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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices
319
Making Information Technology a Team
Player in Safety: The Case of Infusion Devices
Christopher Nemeth, Mark Nunnally, Michael O’Connor,
P. Allan Klock, Richard Cook
Abstract
Objective: To fulfill the promise of infor…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
December 01, 2024 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
UPDATED AUGUST 2024
Guidelines for Using the CAHPS®
Outpatient Mental Health Survey
Introduction ............................................................................................ 1
Section 1: Preparing Your Organization’s Survey Instr…
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www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Meeting Minutes, November 2017
National Advisory Council
Minutes from the November 3, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 26, 2017, Summary Report
Director's Update
The Healthcare Cost and Ut…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan
Page 1 of 15
Healthcare Safety Competencies Affinity Group
Environmental Scan, Resources, and Strategies version 4.7.2025
Table of Contents
Background ...............................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis
265
Implementation of an Evidence-based
Protocol for Surgical Infection Prophylaxis
John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto,
Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci
Abstract
Objective:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy
Mapping a Large Patient Safety Database to the
2005 Patient Safety Event Taxonomy
John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA;
Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD;
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals
Voluntary Adverse Event Reporting in Rural Hospitals
Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC;
David R. Lomely, BS; Gail Bellamy, PhD
Abstract
Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting
system …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative
Relationship Between Patient Harm and
Reported Medical Errors in Primary Care:
A Report from the ASIPS Collaborative
David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD;
Daniel M. H…
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small,
Rural Hospitals
Principal Investigators
Katherine J. Jones, PhD, PT, January 2007 – June 20071
Keith J. Mueller, PhD, July 2005 – December 20061
Team Members
Anne Skinn…
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project
Title:
Cook County & Rush Developmental Center for Research in Patient Safety:
Diagnosis Error Evaluation and Research (DEER) Project
Principal Investigator:
Gordon …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
January 01, 2013 - Section 6.B, Validity and Reliability
SECTION VI.
SCIENTIFIC SOUNDNESS OF THE MEASURE
VALIDITY
VI.B.1 “Informing” Coverage through the natural experiment of appendicitis
Administrative data from the Medicaid Analytic eXtract (MAX) is the primary data source for
states or government agencies wishing to as…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - 1
TAKEheart Data Implementation Guide – Module 4
Preparing and Understanding Your Data to Support Systems Change
Table of Contents
This document is hyperlinked to facilitate ease of access to the information contained inside.
Press “ctrl” and click on the links below to access the desired section. Clicking o…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - Working With and Supporting Practice Leaders
Primary Care
Practice Facilitation
Curriculum
Module 21: Working With and Supporting Practice Leaders
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - Appendix 3: Data Abstraction
TableOfContent
Table of content
Abstraction of criteria from existing sources Sheet number
[Click to go to specific sheet]
Pearson et. al 2018, white paper 1
Duke Margolis 2017, white paper 2
International Society for Pharmacoepidemiology (ISPE) position paper 3
Berger et al…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
April 01, 2018 - practical nurse (LPN)
5,047 16%
Physician (M.D. or D.O.) 3,650 11%
Management 2,555 8%
Physician assistant
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
April 01, 2018 - practical nurse (LPN)
5,047 16%
Physician (M.D. or D.O.) 3,650 11%
Management 2,555 8%
Physician assistant
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www.ahrq.gov/news/newsroom/ahrq-stats.html
July 01, 2025 - AHRQ Stats
New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization Decision-Making and Readiness for Implementation
ICU & Non-ICU
For more in-depth information on the implementation of decolonization, please refer to the presentation “Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization,” available on t…
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology
Final Progress Report
Title of Project: Improved Patient Safety with Information Technology
Principal Investigator: J. Marc Overhage, MD, PhD
Team Members: Irmina Gradus-Pizlo, MD
Chris Steinmetz, MD
Karen Wolf, MD
JingJin Li, PhD…
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication
FINAL REPORT
Putting a Face on Hospital Medical Errors:
Communication
Project funded by:
Agency for Healthcare Research and Quality
Grant No. 1R03HS016122-01
September 29, 2005-September 30, 2006
Federal Project Officer: Elizabeth D…