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  1. www.ahrq.gov/patient-safety/reports/engage/results.html
    March 01, 2017 - time with patients Medication issues Prescribing errors Medication nonadherence Adversedrug events and interactions Overprescribing of opioids, antibiotics Errors in medication reconciliation
  2. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
    August 01, 2017 - If the team’s overall aim is at a system level (for example, "Reduce adverse drug events in critical … team members may find that focusing for a time on a smaller part of the system (for example, "Reduce adversedrug events for critical care patients on the cardiac service by 30% within 12 months") will help them
  3. www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
    November 01, 2016 - Meeting Minutes, July 2016 National Advisory Council Minutes from the July 22, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of April 20, 2016, Summary Report Director's Update Update on the Synthesis of Evide…
  4. www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
    July 01, 2022 - Patient Safety Awareness Week 2019 Patient Safety Awareness Week is an annual health observance sponsored by the Institute for Healthcare Improvement (IHI). As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety among health professionals, patients, and famili…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care New Models of Primary Care Workforce and Financing Case Example Stanford Coordinated Care1 New Models of Primary Care Workforce and Financing Case Example #1: Stanford Coordinated Care Prepared for: Agen…
  6. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
    February 23, 2012 - HF Measures For Public Comment American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 Table of…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
    February 23, 2012 - HF Measures For Public Comment American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 Table of…
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
    February 23, 2012 - HF Measures For Public Comment American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 Table of…
  9. www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
    February 23, 2012 - Maternity Care Performance Measurement Set American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 …
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
    February 23, 2012 - HF Measures For Public Comment American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 Table of…
  11. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol References Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Chart for Impl…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Experiences from the Frontline Home The Program This Report Case Studies Toolkit Definitions AHRQ SAFETY PROGRAM FOR PERINATAL CARE: EXPERIENCES FROM THE FRONTLINE AHRQ Pub. No. 17-0003-23-EF May 2017 Home The Program This Report Case Studie…
  13. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - Adverse drug events from medication can often mimic acute medical conditions in older adults, thus contributing … and a “prescribing cascade,” where a second, potentially unnecessary drug is prescribed to treat the adversedrug event.
  14. www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol References Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Chart for Impl…
  15. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    April 01, 2025 - outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adversedrug events. … Create patient/family medication monitoring processes and communication with the clinic to prevent adversedrug events.
  16. www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requ…
  17. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
    January 01, 2022 - National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022 National Advisory Council, May 12, 2022 Page 1 Agency for Healthcare Research and Quality (AHRQ) National Advisory Council (NAC) Virtual Meeting May 12, 2022 SUMMARY NAC Members Present Asaf Bitton, M.D., M.P.H., Ariadne Labs, Bri…
  18. www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
    January 01, 2025 - Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults AHRQ Grant Final Progress Report Grant Award Number: R18 HS026624 Project Title: Engineering Safe Care Journeys for Vulnerable Older Adults Grantee Organization: University of Wisconsin – Madison Project Period: September 30, 2018 –…
  19. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
    November 01, 2020 - Adverse effects of medical care can arise from medical and surgical procedures as well as from adversedrug reactions.
  20. www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
    April 01, 2013 - Morning Briefing and Shadowing (Transcript) July 12, 2011 Operator: Thank you for your patience in holding. We now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the completion of the presentation, we will open the floor for questions. At that time, inst…

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