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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States
1
Factors Contributing to Sustainment Outcomes in Four States
This supplementary material contains brief case studies that examine key factors influencing
decisions about sustaining elements of four states’ CHIPRA Quality Demonstration Grants. The …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization
Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization
Module Aim
The aim of this module is to support your efforts to implement the new prevention practices at the patient care level.
Module Goals…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
June 02, 2025 - Tool 1: Readmission Data Analysis and Interpretation
Instructions
Tool 1. Readmission Data Analysis and Interpretation
Brief Description: A quantitative readmission analysis tool.
Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention
Module 3: Best Practices in Pressure Injury Prevention
Module Aim
The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program.
Mo…
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www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement
Executive Summary
Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Approaches to Address Health Risks for Older Adults
National Center for Excellence in Primary Care
1
National Center for Excellence in Primary Care Research
Presents
Approaches to Address Health Risks for Older Adults
January 16, 2025
Presented by:
Lisa Kern, MD, MPH
Alberta K. Tran, Ph.D., RN, CCRN
Yu-J…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6: How To Monitor RED Implementation and Outcomes
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "3…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training
Final Progress Report
A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training
Principal Investigator: Sandrijn M. van Schaik, MD, PhD
Team Members:
• Naike Bochatay, PhD
• Deborah Fr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
November 01, 2017 - AHRQ Hospital Pilot Study Final Report
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 290201300003C
Manag…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
December 01, 2019 - Depression Screening and Follow-up for Adolescents and Adults
1
Depression Screening and Follow-up for Adolescents
and Adults
Section 1. Basic Measure Information
1.A. Measure Name
Depression Screening and Follow-up for Adolescents and Adults (Health Plan)
1.B. Measure Number
0246
1.C. Measure Description
P…
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www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
January 01, 2024 - Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems
TITLE PAGE
Title of Project:
Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems
Team Members:
Principal Investigator: Christopher P. Bonafid…
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www.ahrq.gov/sites/default/files/2024-12/nagykald-mold-report.pdf
January 01, 2024 - Final Progress Report: Using Health Risk Appraisal To Prioritize Primary Care Interventions
FINAL PROGRESS REPORT
(K08HS016470-01A2)
Title:
Using Health Risk Appraisal to Prioritize Primary Care
Interventions
K08 Recipient and Principal Investigator:
Zsolt J. Nagykaldi, PhD
Associate Professor & Networ…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
November 01, 2017 - AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 2902013…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Revitalization, and Transformation Investments (CHART) Driver Diagram Guide and the CMS Center for Innovation’s
Defining
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program
Longitudinal Evaluation of the Patient Safety and
Medical Liability Reform Demonstration Program
Planning Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and
Medical Liability Re…
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies
Final Report:
Using Risk Models to Improve Safety with Dispensing
High-Alert Medications in Community Pharmacies
Principal Investigator:
Michael R. Cohen, RPh, MS, ScD
Team Members:
Judy L. Smetzer, R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program
Longitudinal Evaluation of the Patient Safety and
Medical Liability Reform Demonstration Program
Planning Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and
Medical Liability Re…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I
SURVEYS
ON PATIENT
SAFETY
CULTURE™
Surveys on
Patient Safety
Culture™
MEDICAL OFFICE SURVEY:
2022 USER DATABASE REPORT
PATIENT
SAFETY
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Surveys on Patient Safety Culture…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
March 01, 2025 - staff with the knowledge and ability to answer the survey questions,
we recommend that you consider defining