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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …
  2. 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…
  3. www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
    May 01, 2017 - Be Prepared to Be Engaged Patient and Family Engagement in Primary Care Slide 1: Be Prepared to Be Engaged Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Impr…
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/5.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.5. Trigger Summary Report: Unit Level 3.5.1. Report Description The unit-level view displays the number of residents (and percent…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
    June 01, 2023 - PowerPoint Presentation AHRQ Safety Program for Improving Surgical Care and Recovery Engaging the Senior Executive Presentation Template AHRQ Pub. No. 23-0052 June 2023 Purpose and Use of This Presentation Template Purpose of tool: To engage a senior leader to bridge the gap between senior management and frontline …
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
    June 01, 2023 - Introduction The compliance tracking sheet is located in the other tab of this Excel file AHRQ Pub. No. 23-0052 June 2023 &G Audit Tool Purpose of this tool: To support your hospital’s AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) implementation, your hospital should begin r…
  7. www.ahrq.gov/practiceimprovement/delivery-initiative/gilmerstudysnapshot/index.html
    April 01, 2015 - Variation in the Implementation of California's Full-Service Partnerships For Persons With Serious Mental Illness AHRQ Delivery System Research: Study Snapshot Authorized by California's Mental Health Services Act (MHSA), full-service partnerships (FSPs) provide integrated, supported housing and…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/gilmerstudysnapshot/gilmerstudysnapshot.pdf
    April 01, 2015 - Variation in the Implementation of California’s Full-Service Partnerships for Persons With Serious Mental Illness AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT Variation in the Implementation of California’s Full- Service Partnerships for Persons With Serious Mental Illness Todd P. Gilmer, Marian L. Katz, Ana Stefa…
  9. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
    October 01, 2015 - A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania Principal Investigator: Robert A. Gabbay, MD, PhD Institution: Pennsylvania State University Hershey Medical Center AHRQ Grant Number: R18 HS019150 Number and Type of Practices This project included 25 adult pri…
  10. www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
    May 01, 2018 - Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review Executive Summary Our Nation's health service delivery systems face growing challenges to enhance quality while reducing costs. Lean/Toyota Production Systems (TPS) is a process redesign strategy develo…
  11. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/next-steps.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Recommendations for AHRQ’s Next Steps Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Le…
  12. www.ahrq.gov/nursing-home/resources/search.html?page=4
    January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
  13. www.ahrq.gov/pqmp/measures/index.html?page=5
    PQMP Measures The following list presents all health care quality measures from the AHRQ-CMS Pediatric Quality Measures Program (PQMP). These measures were developed by the initial phase PQMP Centers of Excellence (COEs). Results 126 - 150 of 163 Measures Pagination « first « First ‹ …
  14. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/ucsd-pocket-guide.pdf
    June 02, 2025 - Urinary Incontinence Pocket Guide ``` OPTIMA Team – University of California San Diego This project was funded under grant number U18HS028740 from the Agency for Healthcare Research and Quality (AHRQ),…
  15. www.ahrq.gov/talkingquality/plan/needs-and-testing/index.html
    May 01, 2019 - How Will You Test Aspects of Your Health Care Quality Report? Given all the time, money, and effort you are investing in developing and distributing a quality report, you want to be sure that your report is as effective as possible. In other words, you want every aspect of the report to work as well as it can …
  16. www.ahrq.gov/talkingquality/plan/environment.html
    June 01, 2016 - What Is the Environment for Reporting on Health Care Quality? Whether working alone or in collaboration with others, report sponsors need to understand: The circumstances in which the reporting project will take place. The likely implications of the project for: The sponsoring organizations, The org…
  17. www.ahrq.gov/talkingquality/distribute/promote/clarify.html
    November 01, 2018 - Clarifying Objectives When Promoting a Health Care Quality Report In any promotional effort, you have to be very clear about what you are trying to achieve, and the messages of your promotional campaign have to focus on these objectives. This page discusses three goals that your promotional efforts need to ac…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-mupirocin.docx
    March 01, 2022 - FAQs (Staff): Nasal Mupirocin for MRSA-Positive Patients With Devices Decolonization of Non-ICU Patients With Devices Section 14-2 – Addressing Questions Asked by Staff: Nasal Mupirocin for MRSA Carriers With Devices What is mupirocin and how safe is it? Mupirocin is a topical antibiotic ointment to prevent infe…
  19. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules.html
    May 01, 2017 - Long-Term Care Safety Toolkit Modules Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities These modules (available in English and Spanish) describe how to apply the Comprehensive Unit-based Safety Program (CUSP) for long-term care resident safety. They support learning and implementation effor…
  20. www.ahrq.gov/chsp/about-chsp/centers/dartmouth.html
    July 01, 2019 - Comparative Health System Performance Initiative: Dartmouth College Center of Excellence Principal Investigator Ellen Meara, Ph.D. Partners University of California at Berkeley. Harvard University. High Value Healthcare Collaborative. Overview The Dartmouth College Center of Excellence is stud…

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