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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action References Previous Page   Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introduction ED-to-Hosp…
  2. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Primary Care Practice Facilitation Curriculum Module 11: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Agency for Healthcare Research and Quality …
  3. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  4. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
    January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
    March 01, 2004 - Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings 375 Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings Lucy A. Savitz, Cheryl B. Jones, Shulamit Bernard Abstract Objective: In this era of patient safety, quality indicators associated with the nursing profession have…
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
    October 01, 2019 - Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid Section 1. Basic Measure Information 1.A. Measure Name …
  10. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/rachel-hogg-graham-application.pdf
    May 19, 2021 - Rachel Hogg Graham - Sample Grant Application PI: Hogg, Rachel A. Title: Examining the Integration of Hospitals, Public Health, and Social Services to Target the Social Determinants of Health Using Patient-Centered and Comparative Effectiveness Research Method…
  11. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
    January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Resear…
  12. Imp-Handouts (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
    June 02, 2025 - So far we’ve introduced Stop and Watch with them and plan to add the Two Challenge Rule.
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
    September 01, 2018 - Children with asthma enrolled in Medicaid pose an important challenge to the health care system.
  14. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
    January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Heal…
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 10. Harms Due to Opioids Harms Due to Opioids 10-1 10. Harms Due to Opioids Authors: Sarah J. Shoemaker-Hunt Pharm.D., Ph.D., Cori Sheedy Ph.D., and Brandy Wyant, M.P.H., M.S.W. Reviewer: Scott Winiecki, M.D. Introduction Background Prescription opioids are commonly used i…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
    October 01, 2021 - Workplace Safety Resource List Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Items I. Purpose This document includes references to websites and other publicly available resources hospitals can use to improve the extent to which their organizational …
  17. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Quality Improvement Strategies Previous Page   Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies This section of the…
  18. www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
    January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Principal Investigator: David J. Taber, PharmD, MS, BCPS Professor Medical University of South Carolina Department of Surgery 96 J…
  19. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
    May 07, 2008 - Slide 1 Treating Tobacco Use and Dependence 2008 UPDATE U.S. Public Health Service Clinical Practice Guideline The following is a summary of the 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and dependence which was released May 7, 2008. PHS 2008 PHS Clinical Practice Guideline Update: T…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …

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