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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
    March 01, 2004 - too new to see whether these provisions increase reporting, and have not yet been subject to legal challenge
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
    June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…
  3. www.ahrq.gov/data/apcd/envscan/app-b.html
    June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence Appendix B. Journal Articles Included in Literature Review Previous Page Next Page Table of Contents All-Payer Claims Databases Measurement of Care: Systematic Review and Enviro…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
    April 05, 2013 - Information to Help Hospitals Get Started Key Takeaways Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety. Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
    June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5) Insert hospital logo here Become a Patient and Family Advisor: Information Session [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Patient & Family Advisor Information Session (Tool 5) Guide to Patient & Family Engag…
  6. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
    October 01, 2016 - PowerPoint Presentation Toolkit 3. Minimum Criteria for Common Infections Toolkit [Name] [Organization] AHRQ Pub. No. 17-0006-5-EF October 2016 Tool 5. Nursing Staff Training on Importance and Use of SBAR Forms Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Welcome, everyone, to today’s t…
  7. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. An…
  8. www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
    April 01, 2015 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research 1 Care Management Issue Brief Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Executive Summary Health care delivery systems throughout the United States are employing…
  9. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency NPSD Data Spotlight This document is in the public domain and may b…
  10. www.ahrq.gov/ncepcr/care/coordination/mgmt.html
    August 01, 2018 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Care Management Issue Brief Contents: Executive Summary Care Management: a Fundamental Vehicle for Managing the Health of Populations Overview Strategy: Identify Populations with Modifia…
  11. www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
    January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing Elaine M. Fle…
  12. Section 5, Table 1 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
    January 01, 2014 - Section 5, Table 1 …
  13. www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
    January 01, 2024 - Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders AHRQ Grant Final Progress Report Title: The Value of Hospital-Related Patient-Saftey Interventions to Key Stakeholders Principal Investigator and Mentors: PI: Teryl K. Nuckols, MD, MSHS Mentors: José J. Escar…
  14. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidenc…
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
    November 01, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Action Planning Tool for the AHRQ Surveys on Patient Safety Culture Public Domain Notice This document is in the public domain and may be used and reprinted without permission in the United States for noncommercial purposes, unl…
  16. www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
    January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model RISK AND RECOVERY IN COMPLEX ENVIRONMENTS: LABOR AND DELIVERY AS A MODEL Final Progress Report Grant Award: 1 UC1 HS014376-01 June 30, 2006 Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
  17. www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
    January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer 1 Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer Principal Investigator: Rita Secola, RN, PhD, CPON Organization: University of California Los Angeles, NIHAward@research.ucla.e…
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…
  19. www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. An…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

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