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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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®) …
  8. 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…
  9. 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
  10. 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…
  11. 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…
  12. 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…
  13. 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, …
  14. 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…
  15. 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…
  16. 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.…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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