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  1. www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
    January 01, 2025 - Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation Title of Project: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation Principal Investigator: J. Michael Connors, MD Team …
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher. Slide…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
    February 08, 2018 - Information to Help Hospitals Get Started Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 How to Use the Guide to Patient and Family Engagement The Guide to Patient and Family Engagement in Hospital Quality and Safety is an evidence-based resource that hospitals can use to…
  4. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
    March 01, 2023 - Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation Guide for Care Coordination March 2023 1 Implementation Guide for Enhancing Care Coordination for CR Acronym List Term Abbreviation AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation AR Automatic Refe…
  5. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 2. Evidence of Disparities among Ethnicity Groups Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Intro…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Implementation Guide Purpose of This Guide This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis References Previous Page   Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic Stewards…
  8. www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Results Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion …
  9. www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
    January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients FINAL PROGRESS REPORT 1. TITLE, TEAM, DATES Interactive HIT to promote ambulatory safety among vulnerable diabetes patients Urmimala Sarkar, M.D., M.P.H. Dean Schillinger, M.D. Margaret Handley, Ph.D., M.P.H. Ned…
  10. www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
    January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …
  11. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-synthesis.pdf
    September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Partner Roundtable Synthesis Person-Centered Care Planning for Persons With Multiple Chronic Conditions Partner Roundtable Synthesis I. Background and Objectives Person-centered care has been operationalized as planning and enacti…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
    December 01, 2017 - Applying CUSP To Promote Safe Surgery AHRQ Safety Program for Surgery Applying the Comprehensive Unit-based Safety Program (CUSP) To Promote Safe Surgery AHRQ Publication No. 16(18)-0004-14-EF December 2017 AHRQ Safety Program for Surgery Contents Introduction .........................................…
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
    September 01, 2015 - Module 20: Creating Quality Improvement Teams and QI Plans Primary Care Practice Facilitation Curriculum Module 20: Creating Quality Improvement Teams and QI Plans Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …
  14. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
    March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
    April 01, 2025 - Implementation Guide: MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Implementation Guide: MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Introduction Setting up or improving a methicillin-resistant Stap…
  16. www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
    November 01, 2019 - Meeting Minutes, July 2019 National Advisory Council Minutes from the July 24, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of April 11, 2019, Meeting Summary AHRQ Accomplishments Budget Update Director's O…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
    April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…
  19. www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
    January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Resea…
  20. www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…

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