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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 …
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www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Final report: Realizing Improved Patient Care through Human-centered Design in the OR
Title of Project: Realizing Improved Patient Care through Human-centered Design in the OR
(RIPCHD.OR)
Principal Investigator and Team Members:
Clemson University
Anjali Joseph, PhD, EDAC - PI
Sahar Mihandoust, PhD - Co-I
Sara …
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
June 02, 2025 - ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change'
Fault Tree
Diagram
File Name: ASC Fault Tree_with_change.RFP
Gate347
SSI Risk
Q:0.00436584
Gate2
Pt SSI risk
Q:0.0281772
From Page 2
Gate18
Bug moves to SS
Q:0.154943
F…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
January 01, 2018 - Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript
Understanding CAHPS Surveys: A Primer for New Users
January 2018 Webcast
Speakers
Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency
for Healthcare Research and Quality
Dale Shaller, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-os-linkage-techdoc-rev.pdf
January 01, 2022 - Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2022, Outpatient Site Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. De…
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - References
Low Tidal Volume (Lung Protective) Ventilation Literature Review
Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well as a shorter length of stay (LOS). The Society for Healthcare Epide…
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html
January 01, 2017 - Low Tidal Volume (Lung Protective) Ventilation Literature Review
AHRQ Safety Program for Mechanically Ventilated Patients
Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well …
-
www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
January 01, 2025 - Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases
Title of Project: An expert-guided machine-learning
approach to estimate the incidence, risk, and harms
associated with diagnostic delays for infect…
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - Themes from HCBS Expert Call Discussions
11/24/09
1
Themes from HCBS Expert Call Discussions
This document is organized into three sections. The first section summarizes panelists’
comments about the validity of the indictors as a set and concerns about their use. The second
section lists factors that pane…
-
www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics
1. TITLE PAGE
Reducing Diagnostic Errors in Primary Care Pediatrics
Principal Investigator: Michael L. Rinke, MD, PhD
Co-Investigators: David G. Bundy, MD, Hardeep Singh, MD, MPH, MPH, Moonseong Heo, PhD,
Jason S. Adelman, MD, MS, Heathe…
-
www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions
FINAL REPORT
Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of
Readmissions
Principal Investigator: J.B. Jones, PhD, MBA
Mark J. Selna (original Principal Investigator)
Team Members: Mark Selna, MD
…
-
www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients
Title Page
Project title: Developing biomechanical models from initiated fall actions and
reactions in frail elderly patients
Principal Investigators: Drs. Janice Morse and Andrew Merryweather…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
June 02, 2025 - Fielding the CAHPS Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
Fielding the CAHPS Child Hospital Survey
Document No. 93
Fielding the CAHPS® Child Hospital
Survey
Sampling Guidelines and Protocols
Contents
Introduction..................................................................…
-
www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements
AHRQ GRANT FINAL PROGRESS REPORT
Title: Improving Patient Safety through Provider Communication Strategy Enhancements
Principal Investigator: Kay Daugherty, RN, PhD
Team Members: Catherine Dingley, RN, F…
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
July 01, 2022 - USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities
USER GUIDE: COVID-19 Vaccination Tracking
Tool for Use in Skilled Nursing Facilities
2 This tool is voluntary and not related to any interim, final, or enjoined Centers for
Medicare & Medicaid Services (CMS) rules or regulation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - Paul Tedrick
American Hospital Association - Chicago
April 8, 2014
Onboarding Webinar 1 Call
1:00PM CT
Operator:
The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the American Hospital Association - Chicago, on Tuesday, April 8, 2014 at 1:00PM Central Time.…
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk (April 8, 2015)
Webinar Transcript
American Hospital Association - Chicago
April 8, 2014
Onboarding Webinar 1 Call
1:00 PM CT
Operator: The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the Ameri…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
June 02, 2025 - Fielding the CAHPS Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
Fielding the CAHPS Child Hospital Survey
Document No. 93
Fielding the CAHPS® Child Hospital
Survey
Sampling Guidelines and Protocols
Contents
Introduction..................................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals
Preventing CAUTI in the ICU Setting
Facilitator’s Guide
AHRQ Pub No. 15-0073-4-EF
September 2015
Contents
Introduction 5
Using This Guide 5
Preparing for a Session 5
Delivering the Session 6
Module 1: Overview 7
Potential Questions To Ask Before …