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1. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
   www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
   January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …

2. Catheter-Associated Urinary Tract Infection (CAUTI) | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
   January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI) Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses…

3. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
   April 01, 2025 - Hospital-Level Gap Analysis for MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Hospital-Level Gap Analysis for MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal F…

4. P-HIP Excel Tool Guidance (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/phip-mrabstraction-tool-guidance.pdf
   June 02, 2025 - P-HIP Excel Tool Guidance P-HIP Getting Started With the P-HIP Abstraction Tools 1. Place a copy of the Excel files in your desired directory. 2. The basic functionality of both tools is the same, so this document will focus on MH DSD. 3. If you get any warnings or confirmations about running macros, please enabl…

5. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
   www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
   January 01, 2024 - CRP Certification: Promoting Accountability and Learning After Adverse Events FINAL PROGRESS REPORT 1. Title Page Title of Project: CRP Certification: Promoting Accountability and Learning After Adverse Events Principal Investigator and Team Members: Thomas H. Gallagher, MD, Principal Investigator Karen Brigham…

6. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
   March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…

7. Debrief Example - Implementation Guide | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
   May 01, 2017 - Debrief Example - Implementation Guide Slide 1: Debrief Example Quality Improvement Study Ambulatory Surgery Center Slide 2: Problem Statement The surgical safety checklist has been shown to reduce surgical mortality and complication rates in a variety of surgical settings. …

8. Factors That Influence Effectiveness of Checklists | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
   September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Factors That Influence Effectiveness of Checklists Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Sp…

9. Improving Communication and Teamwork in the Surgical Environment
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
   June 01, 2015 - Improving Communication and Teamwork in the Surgical Environment Debrief Example Quality Improvement Study Ambulatory Surgery Center AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix K. Quality Improvement Study Framework | ‹#› AHRQ Safety Program for Ambulatory Sur…

10. Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
    September 01, 2022 - Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions Guide for Clinical Leaders Calibrate Dx: A Resource To Improve Diagnostic Decisions To achieve diagnostic excellence, clinicians need feedback on their diagnostic performance. Calibrate Dx is a resource to help clinicians find and…

11. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
    January 01, 2024 - Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression FINAL PROGRESS REPORT ANTICHOLINERGICS AND COGNITIVE DECLINE IN THE ELDERLY WITH DEPRESSION TITLE: Anticholinergics and Cognitive Decline in the Elderly with Depression PRINICIPAL INVESTIGATOR: Aparasu, Rajender R.1 TEAM…

12. Section 2, Technical Specifications (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
    January 01, 2014 - Section 2, Technical Specifications                                                 Q‐METRIC Sickle Cell Disease Measure 13 Transcranial Doppler Ultrasonography Screening for Children with Sickle Cell Disease Technical specifications for Secti…

13. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…

14. Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
    January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED 1 1. TITLE PAGE April 10th, 2012 Final Report Grant No: 1R03HS017740-01 Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension) Title: Developing a Rational Clinical Approach to the Dispositio…

15. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
    January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…

16. AHRQ WebM&M | Agency for Healthcare Research and Quality
    www.ahrq.gov/cpi/about/otherwebsites/webmm.ahrq.gov/index.html
    October 01, 2015 - AHRQ WebM&M Mission & Relevance AHRQ WebM&M (Morbidity and Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers and includes interactive learning modules on patient safety ("Spotlight Cases"). WebM&M was recently added to AHRQ PSNET , and includes Cases …

17. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
    January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…

18. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
    January 01, 2024 - Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety FINAL REPORT SUMMARY Grant #: HS11375-03 Matthew B. Weinger 9/27/01 to 9/30/05 Center for Perioperative Research in Quality Vanderbilt University Medical Center 1211 22nd Avenue South, 526 MAB Nashville, TN 37212 Phone: 615…

19. Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh20.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratifi…

20. Using Patient Cases for Learning | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Using Patient Cases for Learning Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Lea…