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  1. Gap-Analysis (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
    June 01, 2021 - Gap Analysis for Antibiotic Stewardship Programs in Long-Term Care Instructions: Complete this document to evaluate your antibiotic stewardship program (ASP) on an annual basis and to define areas for further improvement. The ASP areas addressed in this document are addressed throughout the AHRQ Safety Program Toolkit.…
  2. www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
    July 01, 2017 - Characteristics of Frequent Users of Three Hospital Emergency Departments Julius Cuong Pham, M.D., Ph.D.; Jamil D. Bayram, M.D., M.P.H., E.M.D.M., M.Ed., Ph.D.-c; Dina K. Moss, M.P.A. Contents Introduction Study Overview Findings Discussion and Implications References Introduction The emergency …
  3. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
    May 20, 2021 - EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1 AFFINITY GROUP DETAILS AT-A-GLANCE Title Innovations that can Improve your Cardiac Rehabilitation Program May 20, 2021 Purpose • To share innovations that cardiac rehabilitation programs implemented during the pandemic and then …
  4. www.ahrq.gov/policymakers/hrqa99b.html
    October 01, 2014 - Healthcare Research and Quality Act of 1999 (continued) Text of the Act that reauthorizes the former Agency for Health Care Policy and Research, now the Agency for Healthcare Research and Quality (AHRQ). PART B—HEALTH CARE IMPROVEMENT RESEARCH SEC. 911. HEALTH CARE OUTCOME IMPROVEMENT RESEARCH. (a) EVIDENCE R…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate This document describes the methods AHRQ used to estimate the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients (PFP) program. The estimate includes a wide variety of adverse events, including the…
  6. www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
    July 01, 2018 - Meeting Minutes, March 2018 National Advisory Council Minutes from the March 16, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 3, 2017, Summary Report Director's Update Healthcare Cost and Utilizat…
  7. 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 - - Slide AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training: Overview of On-Time T…
  8. www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
    January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…
  9. 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…
  10. www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
    January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care PROL IN HOME HEALTH CARE Title: Process Reliability and Organizational Learning in Home Health Care Principal Investigator and Team Members: Michael P. Silver, MPH Principal Investigator Cher Edmonds Study Coordinator Robert…
  11. www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
    January 01, 2024 - Final Progress Report: Distance Management of High-Risk Obstetrical Patients Project Title: Distance Management of High-Risk Obstetrical Patients Candice Ferguson, MSPH Woman’s Hospital, BR Project Director Stephanie Anderson, BS, CPA Woman’s Hospital, BR Investigator Kim Duplechain…
  12. 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…
  13. 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 …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings Auditing Your Briefings and Debriefings Process AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: Let’s continue our discussion around briefings and debriefings. T…
  15. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
    June 02, 2025 - 1 TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7 Purpose and Overview This implementation guide is designed to help you think through the steps you can take to troubleshoot a successful automatic referral (AR) order set for your hospital/health system. …
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
    July 01, 2017 - Pediatric Medical Complexity Algorithm Pediatric Medical Complexity Algorithm Section 1. Basic Measure Information 1.A. Measure Name Pediatric Medical Complexity Algorithm 1.B. Measure Number 0141 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measure…
  17. www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
    January 01, 2024 - Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) Title: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) PI: E. Camille Vaughan, MD, MS Team Members Emory/Grady: Ann…
  18. www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
    January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
    January 01, 2004 - The Role of Patient Safety in the Device Purchasing Process 341 The Role of Patient Safety in the Device Purchasing Process Todd R. Johnson, Jiajie Zhang, Vimla L. Patel, Alla Keselman, Xiaozhou Tang, Juliana J. Brixey, Danielle Paige, James P. Turley Abstract To examine how patient safety considerations a…
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

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