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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
    January 20, 2008 - Measuring IT Sophistication in Nursing Homes Measuring IT Sophistication in Nursing Homes Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell Abstract Objective: Little activity has occurred in nursing home (information technology) IT adoption. The purpose of this study was to de…
  2. www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
    January 01, 2024 - Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System 1 An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System Principal Investigator: Tanya Lord Roger Luckmann, MPH, MD, Thesis Advisor Terry Field, DSc, Chair of Committee Robe…
  3. www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  4. www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
    August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination e Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination Hybrid CR Workgroup Evalu…
  5. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/gloss.html
    July 01, 2018 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Glossary of Key Report Terms Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodolo…
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/8-building-core-team.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Core Team Form Building Your Core Team Purpose of this tool: To help you build a strong team that will champion and lead the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery (ISCR) in your hospital. How t…
  9. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/index.html
    February 01, 2022 - Primary Care Practice Facilitation Curriculum Next Page Table of Contents Primary Care Practice Facilitation Curriculum Preface Introduction Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies Part 2: Introduction to Practice Facilitation Part 3: Core Competencies for P…
  10. www.ahrq.gov/hai/cusp/toolkit/shadowing.html
    December 01, 2012 - Shadowing Another Professional Tool CUSP Toolkit Learn about other disciplines to improve the coordination of patient care. Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care provide…
  11. Shadowing (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
    June 02, 2025 - Shadowing Another Professional Tool Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication iss…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx
    October 01, 2024 - NV-HAP Prevention Essential Practices1-4 Practice routine oral care.4,5-8 Staphylococcus aureus is a common pathogen in dental plaque. Conduct an individualized assessment and plan for each patient considering their ability to perform self-care independently. At minimum, the oral care regimen should include: toothbrus…
  13. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Evaluation Issues Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…
  14. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/index.html
    February 01, 2024 - Preventing Hospital-Associated Venous Thromboembolism Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3. Outline the Evidence and Identify Best Practi…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/why/why.doc
    January 01, 2004 - Why Child Health Measures Why Child Health Measures? Contents Developmental Status and Change Differential Epidemiology Dependence Demographic Patterns Children with Chronic Health Conditions Want More Information? In recent years, there has been growing interest in a special focus on quality measurement for chi…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-instructions-requesting-deidentified-sops-data.pdf
    January 01, 2024 - SOPS® Database Information and Instructions for Requesting De-identified SOPS Database Data Instructions for Requesting De-identified SOPS data– April 2024 1 Agency for Healthcare Research and Quality (AHRQ) SOPS® Database Information and Instructions for Requesting De-identified SOPS Database Data Thi…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-2022-1215-ENGLISH-508.pdf
    January 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey 1 SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical offices asse…
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-2022.docx
    January 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical offices assess the exte…
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
    July 01, 2023 - Shadowing Another Professional Tool AHRQ Safety Program for Perinatal Care Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other discip…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
    June 02, 2025 - Adolescent Depression Remission/Response Measure Description Adolescent Depression Remission/Response Measure Description Percentage of patients 12 to 17 years of age with the diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-A score greater than 9 who achieved remission or response withi…

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