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www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
January 01, 2025 - Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting
Evaluating and Improving Present-On-Admission for Performance Reporting
L. E lizabeth Goldman, MD, MCR, Principal Investigator
Andrew Bindman, MD, Peter Bacchetti, PhD, Co-Investigators
University of California, San …
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www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
2. Developing and Running a State-Based Extension Program To Support QI in Primary Care
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary C…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children
FINAL PROGRESS REPORT
Title of Project: Profiling the Needs of Dying Children
Principal Investigator: Chris Feudtner, MD, PhD, MPH
Organizations: The University of Washington (2000-2002) and
The Children's Hospital of Philadelphia (2002-2006)
Date…
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …
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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/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety
FINAL PROGRESS REPORT
PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH
HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY
PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi
(e.g., units,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Identifying Barriers to the Success of a Reporting System
167
Identifying Barriers to the Success
of a Reporting System
Michelle L. Harper, Robert L. Helmreich
Abstract
Spurred by a controversial report from the Institute of Medicine on the prevalence
of medical error, To Err Is Human, the medical profe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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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-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections
Linking Primary Care Patients to Local Resources
for Better Management of Obesity
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health…
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions
FINAL REPORT
Estimating the Additional Hospital Inpatient
Cost and Mortality Associated With
Selected Hospital-Acquired Conditions
PREPARED FOR:
Agency for Healthcare Resear…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions
FINAL REPORT
Estimating the Additional Hospital Inpatient
Cost and Mortality Associated With
Selected Hospital-Acquired Conditions
PREPARED FOR:
Agency for Healthcare Resear…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma
1
Rate of Emergency Department Visit Use for Children
Managed for Identifiable Asthma
Section 1. Basic Measure Information
1.A. Measure Name
CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed
for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care Summary Report
AHRQ Safety Program for Perinatal Care
Summary Report
Prepared for:
Agency for Healthcare Research and
Quality, U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20850
www.ahrq.gov
Contract No. HHSA290201000024I
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
January 01, 2023 - 2023 CAHPS Health Plan Survey Database Chartbook
The Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) Health Plan Survey Database
2023 Medicaid and Children’s Health
Insurance Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans and Medical Care
Authors…