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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - More effort is needed to develop
and test a medical FTR metric suitable for pneumonia and CHF.
19
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - This may have impacted the
participant’s effort to rate the severity of potential harm for the three
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - Finally, in the case of MedTeams and DOM, program
developers are making an effort to collect data to
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - Acknowledgments
This guide was a collaborative effort by the Agency for Healthcare Research and Quality
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. Reducing Adverse Drug Events in Older Adults
Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P.
Reviewers: Scott Winiecki, M.D…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - European recommendations for primary prevention of
congenital anomalies: A joined effort of EUROCAT
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
January 01, 2014 - This effort
encourages all early childhood experts to work together to screen, identify developmental
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
April 01, 2019 - State leaders acknowledged that scarcity in resources poses barriers to any data
collection effort.
-
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/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
Overview
According to the Joint Commission, in 2022, failures in communication, teamwork, a…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
PATIENT
SAFETY
e
Issue Brief 11
Diagnostic Safety Across Transitions of
Care Throughout the Healthcare System:
Current State and a Call to Action
This page intentionally left blank.
e
Issue …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
January 01, 2015 - Before dropping the
effort completely, try to determine why it failed and whether adjustments might
-
www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - Units residing in teaching hospitals were more likely to have participated in an
organized multi-site effort … beds
(n=175)
>230
Beds
(n=167)
p
valueffi
1
Participation in any organized multi-site effort
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
June 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care
Introduction
Pre-Intervention Assessment
Purpose
The purpose for this self-assessment is to:
-Highlight current efforts to promote safe transitions of care and engage patients;
-Identify gaps or opportunities for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - SAY:
The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you understand the importance of effective communication and transparency, identify barriers to communication, and apply the effective teamwork and communication tools from CUSP and TeamSTEP…
-
www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach
Title: Infection Prevention in Emergency Care: A Systems Approach
Principal Investigator: Jeremiah D. Schuur, MD, MHS
Team Members:
Conference Co-Chair: Connie Price, MD
Project Coordinator: Corine Sinnette, MA
Organization: Brigh…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Antibiotic Stewardship and MRSA Reduction
SAY:
Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
September 08, 2015 - Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
h…