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www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - Final Progress Report: Improving Quality in Medication Management in Schools
Project Title: Improving Quality in Medication Management in Schools
Principal Investigator: Julia Graham Lear, PhD
Team Members: Annette Ferebee, MPH, Project Director
Nancy Eichner, MUP, Senior Program Manager
Theresa Chapman, Executive …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Module 1: Overview
Previous Page Next Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around Device Necessit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4p
Selected Best Practices and Suggestions for Improvement
PDI 02: Pressure Ulcer
Why focus on pressure ulcers in children?
• Although children are typi…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Executive Summary
2019
NATIONAL
HEALTHCARE
QUALITY &
DISPARITIES
REPORT
Executive Summary
2019
This document is in the public domain and may be used and reprinted without
permission. Citation of the source is appreciated. Suggested citation: 2019 Nati…
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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)
Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa
AHRQ Grant No.: HS024379
Proj…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
October Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to co…
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
August 01, 2023 - participants received the individual email addresses of everyone
else in the Workgroup so that they could communicate
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Issue Brief 14
Pediatric Diagnostic Safety:
State of the Science and
Future Directions
PATIENT
SAFETY
e
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e
Issue Brief 14
Pediatric Diagnostic Safety: State of
the Science and Future Directions
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 01, 2020 - Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Women’s Health Care
September 2015
This presentation contains notes. Select View, then Notes page to read them.
1
Organization of the Chartbook on Women’s Health Care
Part of a series related to the National Healthcare Quality and Disparities …
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www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health
AHRQ Grant Final Progress Report
Title of Project
Safe delivery of primary care to vulnerable populations: Using simulation (Unanno…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences
Implementing an Ambulatory e-Prescribing System:
Strategies Employed and Lessons Learned to
Minimize Unintended Consequences
Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
5. Improving Data Collection Across the Health Care System (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 3. Description of Methods
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection
181
“Near-miss” Reporting System
Development and Implications
for Human Subjects Protection
Harvey J. Murff, Daniel W. Byrne, Paul A. Harris,
Daniel J. France, Christa Hedstrom, Robert S. Dittus
Abstract
Background: R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
January 01, 2021 - Communicate your action plan:
10. How will you share your action plan and with whom?
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - 28 ADEs that are primarily the result of human errors occur when health care team members fail to communicate
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
June 02, 2025 - RecruitmentFlyer_FAQs_VA
Frequently Asked Questions
1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative?
Your practice will receive personalized coaching on optimizing your practice model and culture; helping you
improve cardiovascular care for your patients. Improving func…