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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned
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Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commenta…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
February 01, 2018 - Timely Blood Culture for Children With Sepsis Syndrome
1
Timely Blood Culture for Children with Sepsis
Syndrome
Section 1. Basic Measure Information
1.A. Measure Name
Timely Blood Culture for Children with Sepsis Syndrome
1.B. Measure Number
0229
1.C. Measure Description
Please provide a non-technical …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Unlike typical FMEA approaches, the
in situ simulation allowed us to evaluate the effectiveness of the
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - This dual use of cognitive artefacts in a single setting
afforded the opportunity to evaluate the risks
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
January 01, 2020 - safety culture, to identify strengths and areas for improvement, to examine
trends over time, and to evaluate
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www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
January 01, 2025 - Clinical and preventive services evaluated: Table 1 lists the 14 services we attempted to evaluate using
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions
FINAL REPORT
Estimating the Additional Hospital Inpatient
Cost and Mortality Associated With
Selected Hospital-Acquired Conditions
PREPARED FOR:
Agency for Healthcare Resear…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions
FINAL REPORT
Estimating the Additional Hospital Inpatient
Cost and Mortality Associated With
Selected Hospital-Acquired Conditions
PREPARED FOR:
Agency for Healthcare Resear…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - Care
Complex, adaptive primary care
delivery innovations are difficult
to design, deliver, and evaluate … • Payment structures need to evaluate the effect of non-billable activities on care, such as phone
calls … Research is needed
to evaluate and guide new partnerships and approaches to collaboration and
coordination
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
August 01, 2012 - Methods
This section describes the methods for the two field testing studies designed to evaluate the … For this reason, NCINQ chose to evaluate the known-groups validity, defined as the ability of the
measure
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - � Flexibility: Being able to re-evaluate and reframe diagnostic possibilities and incorpor
new information … nonjudgmental
way; respecting patients and peers.
� Resilience: Being able to withstand criticism, evaluate
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0087-fullreport.pdf
October 01, 2016 - 13
Methods
This section describes the methods for the two field test studies designed to evaluate … For this reason, NCINQ
chose to evaluate the known-groups validity, defined as the ability of the measure
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - And the final E it is to evaluate. … We even added a few things that are also now required by the Joint Commission to evaluate that we are
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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 - protocol called Shed-MEDS is implemented in four phases: (1) confirm
medication history and list, (2) evaluate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
January 01, 1999 - Prologue -- Blueprints for Action
1
Prologue
Blueprints for Action
Mary K. Wakefield
In 1999, the Institute of Medicine report To Err Is Human: Building a Safer
Health System1 advanced a clear challenge to create safer environments in health
care. The message of the report has resonated ever since, from t…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Famolaro
26
SOPS Resources
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
27
SOPS Web Site: https://www.ahrq.gov/sops
https://www.ahrq.gov/sops/index.html
Toolkit Materials a…
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www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
References
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
Frameworks for Change …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Schiff
Background and importance of diagnostic safety:
Culture of diagnostic safety in medical offices
Gordon (Gordy) Schiff, MD
Associate Director Center for Patient Safety Research and Practice
Brigham and Women's Hospital Div. General Medi…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
January 01, 2012 - CHIPRA 213: Section 5, Table 4
Table 4: Evidence Supporting Hydroxyurea Treatment for Children with Sickle Cell Disease
TYPE OF
EVIDENCE
KEY FINDINGS
LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATIONS
Randomized
controlled trial
The Multicenter Study of Hydroxyurea in Sickle
Cell Anemia (MSH), a ra…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-irb-tipsheet.pdf
June 27, 2025 - AHRQ PBRN IRB Tip Sheet
Prepare IRB
application
IRB review, revise,
and approval
Provide IRB with
required updates
Conceptualize
study
IRB
Review Cycle
Institutional Review Board (IRB)
TIP SHEET
Peer-to-peer tips about working with IRBs for Primary Care
Practice-Based Research Networks (PBRNs)
Coopera…