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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdfJanuary 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 PATIENT SAFETY e This page intentionally left blank. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Authors: David Rodrick, Ph.D.; Andre…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdfMay 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4j Selected Best Practices and Suggestions for Improvement PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs) Why …
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Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs (pdf file)
www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdfJanuary 01, 2024 - Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs Title: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs Principal Investigator: John M. Hollingsworth, MD, MS Team Members: Brahmajee K. Nallamothu, MD, MPH (Mentor) Jason Owen-Smith, PhD … -
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdfSeptember 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the qual…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.htmlOctober 01, 2014 - CUSP: A Framework for Success (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on March 7, 2012 Contents Slide 1. CUSP: A Framework for Success Slide 2. Today's Speakers Slide 3. Working Together – The Players Slide 4. Learning Objectives Slide 5. The Mic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docxDecember 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work Engaging Senior Executives – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Engaging Senior Executives SAY: In this module we will discuss the importance of senior engagement on your safety pr…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.htmlDecember 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.htmlDecember 01, 2017 - Engaging Senior Executives: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Engaging Senior Executives Say: In this module we will discuss the importance of senior engagement on your safety program team. Slide 2: Why Do We Need an Executive? Say: Sometimes getting executives involved …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdfMay 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4x Selected Best Practices and Suggestions for Improvement PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs) Why focus on c…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.htmlJune 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Private Sector Efforts in Value-Based Purchasing and Quality Improvement Previous Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Qu…
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.htmlDecember 01, 2012 - Systems Change: Treating Tobacco Use and Dependence Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.htmlJune 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules Health Services and Primary Care Research Study: Comprehensive Report This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results: D…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.htmlJuly 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Introduction Overview About the Measure Key…
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdfJanuary 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator: David M. Studdert, LLB, ScD Team Members: Harvard School of Public Health: Allison Nagy, BA Ann Louise Puo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptxDecember 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…
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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.htmlMarch 01, 2021 - Meeting Minutes, November 2020 Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. ( Virtual Meeting ) Contents Summary Call to Order and Approval of July 14, 2020, Meeting Summary Overview and Recent AHRQ Accomplishments AHRQ …
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Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdfJanuary 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? 291 Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? Debra Quinn, Mary Cooper, Lynn Chevalier, Jerry Balentine, Lawrence Kadish, Steven Walerstein, Fredric Weinbaum, Mark Ca… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdfJuly 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…
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The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdfApril 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell… -
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdfJanuary 01, 2018 - Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript Understanding CAHPS Surveys: A Primer for New Users January 2018 Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality Dale Shaller, M…
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