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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care
Type of Evidence Key Findings Citation
Readmission and Quality of Care Coordination, Discharge, and Care
Transition Processes
Meta-analysis Investigators reviewed
randomized controlled
studies of structured
telephone support or
t…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Antimicrobial Prophylaxis: Part 2 Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Antimicrobial Prophylaxis: Part 2, Beyond the Basics
SAY:
This pr…
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication
FINAL REPORT
Putting a Face on Hospital Medical Errors:
Communication
Project funded by:
Agency for Healthcare Research and Quality
Grant No. 1R03HS016122-01
September 29, 2005-September 30, 2006
Federal Project Officer: Elizabeth D…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Say:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…
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www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
April 01, 2019 - Meeting Minutes, November 2018
National Advisory Council
Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 18, 2018, Meeting Summary
Director's Welcome and Update
Update on AH…
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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
Previous Page Next Page
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/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home
Previous Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - Voluntary Hospital Coalitions to Promote Patient Safety
493
Voluntary Hospital Coalitions
to Promote Patient Safety
Kimberly J. Rask, Dorothy “Vi” Naylor, Linda Schuessler
Abstract
Translating research or care innovation into broader clinical practice requires
more than simply the publication of new findin…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 4. Choose the Model To Assess VTE and Bleeding Risk
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Anal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice
441
From Science to Service: A Framework
for the Transfer of Patient Safety
Research into Practice
Veronica F. Nieva, Robert Murphy, Nancy Ridley,
Nancy Donaldson, John Combes, Pamela Mitchell,
Christine Kovner…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System
149
Development and Implementation
of The University of Texas
Close Call Reporting System
Sharon K. Martin, Jason M. Etchegaray, Debora Simmons,
W. Thomas Belt, Kelly Clark
Abstract
This report describes the development…
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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/Dutta.pdf
January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity
179
SimCare: A Model for Studying
Physician Decisionmaking Activity
Pradyumna Dutta, George R. Biltz, Paul E. Johnson,
JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan,
Patrick J. O’Connor
Abstract
A major factor that contributes to th…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management
Building Self-Empowered Teams for Improving Safety
in Postoperative Pain Management
Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD;
Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD
Abstrac…
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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/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial
Confidential Performance Feedback and
Organizational Capacity Building to Improve
Hospital Patient Safety: Results of a Randomized Trial
Peter M. Layde, MD, MSc; Linda N. Meurer…
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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-Becker_3.pdf
January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place
The Potential of Hand-held Assistive Technology to
Improve Safety for Elder Adults Aging in Place
Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD
Abstract
Objective: We report on the first in-home test of “Buddy…
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www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
January 01, 2024 - Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports
Title: Care and Safety Practices during the COVID-19 Pandemic in Home-Based Long-Term Services
and Supports
Principle Investigator and Team Members:
Carrie Wendel-Hummell, PhD; PI1
Tracey LaP…