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  1. www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
    April 01, 2013 - The patient definitely is volume-depleted, and he definitely has saturation falling, and I think it’s
  2. www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
    April 01, 2013 - worked on that are there for everybody to use in order to look to see where in the process things are falling
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
    February 01, 2017 - The measure highlights where providers or health systems are falling short in providing this essential
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation   Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Nursing Home's Pressure Ulcer Prevention Implementation Scripted Exercise #…
  5. www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
    January 01, 2024 - Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma 1. TITLE PAGE Title of Project: Simulation to Support Competency-Based Training in Orthopedic Trauma Principal Investigator and Team Members. Principal Investigators: Donald D. Anderson, PhD – Professor, Orthopedics & Rehab…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
    July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN; Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
    January 20, 2008 - Measuring IT Sophistication in Nursing Homes Measuring IT Sophistication in Nursing Homes Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell Abstract Objective: Little activity has occurred in nursing home (information technology) IT adoption. The purpose of this study was to de…
  11. www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  12. www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
    January 01, 2024 - Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy Principal Investigator/Program Director (Last, First, Middle): Ferguson, T. Bruce Jr. Project Title: Cardiovascular Care Disparities: Safety-Net HIT Strategy T. Bruce Ferguson, Jr., MD LSU HSC, HCSD Principal Investigator Michael M .…
  13. www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
    January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice 1 Title Page Title of Project: Quality Factors in Nursing Home Choice Principal Investigator: JoAnn G. Congdon Team Members: Co-Principal Investigator: Joan K. Magilvy Investigator: Mary A. Blegen Investigator: Katherine R. Jones Investigator: Nor…
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
    September 01, 2014 - Supplemental Document No. 1 The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). No statement in this report should be construed as an official positio…
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
    January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide A Team-Based Approach to Improving Opioid Management in Primary Care Table of Contents Introduction ......................................................................................................................................1 W…
  16. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  17. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 4, Emerging Trends in Care Coordination Measurement Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework …
  18. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
    June 02, 2025 - Health Coach Intervention Sustainability Plan Health Coach Intervention Sustainability Plan Medicare Preventative Services i. In Office Visits, Modifiers and Add-On Codes a. Annual Wellness Visits 1. Medicare i. Description-Initial Preventative Physical Exam (IPPE) also known as “Welcome to Medicare” visit ii. …
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
    February 14, 2018 - Metabolic Monitoring for Children and Adolescents on Antipsychotics 1 Metabolic Monitoring for Children and Adolescents on Antipsychotics Section 1. Basic Measure Information 1.A. Measure Name Metabolic Monitoring for Children and Adolescents on Antipsychotics 1.B. Measure Number 0150 1.C. Measure Descripti…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
    July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC Care Coordination Quality Measure for Primary Care (CCQM-PC) Development and Pilot Test of the CCQM-PC v 1.0; Guidance for Use of CCQM-PC v 2.0 Overview of the Care Coordination Quality Measure…

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