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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
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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 change?
3. What are the best practices in pressure …
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www.ahrq.gov/ncepcr/reports/2025-annual-report/appendixb.html
August 01, 2025 - EMS) technicians as a risk assessment tool to identify which children can be safely managed without going
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Worksheet
Purpose
The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
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www.ahrq.gov/policymakers/chipra/overview/background/methods.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
July 01, 2023 - Meeting Minutes, November 2022
Virtual Meeting
Minutes from the November 17, 2022, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 21, 2022, Meeting Summary
AHRQ Director’s Highlights
Update on AHRQ Efforts to…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix B. Prioritize Opportunities for Improvement
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Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
…
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www.ahrq.gov/data/apcd/envscan/methods.html
June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Methods
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Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Ex…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-n-part1.pptx
June 02, 2025 - Improving Communication and Teamwork in the Surgical Environment
Appendix N. Part 1: A Clear View of Flexible Endoscope Processing:
Transport, Leak Testing, Cleaning
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Susan Klacik B.S., CRCST, CIS, FCS
Endoscope Transport, Leak Testing, Cleaning| ‹#›…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Readiness Assessment
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Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-section-6-appendix-1.pdf
September 01, 2011 - Section 6, Appendix 1, Tables 1 to 4
Appendix 1. Guidelines and Measure-Specific Testing Results
Use of Higher-than-Recommended Doses of …
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-Episiotomy-FactSheet.pdf
November 01, 2015 - Measure: Episiotomy (Overuse)
Measure: Episiotomy (Overuse)
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients who
underwent an
episiotomy.
All patients, regardless of age, who
gave birth vaginally (without shoulder
dystocia), during …
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4.html
February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Module 4: Summary and Next Steps
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Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around D…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/meenan.html
October 01, 2015 - Transformation to the Patient-Centered Medical Home in CareOregon Clinics
Principal Investigator: Richard T. Meenan, PhD, MPH, MBA
Institution: Center for Health Research–Kaiser Permanente
AHRQ Grant Number: R18 HS019146
Number and Type of Practices
This project included Medicaid …
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www.ahrq.gov/sdoh/health-systems-research.html
December 01, 2022 - SDOH and Health Systems Research
SDOH studies and researcher resources
Current AHRQ Research Initiatives
SDOH Data Integration and Analytics Grants
In 2019, AHRQ awarded $6 million in grants for an initiative that uses data and analytics to support primary care and community interventions to improve chron…
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www.ahrq.gov/talkingquality/resources/writing/tip6.html
May 01, 2015 - Tip 6. Use Caution With Readability Formulas for Quality Reports
There are several dozen readability formulas, including the Fry formula, SMOG, and Flesch tests (Flesch-Kincaid and Flesch Reading Ease). You can use the formulas to score text by hand or use computerized versions that are built into word proces…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-meenan.pdf
April 01, 2015 - Transformation to the Patient-Centered Medical Home in CareOregon Clinics
Transformation to the Patient-Centered Medical Home in CareOregon
Clinics
Principal Investigator: Richard T. Meenan, PhD, MPH, MBA
Institution: Center for Health Research–Kaiser Permanente
AHRQ Grant Number: R18 HS019146
Overview o…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb3.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B5: Falls Assessment Cue Sheet
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/145-cusp-tip-sheet-celebrating-success.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet:
Promoting SSI and MRSA Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Recognizing success, large and small, both early on and long term is important to sustainability. Communicating success can he…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - Premortem Tool
AHRQ Safety Program for Mechanically Ventilated Patients
Problem Statement
Projects often fail due to many circumstances. Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception. Understanding potential barriers and complications to…
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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
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Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…