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www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS)
Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS)
Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN,
Columbia University School of Nursing
Elaine M. Fle…
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www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
January 01, 2024 - Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders
AHRQ Grant Final Progress Report
Title: The Value of Hospital-Related Patient-Saftey Interventions to Key Stakeholders
Principal Investigator and Mentors:
PI: Teryl K. Nuckols, MD, MSHS
Mentors: José J. Escar…
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www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care
Center for Safety In Emergency Care
Final Progress Report
Principal Investigator
Robert L Wears, MD, MS
Team Members
Christopher Beach, MD
Ravi Behara, PhD
Patrick Croskerry, MD, PhD
Shawna J Perry, MD
Marc Shapir…
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www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange
Final Progress Report
Project Title:
Advancing Patient Identity Management in the Context of Real-World Health Information Exchange
Principal Investigator:
Shaun Grannis, MD, MS, FAAFP
Team Membe…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters
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Examples of Urinary Incontinence-Focused Newsletters
Examples of Urinary
Incontinence-Focused
Patient Pa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - PowerPoint Presentation
Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation
Presenter: Timothy B. McDonald, MD, JD
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
September 08, 2015 - 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 quality of
health care for children enrolled in Medicaid
and the Children’s Health Insurance Program
(CHIP). Funded by the Children’s Health
I…
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Implement Teamwork and Communication:
Facilitator Notes
The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. Basic Components and Process of Communication 2
Slide 4…
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Contents …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - overall mean PCMH implementation scores were highest in practices with six or
more physicians and decreased … as the number of physicians in the practice decreased,25 as well as
a finding by Rittenhouse that higher … found that a more efficient visit improved
patient satisfaction because of reduced wait time, but decreased … and hospitalization reported
by Reid and Solberg, two studies found evidence that hospitalizations decreased … Tribal implementation of a patient-centered
medical home model in Alaska accompanied by decreased hospital
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - Slide 16
Stewardship Optimizes Patient Safety: Decreased Patient-level Resistance
Image on left
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Build a Business Case for
Quality Improvement
SAY:
This slide set introduces building a business case for quality improvement.
Slide 1
Learning Objectives
SAY:
After reviewing this slide set, you…
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www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - CUSP Toolkit Spread Facilitator Notes
CUSP Toolkit
The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture…
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Decreased or
absent urination is also important to notice. … In addition to dehydration or kidney
failure causing decreased urine production, people can retain urine … Delirium can result in increased activity (hyperactive) or
decreased activity (hypoactive).
7. … Some people with dementia or confusion may have
decreased initiative or interest in food.
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www.ahrq.gov/hai/tools/cauti-hospitals/index.html
March 01, 2018 - Toolkit for Reducing CAUTI in Hospitals
The Toolkit for Reducing Catheter-Associated Urinary Tract Infections (CAUTI) in Hospitals helps hospitals prevent CAUTI in patients and improve safety culture at the unit level by implementing concepts from the Comprehensive Unit-based Safety Program (CUSP). Health car…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/neonatal-maternity.pdf
July 28, 2015 - Increased Newborn and Mother Hospital Stays Relateed to Substance Use
Substance abuse during pregnancy can cause serious health
problems for newborn babies as well as for mothers. These
�gures illustrate the increased rate of newborns’ and
mothers’ hospital stays related to substance use between
2006 and 2012, as…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - life-saving treatment for heart attack patients, the Middletown Regional Hospital in Ohio reported decreased … Mortality rates decreased from 10.9 percent to 6.5 percent in less than 1 year.
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www.ahrq.gov/patient-safety/resources/learning-lab/brain-health-long-desc.html
April 01, 2021 - Brain Health Patient Safety Learning Laboratory (Brain Safety Lab)
Principal Investigator: Christopher Callahan, M.D., Indiana University, Indianapolis, IN AHRQ Grant No.: HS24384 Project Period: 09/30/15-03/31/20 Description: The overall goal of this learning laboratory was to prevent harms to brain health…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - From 2000 to 2010, the percentage of women ages 21-65 who received a Pap smear in the last 3 years decreased … Trends: From 2002 to 2012, the rate of admission for congestive heart failure among adults decreased … 2001 to 2012, the risk-adjusted inpatient mortality rate for hospital admissions with heart attack decreased … rate of hospital admissions for uncontrolled diabetes without complications per 100,000 population decreased … From 2001 to 2012, the rate of hospital admissions per 100,000 population decreased for all populations
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/leg-bags-faqs.html
July 01, 2017 - as reusable may be reused for a single resident in the LTC setting for convenience, cost savings and decreased