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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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
  6. 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: …
  7. Imp-Handouts (pdf file)

    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…
  8. 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…
  9. 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…
  10. Paul Tedrick (doc file)

    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…
  11. 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…
  12. 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…
  13. 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,…
  14. 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…
  15. 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 ..........................................................…
  16. 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…
  17. 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…
  18. Apcd-Inventory (xls file)

    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) …
  19. 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…
  20. 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…

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