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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care
AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant Award Number: 5 R18 HS022757
Project Title: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care
Principal Investigator: Kathleen …
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www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard
TITLE PAGE
Final Progress Report:
A Formal Approach to Detecting and Correcting Simultaneous Masking
in the IEC 60601-1-8 International Medical Alarm Standard
Princip…
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills
FINAL PROGRESS REPORT:
IMPACTS OF ALCOHOL AND FATIGUE ON PARAMEDIC
ALS SKILLS
Les R. Becker, Ph.D., NREMT-P1
Principal Investigator
Paul Marques, Ph.D.,1 Co-Principal Investigator
Scott Tippetts,1 M.A., Senior Statistician
Gregory L…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report
A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
Prepared for:
Agency for Healthcare Research & Quality (AHRQ)
U.S. Department of Health and Human Services 540 Gaither Road
Rockville, MD 20850 www.ahrq.gov
Co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
December 01, 2017 - A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
A Toolkit to Engage
High-Risk Patients in
Safe Transitions
Across Ambulatory
Settings
Suggested Citation:
Davis K., Collier S., Situ J., et al. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory …
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www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
January 01, 2025 - Final Progress Report: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach
Title of Grant: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier
Approach
Principal Investigator: Lynn Unruh, PhD, RN, LHRM, Department of Health Management &
Inf…
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www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006
The National Quality Forum
National Annual Policy Conference 2006
Principal Investigator: Robyn Y. Nishimi, PhD
Team Members: D. Feeney, L. Gorban, J. Lewis, M.
Stegun, L. Thompson
09/30/06 – 09/29/07
Federal Project Offi…
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www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
January 01, 2024 - Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT)
STRAIT (5U18HS016651-02) Final Report Weinger et al
STRAIT
Simulation Training For Rapid Assessment And Improved Teamwork
Principal Investigator: Matthew B. Weinger, MD
Team Members: Audrey Kuntz, Becky Arndt, Debbie…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Situation Monitoring: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Situation Monitoring
Severe Hypertension
Module 4 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 4 of the SPPC‐II Teamwork Toolkit. In this module, we will talk about
situation monitoring: what it is, how to do it, and what tools a…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - Communication: Severe Hypertension - PowerPoint Presentation
Communication
Severe Hypertension
Module 3 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 3 of the SPPC-II Teamwork Toolkit. In this module we will talk about communication and the various t…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
January 01, 2012 - Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process
Recommendations to Improve Children’s Health Care Quality
Measures
Background Report on the 2012 Process
Structured Abstract
Background: In 2009, the Children’s Health Insurance Program Reauthorizati…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease
1
Appropriate Antibiotic Prophylaxis for Children with
Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. Measure Number
0138
1.C…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
October 01, 2021 - 1
OVERVIEW
The Six Building Blocks: A Team-Based
Approach to Improving Opioid
Management in Primary Care How-To-
Implement Toolkit:
Overview
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
Contract No. HHSP23320…
-
www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)
Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
Myrtede …
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
e
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e
Issue Brief 23
The Patient’s Role in Diagn…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 23
The Patient’s Role in Diagn…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Instructor Guide
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
Say:
In this session we will introduce you to the Preventable Hospital and ED Visits el…
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Final Report
APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Principal Investigator: Wilson D. Pace, MD*
Key Personnel: David West, PhD *
Deborah S. Main, PhD*
John Westfall, MD*
Daniel Harris, PhD**
Organizational Aff…
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www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety
Final Progress Report:
Implementing Reduced Work Hours for All House Staff to Improve
Patient Safety
Principal Investigator: Christopher P. Landrigan, MD, MPH
Team Members: Charles A. Czeisler, PhD, MD, David W. …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
September 01, 2023 - AHRQ Comparative Health
System Performance Initiative
Publications
Updated September 2023
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Comparative Health System Performance Initiative Publications 1
Comparative Health System Performance Initiative
Publications
Journal Articles
Agniel D, Haviland A, Shekelle P, Sc…