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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
January 01, 2020 - 15
systems and communities, with no clear pattern that ensured these additional exclusions were
helping
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www.ahrq.gov/chsp/publications/index.html
September 01, 2023 - Publications From the Comparative Health System Performance Initiative
The publications listed below have resulted from AHRQ’s Comparative Health System Performance Initiative from its launch in 2015 to date. Publications include topics such as characterizing systems, modifying internal processes to improve ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
Home Health Care Patients and Safety Hazards
in the Home: Preliminary Findings
Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH;
Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA;
Stephanie M.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium
Adaptation of AHRQ Patient Safety Indicators
for Use in ICD-10 Administrative Data
by an International Consortium
Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP;
Euge…
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www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers
Risk-Informed Clinical Network for Safe Pediatric
Emergency Transfers
Final Report
October 31, 2012
Principal Investigator: Donna Woods, PhD, EdM
Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - Scientific Rationale
Decolonization of
Non-ICU Patients With Devices
Section 4 – Scientific Rationale
The Burden of Healthcare-Associated Infections
Healthcare-associated infections (HAIs) have been recognized as a major preventable cause of
morbidity and mortality in the United States. In 1999, the Ins…
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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses
Title: “The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving
Collisions among 12-Hour Day and Night Shift Nurses”
Pri…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
1
Use of First-Line Psychosocial Care for Children and
Adolescents on Antipsychotics
Section 1. Basic Measure Information
1.A. Measure Name
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
1.B.…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
January 01, 2020 - Children with Disabilities Algorithm (CWDA) A Claims-Based Tool for Identifying Children with Disabilities
…
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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors
Medication Error Reduction, Technologies, and Human
Factors Final Report
Pascale Carayon, PI,
Tosha B. Wetterneck, co-PI
Roger Brown Professor, UW School of Nursing
Pascale Carayon Principal investigator; Professor, Department of
…
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety
FINAL REPORT SUMMARY
Grant #: HS11375-03
Matthew B. Weinger
9/27/01 to 9/30/05
Center for Perioperative Research in Quality
Vanderbilt University Medical Center
1211 22nd Avenue South, 526 MAB
Nashville, TN 37212
Phone: 615…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Regulation of Health Policy: Patient Safety and the States
405
Regulation of Health Policy:
Patient Safety and the States
Joanna Weinberg, Lee H. Hilborne, Quang-Tuyen Nguyen
Abstract
In its 1999 report on patient safety, the Institute of Medicine recommended a
nationwide mandatory reporting system to co…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
September 01, 2023 - AHRQ Comparative Health
System Performance Initiative
Publications
Updated September 2023
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Comparative Health System Performance Initiative Publications 1
Comparative Health System Performance Initiative
Publications
Journal Articles
Agniel D, Haviland A, Shekelle P, Sc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home
79
Seamless Care: Safe Patient Transitions
from Hospital to Home
Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios,
Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson
Abstract
Background: “Seamless care” is a smooth a…
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www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
January 01, 2024 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET)
AHRQ Grant Final Progress Report
Title of Project:
REdesigning SystEms to Improve Teamwork and Quality for
Hospitalized Patients (RESET)
Principal Investigator
Kevin J. O’Leary, MD, MS – Northwestern Uni…
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www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL)
Final Progress Report
Project Title: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL)
PI: Sarwat I. Chaudhry
Yale University
Inclusive Dates: 9/30/2014-9/29/2019
Agency for Healthcare Research and Qua…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report
Overuse of Computed Tomography Scans for the
Evaluation of Children with Atraumatic Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Computed Tomography Scans for the Evaluation of Childr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations
51
Looking for Trouble in All the
Right Places: The Legal Implications
Associated with “Electronic Signatures”
and High-risk Clinical Situations
Gabriel J. Escobar, Bruc…
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www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
January 01, 2025 - Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report
California Intensive Care Outcomes (CALICO) Project
Final Report
Project Officer: Denise Burgess
Project Organization: Philip R Lee Institute for Health Policy Studies, University of
California, San Francisco
Project…
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www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids
FINAL PROGRESS REPORT
Risk of Acute Asthma Associated with the Pediatric Use of Opioids
Principal Investigator: Hua Chen, MD, PhD1
Co-Investigator: Harold J. Farber, MD, MSPH2,3
Organization
…