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www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process
Final Report
1. Title page
Patient Safety and the Primary Care Testing Process
PI: Nancy C. Elder, MD, MSPH
Department of Family and Community Medicine
University of Cincinnati
PO Box 670582
3235 Eden Ave, 142 HPB
Cincinnati, OH 45267…
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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) 2022 Virtual Research Meeting
Summary: Assessing Patient Experience …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Facilitator Guide: Overview of the Improvement Model
Program Overview – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Project Overview
SAY:
You have embarked on a unique journey.
Slide 1
Mead Quotation
SAY:
Margaret Mead was a popular and sometimes controversial cultural an…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
IV. Evaluation Aims, Methods, and Results
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
June 01, 2018 - Introduction and Methods
National Healthcare Quality and Disparities Report
This document describes the contents of the National Healthcare Quality and Disparities Report and the methods used to compile and analyze data.
Contents
Acknowledgments
Introduction and Methods
Background on …
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
December 01, 2013 - This device is intended to restore the body’s natural barrier to reflux, and
the procedure is reversible … of the experts stated the steep learning curve and lack of data
from randomized trials could be a barrier … crypt cell proliferation; inhibiting
crypt cell apoptosis (programmed cell death); and enhancing gut barrier
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory%20User%20Guide_FINAL_9.19.23.pdf
January 01, 2023 - the Consultation
Satisfaction Questionnaire.44
3.3.3 Alert Fatigue
Alert fatigue is an oft-cited barrier … , uptake was
low.23
Limited intervention uptake represents a major
and potentially modifiable barrier … parameter.
24
Gap Recommendation
Alert Overrides: While alert fatigue is an oft-
cited barrier
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Community Connectivity: Healing Takes Time - Information Shouldn't
Volunteer eHealth Initiative
a regional demonstration project
Mark Frisse, MD
June 8, 2005
Washington, DC
Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University
This presentation has not been approved by the Agency for Healthc…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rural-telehealth-disposition-comments.pdf
December 26, 2022 - Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Improving Rural Health Through Telehealth-Guided
Provider-to-Provider Communication
Draft report available for public c…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-257-antenatal-care-disposition-comments.pdf
June 28, 2022 - Disposition of Comments_Comparative Effectiveness Review No. 257_Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review
Comparative Effectiveness Review Disposition of Comments Report
Title: Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Hospital Transfer Self-Assessment Worksheet
Purpose
The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention
Slide Presentation
Slide 1: Best Practices in Pressure Injury Prevention
ADD Hospital Name
Module 3
Slide 2: Best Practices
Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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effectivehealthcare.ahrq.gov/sites/default/files/toc.pdf
January 01, 2007 - Medical Care Journal Supplement
Medical Care Journal Supplement 2
Table of Contents
S1 Scott R. Smith. Preface: Research Methods in AHRQ’s Effective Health Care Program.
Med Care. 2007;45(Suppl 2):S1–S2.
S3 David J. Ballard. The Comparative Effectiveness and Safety Emerging Methods
Symposium: A Trib…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
May 12, 2016 - Getting Ready for Change Self-Assessment
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Getting Ready for Change Self-Assessment
What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to suppo…