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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time
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Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Facilitator Training: Overview of
On-Time
T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
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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-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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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-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments
469
Behind the Scenes: Patient Safety in
the Operating Room and Central
Materiel Service During Deployments
Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib
Abstract
The United States Army per…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency
105
Fundamentals of Medicare Patient
Safety Surveillance: Intent, Relevance,
and Transparency
David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder,
Lisa J. Jaser, Nancy Safer, Paul Davern
Abstract
The Medicar…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - CHCANYS Participation Guide
HealthyHearts NYC
Primary Care Partnerships Advancing Heart
Health Initiative
CHCANYS Participation Guide
[Insert Health Center Name]
This research was supported by grant number 1R18HS023922-01 from the Agency for Healthcare Research and Quality (AHRQ).
The contents of this p…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit
Recruitment and Retention
of Primary Care Practices
in Quality Improvement
Initiatives: A Toolkit
Effectively engaging practices in a primary care quality improvement (QI) initiative, including
both the initi…
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www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases
AHRQ Grant Final Progress Report
Title of Project:
Developing a Medical Biometric Identification System with a Secure Database Network That Can Access
Electroni…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Overview
Slide
AHRQ’s Safety Program for Nursing
Homes
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
Note: This version of the On-Time
introduction is for training Facilitators who
have not had pre…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services
New Models of Primary Care
Workforce and Financing
Case
Example Fairview Health Services3
New Models of Primary Care Workforce
and Financing
Case Example #3: Fairview Health Services
…
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www.ahrq.gov/sites/default/files/2024-03/kaminski-report.pdf
January 01, 2024 - Final Progress Report: Assessing Barriers to ADA Guideline Adherence
AHRQ FINAL Project Report
Title Page:
“Assessing Barriers to ADA Guideline Adherence”
Principal Investigator and Team Members:
Mitchell A. Kaminski, M.D., Principal Investigator
Chairman, Department of Family Medicine
Crozer-Chester …
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings
Optimize Briefings and Debriefings – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Optimize Briefings and Debriefings
SAY:
This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program
291
Measuring Safety: A New Perspective
on Outcomes of a Long-term Intensive
Case Management Program
Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan
Abstract
Patient safety is a critical dimension of program …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report
Potentially Preventable Readmissions:
Conceptual Framework To Rethink
the Role of Primary Care
Final Report
This page is intentionally blank.
Potentially Preventable Readmissions:
Conceptual Framewo…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
3. Defining Categorization Needs for Race and Ethnicity Data
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
5. Improving Data Collection across the Health Care System
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-resource-guide.pdf
March 01, 2023 - Getting Started Resource Guide
Getting Started
Resource Guide
Acronym List
Term Abbreviation
AR Automatic Referral
CC Care Coordination
CPT Current Procedural Terminology
CR Cardiac Rehabilitation
CRCP Cardiac Rehabilitation Change Package
ICD-10 International Classification of Diseases (10th edition)
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - Strategy 3: Bedside Shift Report (Tool 3)
Insert hospital logo here
Nurse Bedside
Shift Report Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 3: Nurse Bedside Shift Report (Tool 3)
Guide to Patient & Family Engagement
If you have conducted trainings for other strategies in …