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www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - Final Progress Report: Improving Quality in Medication Management in Schools
Project Title: Improving Quality in Medication Management in Schools
Principal Investigator: Julia Graham Lear, PhD
Team Members: Annette Ferebee, MPH, Project Director
Nancy Eichner, MUP, Senior Program Manager
Theresa Chapman, Executive …
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www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference
Final Progress Report
Grant Number 1R13HS018321-01
Project Period 8/1/2009 - 1/31/2010
Conference: Diagnostic Error In Medicine
PI: Mark L. Graber, MD
SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day confer…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
January 01, 2013 - Static Teach-back Interactive Module
Teach-back
1. Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in Effective Clinician-
Patient Communication
1 Teach-back Interactive Module
2. AHRQ
Sponsored by the Agency for Healthcare
Research and Quality (AHRQ), this tea…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - SOPS Medical Office Survey, Version: 1.0 Language: English
SOPS® Medical Office Survey
Version: 1.0
Language: English
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a web-based survey, and
preparing and an…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - Additionally, ICD-9-CM
codes in discharge data do not distinguish reliably between AEs that occurred
during hospitalization … (in-hospital AEs) from AEs that occurred before
hospitalization (arrived-with AEs).6, 7 Currently codes … in discharge data are
Comparing Two ICD-9-CM Codes
241
analyzed after the patients’ hospitalizations … patient may experience an AE at one facility, but the AE may be
detected later during a subsequent hospitalization … Excess length of stay, charges,
and mortality attributable to medical injuries during
hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls, avoidable hospitalization
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www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
January 01, 2024 - Secondary outcomes will examine monthly rates of re-presentation
to the ED, hospitalization, and provider … increases chances for suboptimal prescribing as well as ADEs, both major reasons for
repeat ED visits, hospitalization
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www.ahrq.gov/hai/clabsi-tools/appendix-3.html
March 01, 2018 - morbidity
Associated with mortality rates of 10 percent to 20 percent
Associated with prolonged hospitalization
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - organization, infections in frail nursing home residents caused by inadequate handwashing resulting in hospitalization
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
December 01, 2017 - adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls, avoidable hospitalization
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www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
January 01, 2004 - noticeable to the patient
unless the organ system was stressed, and medical intervention—but
not hospitalization—may … Medical Errors
67
• severe harm - a major change in some organ function that typically
would require hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - As needed, SCC staff members
accompany patients on specialist visits, or visit patients during hospitalization … high-risk, high-
cost plan members in an attempt to reduce utilization (e.g., emergency room visits and
hospitalizations … The SCC
▌pg. 8
team may see patients during their hospital stay and/or in their homes after hospitalization
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
October 01, 2014 - Several studies found decreased health care utilization overall, including lower ER use and hospitalizations … One article found a significant decrease in the risk of hospitalization (16 percent), while another found … Diabetes care management participation in a primary care setting and subsequent hospitalization risk.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - noticeable to the patient
unless the organ system was stressed, and medical intervention—but
not hospitalization—may … Medical Errors
67
• severe harm - a major change in some organ function that typically
would require hospitalization
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www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - Rehabilitation services were significantly associated with better rates of survival and improved function during hospitalization
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv1b.html
June 01, 2010 - Avoidable Hospitalizations
Measure
Source
Evidence
Populations
Feasibility
Prevalence … quality of care for conditions for which good outpatient care can potentially prevent the need for hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - for services and provide additional support to
optimize patient care at home and avoid the need for hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - difficile
Commonly used for treatment of uropathogens, including MDROs
24
24
Hospitalization
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
June 01, 2014 - primary diagnosis of an acute myocardial infarction (MI) or chronic stable angina (CSA), or who during hospitalization