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  1. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
    January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depar…
  2. www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
    January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data 195 The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data William J. Rudman, Jessica H. Bailey, Carol Hope, Paula Garrett, C. Andrew Brown Abstract This paper examin…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
    February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments 469 Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib Abstract The United States Army per…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
    February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices Creating Safety in the Testing Process in Primary Care Offices Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD; Jennie J. Gallimore, PhD Abstract Background: The testing process in primary care is complex, and it varies from o…
  7. www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
    May 01, 2017 - Be Prepared to Be Engaged Patient and Family Engagement in Primary Care Slide 1: Be Prepared to Be Engaged Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Impr…
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/5.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) 3.5. Trigger Summary Report: Unit Level 3.5.1. Report Description The unit-level view displays the number of residents (and percent…
  9. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/index.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3. Grand Hospital Center Case 4. Suntown …
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-English-12-15-22.docx
    December 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help ho…
  11. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-c.html
    October 01, 2020 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix C. Sample Bladder Scan Policy Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overv…
  12. www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
    August 01, 2023 - Section 3: Teaching Introductory Material TeamSTEPPS 3.0 has been taught in a two-day format, is often taught in a half-day format, and is also frequently taught in smaller segments only 15–30 minutes long. While in-person trainings have been the norm, virtual trainings using an online platform are now common a…
  13. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter1.html
    December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Chapter 1. Project Overview Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American …
  14. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/competency-check-vs-observational-audit.pdf
    March 01, 2021 - Agency for Healthcare Research and Quality Competency Check vs. Observational Audit Competency Check vs. Observational Audit Validate Nursing Home Staff Performance To Improve Infection Prevention Processes for COVID-19 This document explains the difference between the competency check you complete to me…
  15. www.ahrq.gov/teamstepps-program/curriculum/team/teach/half-day.html
    May 01, 2023 - Half-Day Training Content Components you can include in Module 2 for a half-day training include the following: Teams and Team Structure Introduction: 2 minutes Defining teams: 2 minutes Integrating patients and families into teams: 5 minutes Multi-team systems: 5 minutes Team structure video disc…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-iii-a.pdf
    January 01, 2014 - Attachment 3.1 References Attachment 3.1 References 1. Centers for Disease Control and Prevention (CDC), Vital and Health Statistics (PDF; December 2010; Series 10, Number 247). 2. Visser Sn, Danielson ML,…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0243-section5.pdf
    December 18, 2014 - Table 1: Evidence for Having an ALARA Policy Specific to Imaging Children Table 1: Evidence for Having an ALARA Policy Specific to Imaging Children Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Practice parameter Society of Pediatric Radiology: Third Conference of A…
  18. www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fac-guide.html
    January 01, 2017 - Benefits of Subglottic Secretion Drainage Endotracheal Tubes: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Benefits of Subglottic Secretion Drainage Endotracheal Tubes Say: In this module, you will learn about the benefits of subglottic secretion drainage endotrach…
  19. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    June 02, 2025 - TeamSTEPPS Mutual Support Module 4 Mutual Support Module 4 1 Objectives Mutual Support Describe how mutual support affects team processes and outcomes. Discuss specific strategies to foster mutual support (e.g., task assistance, feedback). Identify specific tools to facilitate mutual support. Describe conflic…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-2-tech-specs.pdf
    June 02, 2025 - Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP)* *Developed with financial support from the Agency for Healthcare Research and Quality (AHRQ) and CMS under the CHIPRA Pediatric …

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