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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Mazur
U
N
C H E A L T H C A R E S Y S T E M
U
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C H E A L T H C A R E
Implementation of an Event Reporting and
Learning System Leads to Improvements in
Patient …
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www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Major Study Finds Significant National Patient Safety Improvement
Press Release Date: July 12, 2022
A study published in JAMA: The Journal of the American Medical Association ( JAMA ) and funded and carried out by Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ) shows that rates…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Injury_Dashboard_Data_2025.xlsx
January 01, 2025 - Introduction
Introduction - Pressure Injury
The tables in this workbook present data on Pressure Ulcer reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2024. They include the relative frequencies of reports by Pressure Injury…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apd.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix D. Universal ICU Decolonization Nursing Protocol
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Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apd.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix D. Universal ICU Decolonization Nursing Protocol
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Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Reporting and using the Child Core Set of quality measures
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Introduction
…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - Medical Home Transformation in Pediatric Primary Care – What Drives Change?
Principal Investigator: W. Carl Cooley, MD, and Jeanne W. McAllister, BSN, MS, MHA
Institution: Center for Medical Home Improvement, Crotched Mountain Foundation, Inc.
AHRQ Grant Number: R18 HS019157
Number …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - Premortem Tool
AHRQ Safety Program for Mechanically Ventilated Patients
Problem Statement
Projects often fail due to many circumstances. Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception. Understanding potential barriers and complications to…
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated $350,000 in avoidable costs. Impl…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p14-barton.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
P14: Is Telehealth Effective for Providing Nurse-Led Healthcare to Vulnerable Populations in Colorado?
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-hsu.html
May 01, 2023 - Grantee Profile
Using Artificial Intelligence To Improve Breast Cancer Screening and Enhance Workflow
William Hsu, Ph.D.
Associate Professor of Radiological Sciences
University of California Los Angeles (UCLA)
William Hsu, Ph.D.
“AHRQ funding is critical in allowing us to harness maturing ar…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0084-fullreport.pdf
March 01, 2016 - Implementation
feasibility represents the site’s ability to implement the measure using current workflows … reliability related to the consistency with which
providers document and capture the data elements needed to implement
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
July 01, 2016 - Implementation
feasibility represents the site’s ability to implement the measure using current workflows … reliability related to the consistency with which
providers document and capture the data elements needed to implement
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Implementation and Evaluation—The team used a mixed-methods approach to implement/field
test the best … There are also gaps in the translational sciences for how to best develop and implement
innovation in … score
Capability Level 3
Expand mortality and
complication risk tools to
medicine patients
• Implement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Strategies to help Implement evidence-based clinical guidelines.
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
2. Developing and Running a State-Based Extension Program To Support QI in Primary Care
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Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Even interventions with an abundance of evidence can prove difficult to implement. … Slide 34
Examples of Defects Addressed: Instruments
SAY:
You may recall this example from the Implement
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Meeting Minutes (Draft), November 2023
Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 12, 2023, Meeting Summary
AHRQ Director’s Highlights
Consumer Experience Measurement: C…
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www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness
Title of Project:
Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical
Illness
Principal Investigator and Team Members:
Principal Investigator: Brian Pickering, MB,…
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www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
December 01, 2009 - To many who are being asked to implement the measures, the number seems large.