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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions
Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1
The Five Principles of Effective Primary Care-Based Care
Coordination fo…
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psnet.ahrq.gov/print/pdf/node/842920
December 14, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Errors Case Studies
Curated Library
Web M&Ms
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021
A pregnant patient was admitted for…
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digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_1.pdf
June 16, 2021 - 4_GuidelinesforDescribingBusinessPractices
Tool 4. Guidelines for Describing Business Practices
Tool 4. Guidelines for Describing Business Practices
The suggestions and recommendations presented below are based on the initial review of
business practices collected from a number of state teams. These reco…
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digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_0.pdf
June 16, 2021 - 4_GuidelinesforDescribingBusinessPractices
Tool 4. Guidelines for Describing Business Practices
Privacy and Security Assessment of Variation Toolkit 4-1
Tool 4. Guidelines for Describing Business Practices
The suggestions and recommendations presented below are based on the initial review of
bu…
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digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department
Implementation of a Simulation
Based Patient Safety Curriculum
in a Pediatric Emergency
Department
Mary D. Patterson, MD, MEd
Gary Geis, MD
Cincinnati Children’s Hospital
Robert L. Wears, MD, MS
University of Flori…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
February 01, 2020 - • EHRs could generate triggers to providers to document their assessments more carefully.
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim3.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Methods
Previous Page Next Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
Data Sources
This re…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Steps and Timeline
The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
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digital.ahrq.gov/ahrq-funded-projects/discovery-and-visualization-new-information-clinical-reports-electronic-health
January 01, 2023 - Discovery and Visualization of New Information from Clinical Reports in the Electronic Health Record
Project Final Report ( PDF , 546.57 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-f2-surv-report-2-nonopioid-pharmacol-chronic-pain.xlsx
October 08, 2025 - TCA_PCT
Table F-2a. Harms of tricyclic antidepressants versus placebo
Author, Year Quality Pain Population Drug Class Drug Assessment Time (Wk) Time Category WAE: n WAE: N SAE: n SAE: N Cardiac Rhythm Abnormalities: Specific AE Cardiac Rhythm Abnormalities: n Cardiac Rhythm Abnormalities: N N Randomized Cognitive Eff…
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - Missing Trauma
May 1, 2009
Jurkovich GJ. Missing Trauma. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/missing-trauma
The Case
A 54-year-old woman collapsed behind the counter of a small neighborhood market. She was discovered a
few minutes later by a customer, who immediately called 911. On arrival, para…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back
Implementation
Quick Start Guide
Teach-Back
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
What Is Teach-Back? .....................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - Quality Improvement in Action Slides
Quality Improvement in Action
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
Objectives
Describe methods to identify your intensive care unit’s (ICU) focus area of improvement using quality improvement strategies
R…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 12)
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…
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psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - On the Other Hand
May 1, 2007
Henneman EA. On the Other Hand. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/other-hand
The Case
A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient
had been diagnosed with Takayasu's a decade earlier. The disease results…
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cdsic.ahrq.gov/sites/default/files/2023-09/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdf
January 01, 2023 - wish to incorporate patient-centric measures, in addition to clinician-centric
measures, into their assessments
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
April 01, 2025 - Office/Home: The period leading up to surgery encompasses preoperative assessments and patient
education
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digital.ahrq.gov/sites/default/files/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdf
September 01, 2024 - wish to incorporate patient-centric measures, in addition to clinician-centric
measures, into their assessments
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/screening-counseling-interventions-executive-summary.pdf
April 01, 2025 - Assessments of patients’ quality of life or adverse events were also
absent.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Central Venous Catheter Maintenance Facilitator Notes
CLABSI Module:
Central Venous Catheter Maintenance
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Maintenance, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) a…