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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-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs
Part 4: CME Design Features
Previous Page Next Page
Table of Contents
Designing Care Management Entities for Youth with Complex Behavioral Health Needs
Part 1: An Introduction to Care Management Entities (CMEs)
Par…
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report
Title: Effects of Extended Work Hours on ICU Patient Safety
Principal Investigator: Charles A. Czeisler, Ph.D., M.D.
Organization: Brigham and Women's Hospital
Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
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www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
January 01, 2024 - Final Progress Report: ED Staffing and Patient Outcomes
ED Staffing and Patient Outcomes
Final Report
Nina A. Bickell, MD, MPH, Principal Investigator
Team Members:
Rebecca Anderson, MPH, Project Manager
Carol Barsky, MD, Co-Investigator
Mary Rojas, PhD, Co-Investigator
Department of Health Policy
Moun…
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities
May 13, 2014
Download accessible version of slides (PDF, 1.1 MB)
Introducing Nine Levers to Support the Aims and Priorities [Slide 1]
Ann Gordon: Welcome to today's event featuring t…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
June 01, 2025 - FECC Surveys
Mailed Survey
YOUR EXPERIENCES WITH YOUR
CHILD’S HEALTH CARE
Answer the questions in this survey for the child
named in the letter that came with this survey.
Your Privac…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation
SAY:
This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook)
Strategy 2: Communicating to Improve Quality (Implementation Handbook)
Guide to Patient and Family Engagement
Communicating to
Improve Quality
Implementation Handbook
Strategy 2: Communicating to Improve Quality (Implementation Ha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook)
Communicating to
Improve Quality
Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 2: Communicating to Improve Quality (Implementation Handbook)
Guide to Patient and …
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www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - EvidenceNow Key Drivers and Change Strategies
Below are descriptions of each key driver and change strategy in the EvidenceNOW Key Driver Diagram.
Key Driver 1: Seek, select, and customize the best evidence for use by the practice
The practice of medicine evolves in response to new knowledge about what care…
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www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022
Principal Investig…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration
27
Validation of AHRQ’s Patient Safety Indicator
for Accidental Puncture or Laceration
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objectives: This study examined whether clinical evidence in medical records
confirms…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data
119
Medical Injury Identification
Using Hospital Discharge Data
Peter M. Layde, Linda N. Meurer, Clare Guse,
John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn,
Karen J. Brasel, Stephen W. Hargarten
Abstract
Objective: Determine the feasi…
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Technical Interventions To Prevent CAUTI
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Ove…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 - Meeting
Pressure Ulcer Prevention Discussed Yes/No
Meeting Chair/Leader Name and Discipline
Staff
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
April 01, 2016 - implementation, spread, and/or sustainability
in this circumstance aligned with other outcomes
previously discussed