, PhD, Institute for Health Care
Research and Improvement
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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-Paige_6.pdf
January 24, 2008 - Address correspondence to: Sheila W.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Is building a stronger teamwork and safety culture an appropriate strategy to address your
institution … Is building a stronger teamwork and safety culture an appropriate
strategy to address your institution … Focusing on a problem the unit wants to address can help keep it
motivated. … − Select a specific TeamSTEPPS tool or process that best addresses the problem and can be
most effective … the beginning of the effort, try to
find ways to involve them in decisions (e.g., which problems to address
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
October 01, 2016 - Mary says she works hard to address
issues in real time and doesn’t hesitate to call a quick meeting … or follow up with staff on the spot
to address issues or concerns. … ▌pg. 7
Pharmacy Integration
WellMed addresses medication management for geriatric populations … MAs
leave while the PCP performs the visit and addresses the reason for the visit. … Staff members
meet in the waiting room so they can address patient walk-ins.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
October 01, 2014 - This approach addresses members' multiple physical, mental, and social needs, including comorbidities … Disease-specific ("siloed") self-management techniques and interventions are inadequate to address the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … This addresses patient comfort at
end of life. Some patients may not want the catheter.
5. … The nurse leader (nursing director or manager) partners with the different stakeholders
and addresses … It builds the
capacity to address safety issues by combining clinical best practices and the science … Provide formal lectures to address device risk, especially the UC, for both RPs and
faculty
5.
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … This addresses patient comfort at
end of life. Some patients may not want the catheter.
5. … The nurse leader (nursing director or manager) partners with the different stakeholders
and addresses … It builds the
capacity to address safety issues by combining clinical best practices and the science … Provide formal lectures to address device risk, especially the UC, for both RPs and
faculty
5.
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … This addresses patient comfort at
end of life. Some patients may not want the catheter.
5. … The nurse leader (nursing director or manager) partners with the different stakeholders
and addresses … It builds the
capacity to address safety issues by combining clinical best practices and the science … Provide formal lectures to address device risk, especially the UC, for both RPs and
faculty
5.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Importance of the Measure
Provide evidence for all applicable aspects of general importance:
• Addresses … a known or suspected quality gap and/or disparity in quality (e.g.,
addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and
populations that this measure addresses … Does the measure address this category?
a. Care Setting – ambulatory: No.
b. … The ONC’s Health IT Standards explicitly address the receipt of laboratory results and other
diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
September 01, 2018 - Importance of the Measure
Provide evidence for all applicable aspects of general importance:
• Addresses … a known or suspected quality gap and/or disparity in quality (e.g.,
addresses a socioeconomic disparity … interested in knowing all settings, services, measure topics, and
10
populations that this measure addresses … Does the measure address this category?
a. Care Setting – ambulatory: Yes.
b. … This
measure does not address the appropriateness of a prescribed medication delivery device for a
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Importance of the Measure
Provide evidence for all applicable aspects of general importance:
4
• Addresses … a known or suspected quality gap and/or disparity in quality (e.g.,
addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and
populations that this measure addresses … Does the measure address this category?
a. Care Setting – ambulatory: Yes.
b. … Therefore, the IRR was
evaluated during Phase 1 at each site to address any reliability issues before
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Importance of the Measure
Provide evidence for all applicable aspects of general importance:
• Addresses … a known or suspected quality gap and/or disparity in quality (e.g.,
addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and
populations that this measure addresses … Does the measure address this category?
a. Care Setting – ambulatory: Yes.
b. … Therefore, the IRR was evaluated during Phase
1 at each site to address any reliability issues before
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
February 01, 2018 - Importance of the Measure
Provide evidence for all applicable aspects of general importance:
• Addresses … a known or suspected quality gap and/or disparity in quality (e.g.,
addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and
populations that this measure addresses … Does the measure address this category?
a. Care Setting – ambulatory: Yes.
b. … Therefore, the IRR was evaluated during Phase
1 at each site to address any reliability issues before
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www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
October 01, 2012 - Saf
Health Care 2010;19(6):555-61.
8
PROGRAM IMPLEMENTATION
This section of the report addresses … leads to support each other in the coaching
process.
12
PROGRAM IMPACT
This section addresses … barriers‖ with time.
19
WHAT WE LEARNED: FIVE KEY LESSONS
This section of the report addresses … The
NPT met frequently to try to address the lower level of engagement of these State leads and
their … HRET is hosting three follow-up coaching calls in September to further address
different aspects of