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  1. www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
    January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard TITLE PAGE Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard Princip…
  2. www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
    January 01, 2024 - Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error AHRQ Grant Final Project Report Title of Project Using Public Deliberation to Define Patient Roles in Reducing Diagnostic Error Principle Investigator Tina Nabatchi, PhD, Associate Professor, Maxwell School of Ci…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - Combining Performance Feedback and Evidence-based Educational Resources 237 Combining Performance Feedback and Evidence-based Educational Resources John R. Meurer, Linda N. Meurer, Jean Grube, Karen J. Brasel, Chris McLaughlin, Stephen Hargarten, Peter M. Layde Abstract Objective: This study is intended t…
  4. www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
    January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers Risk Assessment of Pediatric Emergency Transfers Final Report AHRQ P20 HS17125-01 Project Period: 09.31.07 – 02.28.09 Principal Investigator: Jane L. Holl, MD, MPH Northwestern University Institute for Healthcare Studies Co- Investigators: D…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
    July 01, 2023 - PowerPoint Presentation SPPC-II Toolkit Obstetric Hemorrhage Scenarios Safety Program for Perinatal Care II Teamwork Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …
  6. www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
    January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting Principal Investigator: Ronilda Lacson, MD, PHD Team Members: Ramin Khorasani, MD, MPH Ivan Ip, MD, MPH Sonali Desai, MD Allen Ka…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
    March 01, 2016 - Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) Section 1. Basic Measure Information 1.A. Measure Name Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) 1.B. Measure Number 0082 1.C. Measure Description Please…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
    March 01, 2016 - Episiotomy (Overuse): Report Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measur…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
    March 01, 2016 - Episiotomy (Overuse) Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measure is aim…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 January 2019 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017 Summary Updated and new patient safety data for 2014 through 2017 conti…
  11. www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
    January 01, 2024 - refinement and continuous collaboration with stakeholders.20 Focus groups composed of attending physicians helped
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
    January 01, 2004 - Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources Section 7. Tools and Resources 0A: Introductory Executive Summary for Stakeholders 1A: Clinical Staff Attitudes Towards Pressure Ulcer Prevention 1B: Stakeholder Analysis 1C: Leadership Support Assessment 1D: Business Case…
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 10. Harms Due to Opioids Harms Due to Opioids 10-1 10. Harms Due to Opioids Authors: Sarah J. Shoemaker-Hunt Pharm.D., Ph.D., Cori Sheedy Ph.D., and Brandy Wyant, M.P.H., M.S.W. Reviewer: Scott Winiecki, M.D. Introduction Background Prescription opioids are commonly used i…
  14. www.ahrq.gov/sites/default/files/wysiwyg/stepup_Challenge/step-up-challenge-phase-1-webinar-slides.pdf
    September 24, 2018 - AHRQ Step Up App Challenge Phase 1 Informational Webinar AHRQ Step Up App Challenge Advancing Care Through Patient Self-Assessments Phase 1 Informational Webinar Learn about the challenge and how to enter Phase 1 For more information, visit: www.ahrq.gov/stepupappchallenge 1 http…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-handouts.pdf
    March 22, 2014 - On-Time Pressure Ulcer Prevention: Facilitator Training—Handouts AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Handouts: Introduction to Pressure Ulcer Prevention Reports 1. Nutrition Report: High Risk 2. Nutrition Report (Exercise) 3. Weight Summary Report …
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Introduction to Falls Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Introduction to Falls Reports Sl…
  17. 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…
  18. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
    January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare October Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
    January 01, 2025 - Table of Contents: Volume 4. Technology and Medication Safety Contents Volume 4. Technology and Medication Safety Prologue: Technology and Medication Safety Mary L. Grady Health Information Technology “Safeware”: Safety-Critical Computing and Health Care Information Technology Robert L. Wears, Nancy G. Lev…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
    June 03, 2008 - Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Jamie N. Deis, MD; Keegan M. Smith, MD; Michael D. Warren, MD; Patricia G. Throop, BSN, CPHQ; Gerald B. Hickson, MD; …

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