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  1. www.ahrq.gov/cpi/about/otherwebsites/psnet.ahrq.gov/index.html
    December 01, 2024 - AHRQ Patient Safety Network Mission AHRQ's Patient Safety Network is a national Web-based resource featuring the latest news and essential resources on patient safety. Supported by an extensive system for organizing the site's patient safety information into categories and subcategories (i.e., a patient safety …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
    December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …
  3. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
    December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…
  4. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program …
  5. www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
    January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction Final Progress Report Validation of an Innovative Approach To Error Reduction Principal Investigator: David Blumenthal, MD, MPP Team Members: Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital) Paul D. Cleary, PhD (Yale…
  6. Coaching-Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
    June 02, 2025 - Appendix I. Checklist Observation Tool and FAQs AHRQ Safety Program for Ambulatory Surgery Implementation Guide Why Should We Use This Tool? Monitoring checklist use is an extremely important part of this project. Performing observations can often reveal weaknesses in checklist performance that may otherwise go …
  7. www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
    January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors Principal Investigator/Program Director (Last, first, middle): Greenes, David S. Automated Lab Test Follow-up to Reduce Medical Errors Principal Investigator: David S. Greenes, MD Department of Medicine, Children’s Hospital Boston Team …
  8. www.ahrq.gov/data/apcd/backgroundrpt/intro.html
    April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Introduction Previous Page Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Int…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4e Selected Best Practices and Suggestions for Improvement PDI 06: RACHS-1 Pediatric Heart Surgery Mortality Why focus on pediatric heart surger…
  10. Clinical Topic (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdescription.pdf
    January 01, 2012 - Clinical Topic Text Description for PCPI eSpecification Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved. Clinical Topic Maternity Care Measure Title Episiotomy (Overuse) Measure # MC-7 Measure Description Percentage of patients, regardl…
  11. 6-Gap-Analysis-Goal (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Gap Analysis and Goal-Setting Form Creating a sense of urgency is an important strategy to gather institutional support and provide engagement in quality improvement work. One of the best approaches is to evaluate current performance and identify deficiencie…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4s Selected Best Practices and Suggestions for Improvement PDI 06: RACHS-1 Pediatric Heart Surgery Mortality Why focus on pediatric heart surgery morta…
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-5-table-11-figs-1-2.pdf
    April 21, 2015 - CHIPRA 194: Section 5, Table 11, Figures 1 and 2 Table 11. Evidence about Overuse of Imaging for the Evaluation of Children with Primary Headache Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Systematic review Alexiou et al. conducted a systematic review of the lite…
  14. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
    May 01, 2017 - Appendix I. Checklist Observation Tool and FAQs - Implementation Guide Why Should We Use This Tool? Monitoring checklist use is an extremely important part of this project. Performing observations can often reveal weaknesses in checklist performance that may otherwise go unnoticed. This tool allows you to col…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables14-17.pdf
    June 02, 2025 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 14-17 Table 14. Mean (Standard Deviation) Proportion in Racial Groups within Sampled ZIP Codes of Residence‡ Sampled Group Description American Indian or Alaska…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-7-tables-15-18.pdf
    June 02, 2025 - CHIPRA 194: Section 7, Tables 15-18 Table 15. Mean (Standard Deviation) Proportion in Racial Groups within Sampled ZIP Codes of Residence‡ Sampled Group Description American Indian or Alaska Native Mean (SD) ‡ Asian Mean (SD) ‡ Black or African American Mean (SD) ‡ Native H…
  17. www.ahrq.gov/news/newsletters/e-newsletter/949.html
    March 01, 2025 - New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care Issue Number 949 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. March 11, 2025 AHRQ Stats: Trends in MRSA Rates, 2016 to 2021 While the overall rate of adult inpatient stays with a diag…
  18. www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
    January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health AHRQ Grant Final Progress Report Title of Project Safe delivery of primary care to vulnerable populations: Using simulation (Unanno…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
    December 01, 2017 - Presentation: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: This module is the first of two parts discussing briefings and debriefings. Te…
  20. www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - The Relationship Between Hospital Workload and Patient Safety The Relationship between Hospital Workload and Patient Safety Final Research Report to AHRQ Principal Investigator: Joel S. Weissman, PhD Co- Principal Investigator: Jeffrey Rothschild, MD Co-Investigators and Study Staff (In alphabetical order): ----…

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