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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 10. Harms Due to Opioids Harms Due to Opioids 10-1 10. Harms Due to Opioids Authors: Sarah J. Shoemaker-Hunt Pharm.D., Ph.D., Cori Sheedy Ph.D., and Brandy Wyant, M.P.H., M.S.W. Reviewer: Scott Winiecki, M.D. Introduction Background Prescription opioids are commonly used i…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15818-Fairbanks-draft-1.pdf
    September 08, 2008 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan 1. title page The ED Pharmacist as a Safety Measure in Emergency Medicine Supported by: Agency for Healthcare Research and Quality Grant N…
  3. www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
    January 01, 2025 - Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) Final Progress Report TITLE PAGE Title: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco A…
  4. www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
    January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System Evaluate the Effects of the Massachusetts Reporting System Principal Investigator: Nancy Ridley, M.S. Associate Commissioner, Massachusetts Department of Public Health Co-Investigators (alphabetically): Paul Dreyer, Ph.D. Massachuset…
  5. www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
    January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan 1. title page The ED Pharmacist as a Safety Measure in Emergency Medicine Supported by: Agency for Healthcare Research and Quality Grant N…
  6. www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) Grant Final Report Grant ID: R01HS015164 Toward an Optimal Patient Safety Information System (TOPSIS) Inclusive Dates: 09/30/04 - 03/31/08 Principal Investigator: Richard Koss, MA Team Members: Stacey…
  7. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working With Safety Net Practices Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working…
  8. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/expanding-cardiac-rehab-implementation-guide.pdf
    December 01, 2022 - Hybrid Cardiac Rehabilitation (HYCR) Expanding Capacity Implementation Guide Expanding Capacity Implementation Guide December 2022 …
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-116-fullreport.pdf
    November 01, 2016 - Timely Temperatures for All Low Birth Weight Neonates Timely Temperatures for All Low Birth Weight Neonates Section 1. Basic Measure Information 1.A. Measure Name Timely Temperatures for All Low Birth Weight Neonates 1.B. Measure Number 0116 1.C. Measure Description Please provide a non-technical descri…
  10. www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…
  11. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 3. Grand Hospital Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
    May 01, 2015 - Experiences From the Frontline: Case Studies AHRQ Safety Program for Perinatal Care Experiences From the Frontline: Case Studies University of Arkansas for Medical Sciences THE NEED TO CHANGE Over the last 10 years, deliveries in the labor and delivery (L&D) unit at the University of Arkansas for Medical Sc…
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
    January 01, 2011 - Section 5, Figure 1 and Tables 1-5 Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for Children with Complex Needs Suboptimal Care- Seeking by Parent/Pt •Lack of a PCMH •Urgent care/ED use instead of PCMH •Lack o…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
    September 01, 2018 - Access to Outpatient Specialty Care for Children Access to Outpatient Specialty Care for Children Section 1. Basic Measure Information 1.A. Measure Name Access to Outpatient Specialty Care for Children 1.B. Measure Number 0235 1.C. Measure Description Please provide a non-technical description of the mea…
  15. 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…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
    April 01, 2014 - Multiple Chronic Conditions Chartbook Multiple Chronic Conditions Chartbook 2010 MEDICAL EXPENDITURE PANEL SURVEY DATA ALL OF THE INFORMATION INCLUDED IN THIS CHARTBOOK IS FREELY AVAILABLE FOR REPRODUCTION. PERMISSION FROM THE AUTHORS FOR THE USE THE CHARTS OR GRAPHICS CONTAINED IN THIS REPORT IS NOT NECESSA…
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
    March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…
  18. www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
    March 11, 2022 - Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes PATIENT SAFETY e This page intentionally left blank. e Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes Prepared for: Agency for Healthcare…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
    March 01, 2004 - Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications 227 Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications Carol J. Masheter, Paul Hougland, Wu Xu Abstract This paper compares two complementary International …
  20. www.ahrq.gov/downloads/pub/prevent/pdfser/suicidser.pdf
    May 01, 2004 - Screening for Suicide Risk: A Systematic Evidence Review This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ or …

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