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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
February 01, 2014 - Identifying Key Areas for Delivery System Research
Appendix C: "Long List" of Delivery System Research Areas
Previous Page Next Page
Table of Contents
Identifying Key Areas for Delivery System Research
Executive Summary
Identifying Key Areas for Delivery System Research
Conclusion
References…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Figure 3 presents human error, and the organizational and
environmental enabling factor classifications
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase_1_Assessment_and_Planning_final.pdf
May 01, 2014 - The ability of the laboratory to
generate a complete antibiogram report will be a key factor in advancing
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Research Agenda
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…
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www.ahrq.gov/research/findings/final-reports/index.html
September 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)
Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa
AHRQ Grant No.: HS024379
Proj…
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www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
January 01, 2024 - Final Progress Report: Determinants of Intrapartum Quality of Care
Determinants of Intrapartum Quality of Care
Jennifer Bailit MD, MPH
David Aron, MD
Thomas Love, PhD
Case Western Reserve University
9/30/05-9/29/07
Project Officer: Judith Sangl
This project was supported by
grant number 5 R03 HS014352 from …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
June 02, 2025 - TO
Project Evaluation and Debriefing
What is the purpose of this tool? The purpose of the project evaluation is to:
Identify factors that contributed to the team’s success.
Identify factors that hindered the team’s success.
Identify additional clinical areas in the organization where the best practice can be implemen…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig12txt.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Figure 1-2: Williams, Lavizzo-Mourey, and Warren's framework for under
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/choosing/choosing.doc
June 02, 2025 - Choosing Quality Measures
Choosing Quality Measures
Contents
Some Planning Suggestions
· Think Long Term
· Consider All Available Measurement Tools
· Think Fewer Measures
· Develop a Plan
Factors to Consider
· Making Comparisons
· Databases and Benchmarks
· Trends Over Time
· Service Delivery Systems
· Unit of Ana…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Learning From Defects
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
1
Educational Objectives
Describe a process to help teams learn from defects
Explore …
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - implement a series of targeted patient safety
interventions based on results from the contributing factor
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www.ahrq.gov/research/findings/final-reports/index.html?page=8
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - deeper as you identify contributing factors
Use the “5 Whys” technique
Why 1—Why did this contributing factor
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
Say:
Today, we will give you an overview of the…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
October 01, 2016 - AHRQ Comparative Health System Initative
Comparative Health
System Performance
Initiative
The Agency for Healthcare Research and Quality (AHRQ) created the
Comparative Health System Performance Initiative to study how health
care systems promote evidence-based practices in delivering care. The
initiative provid…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
SAY:
Today, we will give you an overview of the Science of Safety and identifying defects.
Slide 1
Learning O…
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www.ahrq.gov/talkingquality/explain/support/help.html
November 01, 2018 - Help People Use Health Care Quality Information To Make Decisions
Some members of your audience will have a good idea of how to go about using quality information to make a decision about a health provider or plan, but others will not. You can help the latter group:
Clarify to what extent they have a choice…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - Rule 1 :
High risk based on prior hospital or ED visit AND an existing high-risk factor
Criteria … :
Resident has prior hospital or ED visits in last 90 days and at least one additional risk factor … Polypharmacy is considered the use of 15 or more medications and is treated as a risk factor for hospital … This score can indicate the severity of the risk factor and the likeliness that this condition could … This score can indicate the severity of the risk factor and the likeliness that this condition could