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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Error Disclosure Training and Organizational Culture
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Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics
213
A Patient Safety Program &
Research Evaluation of U.S. Navy
Pharmacy Refill Clinics
Valerie J. Riege
Abstract
Historically, pharmacists have been safety consultants for patients with minor
illnesses and have assisted…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - Development of a Screening Tool for Safe Wheelchair Seating
127
Development of a Screening Tool
for Safe Wheelchair Seating
Deborah Gavin-Dreschnack, Lawrence Schonfeld,
Audrey Nelson, Stephen Luther
Abstract
Objectives: Most elderly nursing home residents who need wheelchairs are not
being assessed i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery
461
An Employee Questionnaire
for Assessing Patient Safety
in Outpatient Surgery
Pascale Carayon, Carla J. Alvarado, Ann Schoofs Hundt, Scott Springman,
Amanda Borgsdorf, Peter L.T. Hoonakker
Abstract
This paper provides informa…
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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-Williams_115.pdf
June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution
The Rural Physician Peer Review Model©:
A Virtual Solution
Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD;
Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD
Abstract
Evaluating …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
March 22, 2014 - On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide - Electronic Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 1
Pressure Ulcer
Prevention Reports
Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Pressure Ulcer
Prevention
Facilitator…
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine
Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan
1. title page
The ED Pharmacist as a Safety Measure in Emergency Medicine
Supported by: Agency for Healthcare Research and Quality
Grant N…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
November 01, 2017 - Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Initial Baseline Screen of Nutritional Status for Every
Patient Within 24 Hours of Pediatric Intensive Care
Unit (PICU) Admission
Section 1. Basic Measure Information
1.A. Measure N…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
Daily Care Processes Guide for Reducing
Ventilator-Associated Events in
Mechanically Ventilated Patients
…
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions
Final Progress Report of “Patient-Centric Risk Model for Medication Safety During Care Transitions”
1. TITLE PAGE
Project Title: Patient-Centric Risk Model for Medication Safety During Care Transitions
Principal Investi…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
April 01, 2025 - They typically include recommendations for
orders, medications, patient instructions, and billing
codes … )
• Diagnosis and billing codes
• Reminders of how to use clinical decision support
tools
• … • PURSUIT Pocket Guide outlines lifestyle modifications, diagnosis codes, and treatment options for
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - Due to the change from International
Classification of Diseases, Ninth Revision (ICD-9-CM) codes to … ICD-10-CM codes, the
chronic condition data are not available in the 2022 NHQDR. … However, due to the conversion from ICD-9-CM to ICD-10-CM codes, trend
data are not included in the
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www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
January 01, 2024 - required to have an established diagnosis of diabetes based
on either (a) two or more ICD-9 diagnosis codes
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - effectiveness of specific services that qualify under certain
Current Procedural Terminology (CPT) codes
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www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
January 01, 2024 - Final Progress Report: Measurement of Decision Quality in Coronary Artery Disease
Measurement of Decision Quality in Coronary Artery Disease
Grace A. Lin, MD, MAS, Principal Investigator
R. Adams Dudley, MD, MBA, Mentor
Rita F. Redberg, MD, MSc, Co-mentor
Organization: University of California, San Francisco
…
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www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
January 01, 2024 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization
PI Name: Aaron S. Kesselheim, M.D., J.D., M.P.H.
Application ID: 5K08HS018465-05
Proposal Title: Off-label prescribing: Comparative evidence, regulation, and utilization
Title: Off-label prescribing: Comparative evidence…
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Grant number: 1R03HS026291-01
Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Research Team
Principal invest…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care
Practice Facilitation
Curriculum
Module 9: Using Appreciative Inquiry with Practices
…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…