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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Advancing Patient Safety
A Decade of Evidence, Design, and Implementation
After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Can We Talk? Priorities for Patient Care Differed Among Health Care Providers
5
Can We Talk? Priorities for Patient Care
Differed Among Health Care Providers
Bradley Evanoff, Patricia Potter, Laurie Wolf, Deborah Grayson,
Clay Dunagan, Stuart Boxerman
Abstract
Objective: Poor communication and collabora…
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www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
August 01, 2017 - Meeting Minutes, November 2016
National Advisory Council
Minutes from the November 2, 2016 meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 22, 2016, Summary Report
Director's Update
The Learning Health Care Sy…
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www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
January 01, 2025 - subspecialty pediatric providers change the
procedural sedation care a child receives in a rural hospital or clinic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking
Learning From Defects
Through Sensemaking
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program For Surgery – Implementation
This module focuses on the process of Learning from Defects throug…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
January 30, 2017 - Behavior Therapy as First-Line Treatment for Preschool-Aged Children With ADHD
Behavior Therapy as First-Line Treatment
for Preschool-Aged Children with ADHD
Section 1. Basic Measure Information
1.A. Measure Name
Behavior Therapy as First-Line Treatment for Preschool-Aged Children
1.B. Measure Number
0089
1…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment Worksheet for Pressure Ulcer Prevention 1
On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet i…
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www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
January 01, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative
Issue Brief
The Agency for Healthcare Research and Quality and the Coordinating Center of the Comparative Health System Performance Initiative held a workshop September 29, 2016, to share learning a…
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www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
January 11, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative
A Summary of the First Annual
Workshop of AHRQ’s
Comparative Health System
Performance Initiative
Based on the workshop
discussions, a number of important
takeaways will inform future work
of the initiative:
•…
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www.ahrq.gov/research/publications/ahrq-info-quality-gdlns.html
September 01, 2019 - Guidelines for Ensuring the Quality of Information Disseminated to the Public
C. Agency for Healthcare Research and Quality
Note: Last revised in 2006, these Guidelines also appear on the HHS Web site. AHRQ presents them here with a 2015 Update .
Contents
Agency Mission .
Scope and Applicability …
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
December 01, 2017 - Patient and Family Engagement in the Emergency Department
Webinar Transcript
On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call
Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Res…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
July 07, 2015 - On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call
Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Research and Educational Trust. Welcome to the fifth mini-presentation in the CAUTI ED cohort …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - Antibiotic Stewardship Program Development: Part 1
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Antibiotic Stewardship Program
Development: Part 1
Acute Care
Slide Title and Commentary Slide Number and Slide
Antibiotic Stewardship Pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
The Culture of Culturing—
The Importance of Knowing When To Order Urine Cultures
AHRQ Pub. No. 16(17)-0003-16-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s educational session on The Culture of C…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
January 01, 2016 - Medical Office SOPS: 2016 User Comparative Database Report, Part II
PATIENT
SAFETY
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
MEDICAL
OFFICE
SURVEY
ON PATIENT
SAFETY
CULTURE
2016 USER COMPARATIVE DATABASE REPORT
Medical Office Survey on Patient Safety Cult…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program
The Joint Commission Journal on Quality and Patient Safety 2018; 44:12–22
Perspectives on Implementing Quality Improvement
Collaboratives Effectively: Qualitative Fi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Guide to Patient and Family Engagement
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 4: IDEAL Discharge Planning (Implementation …
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - Mayo Clinic Executive Education.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - Mayo Clinic Executive Education.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide133.html
October 01, 2014 - 133. Treatment Recommendations: Medications-Nicotine Gum (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Prescribing instructions
Chewing technique -Gum should be chewed slowly until a “peppery” or “flavored” taste emerges, then “parked” between c…