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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.…
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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 …
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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 …
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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…
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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…
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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…
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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/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…
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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/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…
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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…
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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/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…
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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.
…
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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…
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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…
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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…
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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…
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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…