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psnet.ahrq.gov/node/42774/psn-pdf
May 28, 2015 - Patient safety in plastic surgery: identifying areas for
quality improvement efforts. … Patient safety in plastic surgery: identifying areas
for quality improvement efforts. … https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts … https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
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psnet.ahrq.gov/node/39855/psn-pdf
September 29, 2017 - Industrial and Systems Engineering and Health Care:
Critical Areas of Research: Final Report. … https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research … https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report … https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
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www.ahrq.gov/data/innovations/sdoh.html
June 01, 2023 - SDOH can be categorized into five key areas:
Social context: (e.g., demographics, social networks … Variables in the files correspond to the five key SDOH areas.
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. … Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. … Are there other areas where you probably agree with someone who holds an opposing view?
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www.ahrq.gov/sops/databases/hospital/databases/submission.html
August 01, 2025 - The core does not include staff positions, units/work areas, and background questions at the end of … Units/work areas. Background questions at the end of the survey. … If staff positions, units/work areas, and/or background questions are changed, they need to be cross-walked
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September … Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. … They note that in an accreditation review
they identified areas for improvement in patient safety, and … safety goal of zero.5 This tension between
allocating resources for zero harm initiatives and other areas … https://psnet.ahrq.gov//#8
Areas of Agreement About Zero Harm
Proponents and critics disagree on
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www.ahrq.gov/research/publications/search.html?page=1
September 01, 2024 - A number of recent expert workgroups have identified key areas of focus for diagnostic safety research … scoping review, we sought to characterize and chart the available evidence, identify gaps, and identify areas … In addition, we discuss existing gaps in AHRQ's investments and potential future areas of focus for NCEPCR
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
June 02, 2025 - and evaluate progress of the US health care system.
7
AHRQ Patient Safety Priorities
• Focus on areas … Raise staff awareness about patient safety
• Assess patient safety culture to identify strengths and areas
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - Four Pillars of the National Action Plan
The Action Alliance will build upon the
four foundational areas … Our board proactively adds to the agenda areas of quality oversight or concern
2. … Our board is very hospital-centric and does not ev aluate quality in all the areas
we provide care … Board reviews trends or drivers of effective and appropriate care as defined for the different areas … to create deeper discussion on quality and
eliminate low ROI areas off board agenda
• Ensure that
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
July 20, 2020 - Raise staff awareness about patient safety
• Assess patient safety culture to identify strengths and areas … Revising the staff positions and units/work areas; and
5. … HSOPS 2.0 assesses many of the same areas of patient safety
culture as HSOPS 1.0, but substantial changes … What areas of patient safety culture are assessed on the SOPS Hospital Survey 2.0
(HSOPS 2.0)? … What areas of patient safety culture does HSOPS 2.0 assess?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - Identify patient safety
culture areas for
improvement
2. … staff members
evaluate whether known safety practices are In place In thei r organizations and to find areas … Customized feedback report:
► Displays site results with Database results
► Identifies strengths and areas … HIGHLIGHTS
10,499 nursing home
providers & staff
responded
12 areas or composite
measures of patient … How Nursing Homes
Administered The Survey
43%
Web & Paper 42%
Paper 14%
OVERALL RESULTS
AREAS
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
December 01, 2012 - Finally, rates are almost all lower in urban areas (MSAs) than in nonurban areas. … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … These areas can potentially be targeted with policies aimed at reducing hospital admissions among HCBS … This phenomenon may also be explained by the sickness of the population, because areas with more need … Unsurprisingly, the results for the overall HCBS population show consistently that areas with higher
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.html
June 01, 2018 - Micropolitan vs. large fringe metropolitan areas. … Noncore vs. large fringe metropolitan areas. … Large central vs. large fringe metropolitan areas.
Multiple race vs. White.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
January 01, 2013 - Survey for Quality Improvement
The Practice Engagement Model
Service Cabinets Created for Clinical Areas … • Collaborative Data Analysis
Identification areas for improvement &
indicators
• Target Setting … • Regular meetings to track progress
• Training modules for leaders to support
improvement
• Areas
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/medicaid-and-chip
January 01, 2023 - At various points in the project, CoPs formed around these topic areas:
Privacy and Security … The remaining content is organized into areas of health IT and HIE and further categorized as one of … three main subtopics within those areas: policy, technology, or evaluation. … The entire collection of documents may be searched, or any of these areas or subtopics may be searched
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hcup-us.ahrq.gov/reports/statbriefs/sb178-Preventable-Hospitalizations-by-Region.pdf
September 01, 2014 - Access to care and level of quality vary by geographic areas. … However, compared with urban areas, rural areas tend to have fewer
health care organizations and professionals … , but rates in all residential areas exhibited a downward trend. … by micropolitan areas, large metropolitan areas, and small metropolitan
areas. … small metropolitan areas between 2005 and 2011.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
April 01, 2011 - any devices or
compression stockings
• Bony prominences (heels, sacrum, occiput)
• Skin to skin areas … , such as the penis, back of
knees, inner thighs, and buttocks
• All areas where the patient—
– Lacks … Skin integrity
– Skin intact
– Open areas, rashes, etc.
14
Parameter 1: Skin Temperature
• Palpate … original
shape in older or dehydrated patients.
16
Parameter 3: Skin Color
• Compare adjacent areas … versus
nonblanchable erythema
• Purple or bruised looking
skin
• Paper-thin skin
• Dark or reddened areas
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www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
January 01, 2024 - Identified major research areas linking the hospital environment to patient and
staff outcomes. … During the conference, participants were asked to focus their attention on
these areas of research, … Identified research priorities and opportunities within the major research areas.
i. … working to identify research priorities and opportunities within each of the
three major research areas … Summit participants, including specific
research questions, for each of the three major research areas
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www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
January 01, 2024 - The national Steering Committee encourages each
LANE to achieve improvement in these topic areas by: … The Campaign Steering Committee has selected eight areas of focus for
nursing home quality improvement … There are four clinical areas that have long plagued nursing homes; 1)
presence of pressure ulcers in … In addition, there are four
organizational areas of focus: 1) and 2) staff stability, including decrease … http://www.nhqualitycampaign.org/
There were 18 breakout sessions that focused on three subject areas
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psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - Some IV medications are diluted unnecessarily in patient
care areas, creating undue risk. … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk