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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Because the craniotomy patient was unstable, almost an hour passed before the neurosurgical case was
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - have four or five intervention patients
to process through the Palm Pilot, it would take close to an hour
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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-Emanuel_19.pdf
February 20, 2008 - end-learner with two to five key
learning points, which is all that typically can be retained in an hour
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Simulation can provide time-
effective experience and training to residents on restricted work-hour schedules
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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - Did duty hour reform lead to better outcomes among the highest
risk patients?
-
www.ahrq.gov/chsp/publications/index.html
September 01, 2023 - Pediatric Hospital Services Within a One-Hour Drive: A National Study. Pediatrics. 2020;146(5).
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - Researchers found that a 2.5-hour
streamlined approach comprising action planning steps and educational … evaluate the training program, researchers randomized eligible trauma team
leaders to an intervention—a 4-hour
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Wo…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5)
Insert hospital logo here
Become a Patient
and Family Advisor:
Information Session
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Patient & Family Advisor Information Session (Tool 5)
Guide to Patient & Family Engag…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
June 02, 2025 - CHIPRA 194: Section 1, Tables 1-5
1
Table 1 [=IMG1]: Codes to Identify Neuroimaging in Administrative Claims
Imaging Modality
Code Type
Codes
Computerized
Tomography (CT) of
Brain/Head
Revenue (UB-92)
350, 351, 352, 353, 354, 355, 356, 357, 358, 359
CPT 70450, 70460, 70470, 70480, 70481,70…
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www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
January 01, 2024 - Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders
AHRQ Grant Final Progress Report
Title: The Value of Hospital-Related Patient-Saftey Interventions to Key Stakeholders
Principal Investigator and Mentors:
PI: Teryl K. Nuckols, MD, MSHS
Mentors: José J. Escar…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
June 01, 2022 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report
Transitioning to the SOPS™ Hospital Survey
Version 2.0: What’s Different and What To Expect
Part I: Main Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health an…
-
www.ahrq.gov/sites/default/files/2024-07/picone-jollis-report.pdf
January 01, 2024 - Final Progress Report: Hospital Volume and Quality of Care
Hospital Volume and Quality of Care
Principal Investigators:
Gabriel Picone (University of South Florida)
James Jollis (Duke University).
Other team members:
Justin Trogdon (University of Adelaine)
Martin Salm (Duke University).
Organization:
University…
-
www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
1
Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
Principal Investigator: Rita Secola, RN, PhD, CPON
Organization: University of California Los Angeles, NIHAward@research.ucla.e…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
September 08, 2015 - The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children’s Health Insurance Program
(CHIP). Funded by the Children’s Health
I…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis
Preparing Data from CAHPS®
Surveys for Analysis
Contents
Introduction ................................................................................................................................................... 1
Creating Your Analysis Dataset ...............…
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Implement Teamwork and Communication:
Facilitator Notes
The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. Basic Components and Process of Communication 2
Slide 4…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series
National Action Alliance to Advance Patient Safety
Webinar Series
Engaging Boards and Executive Leadership In Safety
August 22, 2023
Beth Daley Ullem
Founder and CEO, Quality and Safety First
National Action Alliance To Advance …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment Module
Facilitator Notes
SAY:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Robert Otto Valdez, Ph.D.
Director
Agency for Healthcare Research & Quality
April 25, 2023
Welcome and Thank-You!
Presenter Notes
P…