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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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
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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…
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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…
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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…
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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
…
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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…
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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…
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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…
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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…
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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; …