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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…
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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 …
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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…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 6. Track Performance with Metrics
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Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery …
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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.
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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.
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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…
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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…
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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 …
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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…
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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…
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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…
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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)
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Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…