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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19
1
Hospital Deaths for Common Heart
Conditions Increased While
Hospitalizations Decreased During
the First Year of COVID-19
Deaths From Heart Disease Increased in 2020
Heart disease is the mo…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Appendix B: Risk Assessment Models, Protocols, and Order Sets
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. An…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Hand Hygiene in the
Perioperative Setting
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Hand Hygiene in the Perioperative Setting
SAY:
Welcome to this presentatio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense
235
Implementation of a Data-based
Medical Event Reporting System in
the U.S. Department of Defense
Mary Ann Davis, Geoffrey W. Rake
Abstract
Objective: As a result of the Institute of Medicine (IOM) report, To…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - Improving the Value of Patient Safety Reporting Systems
Improving the Value of Patient
Safety Reporting Systems
Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD;
Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS;
Lisa H. Lubomski, PhD; Albert W. Wu, M…
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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-Perry_49.pdf
March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care
High-Hanging Fruit: Improving
Transitions in Health Care
Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD
Abstract
Discussions about enhancing the safety of transitions in health care have been disjointed.
Respected health care …
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Practice and Quality Improvement
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
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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…
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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…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief
PATIENT
SAFETY
e
Issue Brief 17
Cognitive Load Theory and Its
Impact on Diagnostic Accuracy
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e
Issue Brief 17
Cognitive Load Theory and Its Impact
on Diagnostic Accuracy
Prepared for:
Agency for…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department
1
Protocol for Identifying and Treating Children with
Sepsis Syndrome in the Emergency Department
Section 1. Basic Measure Information
1.A. Measure Name
Protocol for Identifying and Treating Children with Sepsis Syn…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-fullreport.pdf
October 18, 2017 - groups, New York Medicaid, and others to inform our measure
development with the intelligence and experiences
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-088-fullreport.pdf
January 05, 2017 - Accurate ADHD Diagnosis
Accurate ADHD Diagnosis
Section 1. Basic Measure Information
1.A. Measure Name
Accurate ADHD Diagnosis
1.B. Measure Number
0088
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it measures to
a broad audience.
Percentage of patien…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - Final Topic Refinement Document - Role of Liquid Biopsy in Detection and Management of Cancer in the Medicare Population
1
Final Topic Refinement Document
Role of Liquid Biopsy in Detection and Management of Cancer
in the Medicare Population
ID: MYOE58
Agency for Healthcare Research and Quality
Te…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
July 01, 2018 - For example, if you are administering the survey to 800
staff and your hospital typically experiences
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Implementing Heart Health Practice Self-Assessment
Implementing Heart Health
Practice Self-Assessment
February 1, 2016
Implementing Heart Health Practice Self-Assessment – February 1, 2016 pg. 1
Preface
This document presents a Practice Strategy Toolkit for the Heart of Virginia Healthcare (HVH) Cooperative. T…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What are the best practices in pressure ulcer prevention that we want to use?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage ch…