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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - Coordinator/Manager Frank Chang
Postdoc Research Fellows Maxim Topaz, Adrian Wong, Chunlei Tang
Research Assistants
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - treatment areas and is staffed by 150
nursing, ancillary and administrative support staff, six physician assistants
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www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
January 01, 2024 - Devine’s studies to date primarily have been
physicians but also included nurses and medical assistants
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - for warfarin safety to over 125 registrants, including physicians,
nurses, pharmacists, physician assistants
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www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
January 01, 2024 - Work related musculoskeletal risks associated with nurses and nursing
assistants handling overweight
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable
Hospital and ED
Visits: Reports AHRQ’s Safety Program for Nursing
Homes: On-Time Preventable Hospital
and ED Visits Training
Slide 1: Introduction to Preventable Hospital
and ED Visits Reports …
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www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set
Summary Report
Background Report on 2013 Retirement
of CHIPRA Measures from the Child
Core Set
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD
Prepared by:
RTI International
Resear…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2024.xlsx
January 01, 2024 - Introduction
Introduction-Falls
The tables in this workbook present data on Fall reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include the relative frequencies of reports by age group, by the extent of resi…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
The Diagnostic Journey of
Mr. Kane
Narrator: This story is about the diagnostic journey of Mr. Kane. The story
outlines several areas where communication failures led to missed and
delayed diag…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare
Creating and Maintaining a Culture of Safety Series
(Session 3)
Measuring and Responding to Safety Culture Across Healthcare
NATIONAL WEBINAR SERIES
April 15, 2025
Housekeeping Instructi…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
June 02, 2025 - Journey of Mr. Kane
The Diagnostic Journey of
Mr. Kane
TeamSTEPPS® for Diagnosis Improvement
Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…
-
www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Interim Data From National Efforts To Make Care Safer, 2010-2014
Summary
Interim estimates for 2014 show a sust…
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2
Authors: Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly Devers, and Rebecca Peters
Contents
Key Messages
Background
Findings
Conclusions
Implications
…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - THE MEDICAL HOME INDEX:
Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation of the CHIPRA Quality Demonstration Grant Program.
The Medical Home Index: Revised Short Form: Pediatric
Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families
The …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
September 01, 2015 - Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary
Final Design Plan for the National Evaluation of the
CHIPRA Quality Demonstration Grant Program:
Summary
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD
Contract No.
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change
SAY:
This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Describe the rationale for the use of c…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
March 01, 2017 - PowerPoint Presentation
Clean Equipment and Environment
Promotes Safe Resident Care
Training Module 2
AHRQ Pub. No. 16(17)-0003-9-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/4-2023hcbs-survey-webcast-huben.pdf
June 02, 2025 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Huben
HCBS CAHPS Technical
Assistance
Amanda Huben
Consultant,
The Lewin Group
21
Helpful Resources
• AHRQ CAHPS Guidance
• AHRQ Guide to Quality Improvement
• CMS HCBS CAHPS Survey and Technical Assis…