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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis.
Who should use this tool? Event Reporting, Investigation, and Analysis Team.
How to use this tool: Review the guide information when developing and implementing a systems approaching to
event investigation and analysis.
T…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
November 01, 2017 - AHRQ Hospital Pilot Study Final Report
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 290201300003C
Manag…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
December 01, 2019 - Depression Screening and Follow-up for Adolescents and Adults
1
Depression Screening and Follow-up for Adolescents
and Adults
Section 1. Basic Measure Information
1.A. Measure Name
Depression Screening and Follow-up for Adolescents and Adults (Health Plan)
1.B. Measure Number
0246
1.C. Measure Description
P…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript
January 2020 https://www.ahrq.gov/sops/index.html 1
Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - in health among individuals. 1
Slide 57
Impact of Behaviors on Health
A recent study 2 examined
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
January 01, 2020 - Measure Inventory for Use with All-Payer Claims Databases
Final Contract Report
Measure Inventory for Use With All-Payer
Claims Databases
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA2902001200003I, Task Order 5
Prepared by:
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
June 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B
Appendix B: Clinical Materials to Share
With Primary Care Providers
Diagnoses and Conditions
■ Anemia of Prematurity
■ Apnea of Prematurity
■ Bronchopulmonary Dysplasia
■ Gastroesophageal Reflux
■ Nephrocalcinosis
■ Patent D…
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014)
Webinar Transcript
AHA – Chicago
August National Content Call
August 12, 2014
11:00 AM CT
Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesd…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - Paul Tedrick
AHA – Chicago
August National Content Call
August 12, 2014
11:00 AM CT
Operator:
The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesday, August 12, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speak…
-
www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report
Leveraging Existing Assessments of Risk Now (LEARN)
Final Report
PI: Donna Woods, EdM, PhD
Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker,
PhD; Jonathan Young; O…
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
September 01, 2023 - AHRQ Comparative Health
System Performance Initiative
Publications
Updated September 2023
This page intentionally left blank
Comparative Health System Performance Initiative Publications 1
Comparative Health System Performance Initiative
Publications
Journal Articles
Agniel D, Haviland A, Shekelle P, Sc…
-
www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - Final Progress Report: Emergency Department Overcrowding and Quality of Acute Asthma Care for Children
Title of Project: Emergency Department Overcrowding and Quality of Acute Asthma Care for
Children
Principal Investigator and Team Members:
Marion R. Sills, MD, MPH, Principal Investigator
Diane Fairclough, DrPH,…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking
Learning From Defects
Through Sensemaking
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program For Surgery – Implementation
This module focuses on the process of Learning from Defects throug…
-
www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
September 26, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary
Contents
Contents ..........................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report
Overuse of Computed Tomography Scans for the
Evaluation of Children with Atraumatic Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Computed Tomography Scans for the Evaluation of Childr…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - Adolescent Depression Remission/Response
1
Adolescent Depression Remission/Response
Section 1. Basic Measure Information
1.A. Measure Name
Adolescent Depression Remission/Response (Provider)
1.B. Measure Number
0247
1.C. Measure Description
Please provide a non-technical description of the measure that conv…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
October 01, 2015 - Sheet1
Measure Characteristics Overall Measure Inventory Details Deep Dive Measure Inventory Details
Condition of Focus Measure Condition Subcategory Measure Type (Cost, Quality, or Utilization) Quality Category (Process, Outcomes, Structure, Not Applicable) Measure Name or Paper Name (From Lit Review) …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-parti.pdf
January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I
PATIENT
SAFETY
NURSING HOME SURVEY ON
PATIENT SAFETY CULTURE
2019 User Database Report
The authors of this report are responsible for its content. Statements in the report should not be
construed as endorsement by the Agency for Hea…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I
PATIENT
SAFETY
NURSING HOME SURVEY ON
PATIENT SAFETY CULTURE
2019 User Database Report
The authors of this report are responsible for its content. Statements in the report should not be
construed as endorsement by the Agency for Hea…