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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A, Pt. 3
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Developm…
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www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Principal Investigator: Ronilda Lacson, MD, PhD
Team Members: Ramin Khorasani, MD, MPH
Katherine Andriole, PhD
Luciano Prevedello, MD, MPH
Tejal …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
e PATIENT
SAFETY
Issue Brief 4
Health Information Technology for
Engaging Patients in Diagnostic Decision
Making in Emergency Departments
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e
Issue Brief 4
Health I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work
279
Cognitive Artifacts’ Implications for
Health Care Information Technology:
Revealing How Practitioners Create and
Share Their Understanding of Daily Work
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - Patient Safety Executive Walkarounds
223
Patient Safety Executive Walkarounds
Suzanne Graham, John Brookey, Catherine Steadman
Abstract
Since the release of the IOM report To Err Is Human in 1999, significant progress
has been made in patient safety. One of the remaining challenges is the need to
continually…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process
Designing the Built Environment for A
Culture and System of Patient Safety –
A Conceptual, New Design Process
Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH
Abstract
There is growi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - More clinics ban drug samples, citing cost,
safety concerns.
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 1.
Detecting Change
in a Resident’s
Condition
Student
Workbook
These training materi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Nursing Home's Pressure Ulcer Prevention Implementation
Scripted Exercise #…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions
Patterns of Fall
Interventions
NPSD Data Spotlight:
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: NPSD Data Spotlight: Patterns of Fall
Interventions, 2023.…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare
Mini Review
Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh
The PRIDx framework to engage payers in
reducing diagnostic errors in healthcare
https://doi.org/10.1515/dx-2023-0042
Received April 9…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design
425
Creating a Culture of Patient Safety through
Innovative Hospital Design
John G. Reiling
Abstract
When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to
relocate and build an 82-bed acute care facility, we reco…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/2.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications
3. Specifications for Each Pressure Ulcer Prevention Report (continued)
3.2. Intervention History for Nutrition Risk Reports: High Risk and Medium Risk
3.2.1. Report Description
The On-Time Intervention …
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www.ahrq.gov/research/findings/final-reports/index.html?page=21
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/research/publications/search.html?page=4
November 01, 2020 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 41 - 50 of 191 Publications displayed
Find Publications by Keyword or Topi…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-form.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Form
AHRQ Safety Program for
Improving Antibiotic Use
Four Moments of Antibiotic Decision Making Form
The purpose of this form is to help your team incorporate the Four Moments of Antibiotic Decision
Making into daily practice at your facility. It may al…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-persily.pdf
June 02, 2025 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - PERSILY
43
First Hand Experience:
The AHRQ Hospital Value and
Efficiency Item Set
Cynthia Persily, PhD
Chief Executive Officer
Highland Hospital
Charleston, West Virginia
cpersily@highlandhosp.com
43
mailto:cpersily@highlandhosp.com
…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - Appendix K. CAUTI Case Review Form
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Purpose
The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a cathet…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-innovations-improve-cr.pdf
June 02, 2025 - TAKEheart Affinity Group:
Innovations that Can Improve
Your Cardiac Rehabilitation
Program
H i c h a m S k a l i , M D , M S c
M a y 2 0 , 2 0 2 1
Welcome and Background
Welcome and greetings from TAKEheart, AHRQ and CDC
Update on status of TAKEheart:
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-2022.docx
January 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey
SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical offices assess the exte…