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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-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-k.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix K. Infographic Poster on CAUTI Prevention
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - Strategy 2: Communicating to Improve Quality (Tool 3)
Appendix D. Ambulatory Surgery Center Checklist Template
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Ambulatory Surgery Checklist
Preop
Before Patient Enters Room
Nurse, Anesthesia Professional, and Patient Review:
· Patient identificatio…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-4.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Health Applications for Synchronous and Asynchronous Communication
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Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T2-Prescribing_Clinician_Survey_Phase_1.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1
Prescribing Clinician Survey
[NURSING HOME NAME] is considering implementing an antibiogram program. The use of antibiograms is common in the hospital setting but not in nursing homes. We are interested in determining how the use of an antibiogram would be viewed by the presc…
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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/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/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/practiceimprovement/delivery-initiative/arragrantee-williams.html
December 01, 2017 - ARRA Delivery System Initiative
Presentations and Publications by Recipients of ARRA Delivery System Grants
Bundled Episode Payment and Gainsharing Demonstration Project
Principal Investigator: Tom Williams
Robinson J. Purchaser Initiatives to Improve Value for Spine Surgery. Innovative Techniques in Spin…
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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/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/hai/cusp/cauti-interim/cauti-interim1.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Executive Summary
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Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
Healthcare-a…
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www.ahrq.gov/funding/process/study-section/peerdesc.html
July 01, 2017 - Peer Review: Study Section Descriptions
Descriptions of the peer review study sections.
Sign up: Grants Review Process Email updates
Study Section Name
Number of Members
Meetings Per Year
Functional Statement
Healthcare Systems & Value Research (HSVR)
23
3
This study section is ali…
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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
Previous Page Next Page
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/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
N
C H E A L T H C A R E
Implementation of an Event Reporting and
Learning System Leads to Improvements in
Patient …