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1421. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - Using Home Visits to Understand Medication Errors in Children Using Home Visits to Understand Medication Errors in Children Kathleen E. Walsh, MD, MSc; Christopher J. Stille, MD, MPH; Kathleen M. Mazor, EdD; Jerry H. Gurwitz, MD Abstract Current research methods are not well designed to detect medication e…

1422. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
      April 01, 2013 - The Business Case for CUSP (Transcript) January 17, 2012 Operator: Excuse me, everyone, and thank you for your patience in holding. We now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for quest…

1423. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…

1424. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
      October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 2. Synthesis of Key Findings by Category Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of K…

1425. Table 5.A.1. Evidence Table (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
      January 01, 2014 - Table 5.A.1. Evidence Table …

1426. Patient Self-Management Support: A Chronic Conditions Practice Improvement Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
      March 29, 2016 - For example, if you are a family physician, your baseline performance data calculation might look like … the following: Example Of Numerator And Denominator For Calculation Of Baseline Performance Measure … Example performance calculation: 5 patients in the baseline sample responded that they were asked

1427. National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
      June 16, 2016 - National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov CHARTBOOK ON CARE COORDINATION National Healthcare Quality and Disparities Report This document is in the public domain and…

1428. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
      October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Training Guide Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Module Goals The goals of…

1429. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
      January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery 1. Title Page Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH Organization University of Chicago Dates of the Project 07/01/2018 - 04/30…

1430. 2019 National Healthcare Quality and Disparities Report: Detailed Methods for the Medical Expenditure Panel Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-mepsmethods.pdf
      December 23, 2020 - 2019 National Healthcare Quality and Disparities Report: Detailed Methods for the Medical Expenditure Panel Survey 2019 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT Detailed Methods for the Medical Expenditure Panel Survey U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare …

1431. 2016 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
      January 01, 2016 - 2016 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2016 CAHPS Health Plan Survey Database 2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Man…

1432. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…

1433. Factors Contributing to Sustainment Outcomes in Four States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
      August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States 1 Factors Contributing to Sustainment Outcomes in Four States This supplementary material contains brief case studies that examine key factors influencing decisions about sustaining elements of four states’ CHIPRA Quality Demonstration Grants. The …

1434. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

1435. How are CHIPRA Quality Demonstration States working to improve adolescent health care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
      August 01, 2013 - How are CHIPRA Quality Demonstration States working to improve adolescent health care? Evaluation Highlight No. 3 Authors: Rachel Burton, Ian Hill, and Kelly Devers Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstra…

1436. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

1437. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
      February 07, 2014 - Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU 1 Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospital Medicine Boulder Community Hospital Associate Clinical Professor of Medicine University of Co…

1438. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
      December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Slide Presentation Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality I…

1439. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
      March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Amy J.H. Kind, MD; Maureen A. Smith, MD, MPH, PhD Abstract Objectives: The Joint Commission mandates that six c…

1440. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
      August 01, 2025 - became limited by outdated software and specifications, but produced most of the data used in the calculation … National Healthcare Quality Report (NHQR) and National Healthcare Disparities Report (NHDR), and in that calculation