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  1. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
    May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Robert Otto Valdez, Ph.D. Director Agency for Healthcare Research & Quality April 25, 2023 Welcome and Thank-You! Presenter Notes P…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
    January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
    December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts AHRQ’s Safety Program for Nursing Homes Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Completed Self-Assessment Worksheet …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
    July 01, 2016 - Handouts: Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Com…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease …
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
    March 01, 2018 - Family Experiences with Coordination of Care (FECC) Measure Set 1 Family Experiences with Coordination of Care (FECC) Measure Set Section 1. Basic Measure Information 1.A. Measure Name Family Experiences with Coordination of Care (FECC) Measure Set 1.B. Measure Number 0166 FECC Survey/Measure Set 1.C. Measu…
  9. www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
    January 01, 2024 - Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers 1 Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers Janet STIFTER, PhD, RN,1 Yingwei YAO, PhD, Research Associate Professor,1 Karen Dunn LOPEZ, PhD, MPH, RN, Assistant Professor…
  10. www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
    January 01, 2025 - , we conclude that active MRSA surveillance with targeted decolonization resulted in a significant decrease
  11. www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
    January 01, 2024 - and improve clinical outcomes in patients, to measure effectiveness of care, or to determine how to decrease
  12. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - Medical Center Welcome to this webinar which is intended to help you improve unit safety culture to decrease
  13. www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
    January 01, 2024 - In order to decrease these situational influences on participant responses, the interviewers tried to
  14. www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
    January 01, 2024 - at home after discharge can increase patient satisfaction, resolve medication-related problems, and decrease
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - ASK: Did the factor increase the harm or the risk for harm or decrease it?
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
    December 01, 2021 - to be those with physical, sensory, and/or mental health conditions that can be associated with a decrease
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - medication discrepancies between the practice medical record and what the patient is actually taking would decrease
  18. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
    July 01, 2024 - management, promote healthy lifestyles, and address social determinants of health, which can substantively decrease
  19. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-fullreport.pdf
    August 01, 2018 - There was a decrease from 10.9 percent to 10.0 percent in uninsured children from 2007 to 2010, which

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