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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
    March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes 401 Technology for Improving Medication Monitoring in Nursing Homes Kate L. Lapane, Kathleen Cameron, Janice Feinberg Abstract A 1997 report entitled Prescription Drug Use in Nursing Homes, by the Department of Health and Human Services’ Office…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/014-bcx-algorithm-decision-support-tool.docx
    October 01, 2024 - Blood Culture Algorithm Decision Support Tool Originally published in “Does This Patient Need Blood Cultures? A Scoping Review of Indications for Blood Cultures in Adult Nonneutropenic Patients” by Fabre et al in Clinical Infectious Diseases, September 2020. Used with permission. Image is adapted. AHRQ Safet…
  3. digital.ahrq.gov/organization/university-minnesota
    January 01, 2023 - University of Minnesota Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions Description This research will develop and test novel approaches for using electronic health record metadata to characterize and evaluate hospital …
  4. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-276-ocd-executive-summary.pdf
    December 01, 2024 - Executive summary_Comparative Effectiveness Review No. 276: Diagnosis and Management of Obsessive Compulsive Disorders in Children Comparative Effectiveness Review Number 276 Diagnosis and Management of Obsessive Compulsive Disorders in Children Executive Summary Main Points • Diagnosis of O…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for N…
  6. digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
    January 01, 2023 - Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open Project Final Report ( PDF , 451.19 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…
  7. digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
    January 01, 2014 - Assessing Readiness, Achievement & Impact of Stage 3 Care Coordination Criteria - Final Report Assessing Readiness, Achievement & Impact of S tage 3 C are C oordination Criteria Final Report Principal …
  8. www.ahrq.gov/policymakers/measurement/index.html
    February 01, 2017 - Measurement and Reporting Tools Consumer Assessment Surveys The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program is a multi-year initiative of the Agency for Healthcare Research and Quality (AHRQ) to support and promote the assessment of consumers' experiences with health care. …
  9. www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
    January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…
  10. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6u.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 22) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  11. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
    January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/impguide.pdf
    June 02, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide—Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 1 Implementation of the Prevention Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Traini…
  13. psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
    August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …
  14. psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
    April 24, 2019 - Study A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." Citation Text: Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …
  15. psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
    May 11, 2022 - Study Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. Citation Text: Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Culture Check-Up Tool AHRQ Safety Program for Perinatal Care Culture Checkup Tool Culture Checkup Tool Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, cre…
  17. psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
    February 23, 2022 - Study Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Citation Text: Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-blood-transfusion-protocol-amendment.pdf
    February 04, 2025 - Team members will not be involved in risk of bias assessments for studies on which they were authors
  19. www.ahrq.gov/teamstepps-program/curriculum/implement/overview.html
    May 01, 2023 - Key Implementation Phases and Activities The figure below provides an overview of the key processes required for any successful implementation. Pre-implementation activities begin by assessing readiness and considering the goals of your implementation and how they will be measured.  Active implementation …
  20. digital.ahrq.gov/principal-investigator/post-lori
    January 01, 2023 - Post, Lori Development and validation of the Emergency Department Geriatric Readmission Assessment at Yale (ED GRAY): Part 2, prognostic accuracy. Citation Post LA, Conner TL, Oehmke JF, et al. Development and validation of the Emergency Department Geriatric Readmission Assess…