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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - Overview
Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Preventable Hospital
and Emergency Department Visits
Facilitator Training: Overview of
On-Time
This version of the On-Time Facilitator Training Overview is for
training Facilitators who have not had pressure ulcer prevention
training. If they h…
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www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine
Consolidated Imaging: Implementing a Regional
Health Information Exchange System
for Radiology in Southern Maine
Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD
Abs…
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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-Loux_36.pdf
March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine
Consolidated Imaging: Implementing a Regional
Health Information Exchange System
for Radiology in Southern Maine
Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD
Abs…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer
Healing
Electronic Reports
On-Time Existing Pressure Ulcers Report
Table 1: Sample On-Time Existing Pressure Ulcers Report
On-Time Existing Pressure Ulcers Report
Unit: A
Date: 02/10/14
Resident
Name (last,
first)
Room
Number
Days
…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
References
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Da…
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www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
January 01, 2024 - Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care
Title of Project: Prescribing Errors in Ambulatory Pediatric Care
Principal Investigator and Team Members:
Basco, William T. = PI
Simpson, Kit = Mentor
Hulsey, Thomas = Mentor, Director of Masters Degree Program
Ebeling, Myla = Co-investig…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Optimize Briefings and Debriefings
Say:
This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
June 01, 2020 - References
Health Services and Primary Care Research Study: Comprehensive Report
42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq.
42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.”
AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix V. JAMIA Draft Manuscript
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administ…
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www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Chapter 2. ST-PRA Development
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-…
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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/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/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis
1
PATIENT
SAFETY
e
Issue Brief 9
Improved Diagnostic Accuracy
Through Probability-Based
Diagnosis
This page intentionally left blank.
e
Issue Brief 9
Improved Diagnostic Accuracy…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children
213
Methodological Challenges in Describing
Medication Dosing Errors in Children
Heather McPhillips, Christopher Stille, David Smith, John Pearson,
John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis
Abstract
Alth…
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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/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…
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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/2024-01/lambert2-report.pdf
January 01, 2024 - Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED)
Lambert, Bruce L. 5U18HS016973-04
FINAL REPORT
UIC CENTER FOR EDUCATION AND RESEARCH ON THERAPEUTICS
Tools for Optimizing Prescribing, Monitoring and Education (TOP-…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 4. Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3.…
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System
Evaluate the Effects of the Massachusetts Reporting System
Principal Investigator: Nancy Ridley, M.S.
Associate Commissioner, Massachusetts Department of Public Health
Co-Investigators (alphabetically):
Paul Dreyer, Ph.D.
Massachuset…