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  1. www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
    January 01, 2024 - Our findings for Aim 1 help fill a knowledge gap, because little is known about how hospital and unit
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
    May 28, 2008 - Using Home Visits to Understand Medication Errors in Children Using Home Visits to Understand Medication Errors in Children Kathleen E. Walsh, MD, MSc; Christopher J. Stille, MD, MPH; Kathleen M. Mazor, EdD; Jerry H. Gurwitz, MD Abstract Current research methods are not well designed to detect medication e…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization SAY: Welcome to this presentation on the implemen…
  4. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
    January 01, 2022 - Advancing the Science and Implementation of Patient Narratives: Summary of Presentations Advancing the Science and Implementation of Patient Narratives: Summary of Presentations October 7, 2021 Patient Narratives Research Meeting: Summary 2 Introduction and Overview ..........................................…
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
    January 01, 2014 - So this was the question where there was the largest gap between our performance and the national averages … improvement, but also realizing and trying to focus on the fact that there is really quite a large gap
  6. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
    March 01, 2015 - Some practice assessments may also include a gap analysis, which a practice facilitator can use to assess … For example, a gap analysis might include questions about the type of EHR a practice is using, whether
  7. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
    January 01, 2021 - Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) NIRSQ-1 DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH National Institute for Research on Safety and Quality (NIRSQ) FY 2021 Budget …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
    July 31, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human S…
  9. www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
    January 01, 2024 - to patients and most likely to have a significant impact on care. 5.2.2 Temozolomide and Imatinib Gap
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
    May 01, 2017 - Closing the Quality Gap: Revisiting the State of the Science (Vol. 5: Public Reporting as a Quality
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - The VHA addressed this gap through the development and deployment of the Falls Toolkit and the decision
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
    July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …
  13. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
    August 01, 2013 - How are CHIPRA Quality Demonstration States working to improve adolescent health care? Evaluation Highlight No. 3 Authors: Rachel Burton, Ian Hill, and Kelly Devers Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstra…
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
    September 08, 2015 - How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the qu…
  15. www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
    January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi FINAL PROGRESS REPORT Title of Project: Addressing Preventable Medication Use Variance in Mississippi Principal Investigator: Brown, CA, MD, MPH Team Members: William Rudman, PhD, Calvin Hewitt, MBA, Honey Holman, MD, Kent Kirchn…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …
  17. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-post-intervention.pdf
    June 02, 2025 - Follow-up Practice Survey Codebook Including Core and Optional Items Follow-up Practice Survey Codebook Including Core and Optional Items This codebook contains optional items that at least one cooperative expressed intentions of collecting in follow-up survey administration, and thus may be useful in selecting opt…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
    January 01, 2013 - Teach-back: Interactive Module Slides 1 Teach-back Interactive Module Teach-back 1.1 Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician-Patient Communication 2 Teach-back Interactive Module 1.2 AHRQ Sponsored by the Agency for Heal…
  19. www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
    January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations FINAL PROGRESS REPORT 1. TITLE PAGE Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for Disease Control Guideline (CDC) guideline in the primary care HIV clini…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
    January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

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