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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
January 01, 2024 - Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports
Title: Care and Safety Practices during the COVID-19 Pandemic in Home-Based Long-Term Services
and Supports
Principle Investigator and Team Members:
Carrie Wendel-Hummell, PhD; PI1
Tracey LaP…
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth
1
AHRQ Final Progress Report
Title: What about mom? Using Administrative Data to Develop Measures for Monitoring
Healthcare Quality in Pregnancy & Childbirth
Principal In…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
April 10, 2017 - Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Initial Risk Assessment for Immobility-Related
Pressure Ulcer Within 24 Hours of Pediatric Intensive
Care Unit (PICU) Admission
Section 1. Basic Measure Information
1.A. Measure Name
In…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
November 01, 2017 - Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit
Appropriateness of Red Cell Transfusions in the
Pediatric Intensive Care Unit
Section 1. Basic Measure Information
1.A. Measure Name
Appropriateness of Red Cell Transfusions
1.B. Measure Number
0200
1.C. Measure Description
Plea…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
May 01, 2017 - Transcranial Doppler Ultrasonography Screening Among Children With Sickle Cell Anemia
Transcranial Doppler Ultrasonography Screening
Among Children with Sickle Cell Anemia
Section 1. Basic Measure Information
1.A. Measure Name
Transcranial Doppler Ultrasonography Screening Among Children with Sickle Cell Anemia …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
January 01, 2021 - Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2021 User Database Report Part I
SURVEYS ON PATIENT SAFETY CULTURE
Surveys on
Patient Safety
Culture™
Hospital Survey 2.0: 2021
User Database Report
PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety CultureTM (SOPS®) …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II
Surveys on Patient Safety Culture® (SOPS®)
Ambulatory Surgery Center Survey:
2023 User Database Report
Part II: Appendix A - Results by Facility Characteristics
Appendix B - Results by Respondent Charact…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
January 01, 2015 - to be used before, during, and after implementation of your action plan initiatives to
assess the effectiveness
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/achievements.html
December 01, 2014 - Achievements in Prevention
Profiles From AHRQ Research Centers for Excellence
In addition to the research projects that the Centers conducted, they also engaged in a number of core activities to advance their areas of expertise in clinical preventive services. Below, are links to two briefs that serve as a sa…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Facilitator Training—Handouts: On-Time Falls Prevention Training
Implementation Scripted Exercise – Change Team Meeting for Self-Assessment
Implementation Scripted Exercise – Selecting Falls Prevention Reports and Meetings in W…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Handout 1: Implementation Scripted Exercise – Change Team Meeting for Self-Assessment
Team consists of:
Facilitator [Jim].
Program Champion [Mary].
Nursing Assistant A [Allison].
Nursing Assistant B [Jolene].
Nurse Manager A [Miranda].
Nurse M…
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www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record
1
FINAL REPORT
Title: Developing an HIV‐Specific Prevention Index Using the Electronic Medical Record
Principal Investigator: Richard T. Meenan, PhD, MPH, MBA, Center for Health Research ‐ Kaiser Permanente, …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
July 01, 2016 - BMI Assessment and Recommended Weight Gain
BMI Assessment and Recommended Weight Gain
Section 1. Basic Measure Information
1.A. Measure Name
BMI Assessment and Recommended Weight Gain
1.B. Measure Number
0086
1.C. Measure Description
Please provide a non-technical description of the measure that conveys wha…
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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-Quan_52.pdf
March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium
Adaptation of AHRQ Patient Safety Indicators
for Use in ICD-10 Administrative Data
by an International Consortium
Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP;
Euge…
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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-Gershon_88.pdf
January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
Home Health Care Patients and Safety Hazards
in the Home: Preliminary Findings
Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH;
Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA;
Stephanie M.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital
and ED Visits Reports
Note: This part of the traini…
-
www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
January 01, 2024 - Linking Characteristics of High-Performing Hospitals With Patient Safety
Linking characteristics of high-performing hospitals with patient safety
Principal Investigator: Jason M. Etchegaray, PhD
Mentor: Eric J. Thomas, MD, MPH
The University of Texas Medical School at Houston and The University of Texas H…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
Guide to Implementing and Sustaining a Program
To Prevent CLABSI and CAUTI in the Intensive Care
Unit Setting
Overv…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
January 01, 2016 - Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration
Presentation for the National Academy of State Health Policy’s Vanguard Network and CHIP Directors
Slide 1
Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration
Presentation fo…