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4401. Timeliness of Confirmatory Testing for Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-132-fullreport.pdf
      January 23, 2017 - Timeliness of Confirmatory Testing for Sickle Cell Disease Timeliness of Confirmatory Testing for Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Timeliness of Confirmatory Testing for Sickle Cell Disease 1.B. Measure Number 0132 1.C. Measure Description Please provide a non…

4402. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      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…

4403. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
      October 01, 2018 - Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care October 2018  Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for H…

4404. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…

4405. Clinical Inertia and Outpatient Medical Errors (pdf file)
      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 …

4406. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
      March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the A…

4407. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
      July 01, 2018 - Hospital Survey on Patient Safety Culture: User's Guide HOSPITAL SURVEY ON PATIENT SAFETY CULTURE PATIENT SAFETY USER’S GUIDE AHRQ Hospital Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Ro…

4408. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the A…

4409. Case 2. Central Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 2. Central Hospital 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 Case 3.…

4410. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report 1 Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity Section 1. Basic Measure Information 1.A. Measure Name Follow-up Visits for Children Who Are Obese or Overweight wi…

4411. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported 1 Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported 1.B. Measu…

4412. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - Continuity of Insurance: Duration of First Observed Enrollment 1 Continuity of Insurance: Duration of First Observed Enrollment Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Duration of First Observed Enrollment 1.B. Measure Number 0156 1.C. Measure Description Please …

4413. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report Neonatal Intensive Care All-Condition Readmissions Without Gestational Age Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions Without Gestational Age 1.B. Measure Number…

4414. Continuity of Insurance: Informed Participation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
      May 23, 2018 - Continuity of Insurance: Informed Participation 1 Continuity of Insurance: Informed Participation Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Informed Participation 1.B. Measure Number 0153 1.C. Measure Description Please provide a non-technical description of the me…

4415. Continuity of Insurance: Coverage Presumed Ineligible (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
      September 01, 2018 - Continuity of Insurance: Coverage Presumed Ineligible 1 Continuity of Insurance: Coverage Presumed Ineligible Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Coverage Presumed Ineligible 1.B. Measure Number 0155 1.C. Measure Description Please provide a non-technical d…

4416. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      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…

4417. 2021 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
      December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Introduction and Methods 2021 National Healthcare Quality and Disparities Report Introduction and Methods This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citati…

4418. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
      June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…

4419. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare Creating and Maintaining a Culture of Safety Series (Session 3) Measuring and Responding to Safety Culture Across Healthcare NATIONAL WEBINAR SERIES April 15, 2025 Housekeeping Instructi…

4420. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…