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  1. Preface (pdf file)

    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…
  2. 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 Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…
  3. 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…
  4. 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 Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic Decision Making in…
  5. 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…
  6. 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
  7. 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
  8. 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
  9. 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…
  10. 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 Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary C…
  11. 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
  12. 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…
  13. 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 Previous Page Next Page Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Introduction …
  14. 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 …
  15. 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…
  16. www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim1.html
    July 01, 2013 - Eliminating CAUTI: Interim Data Report Executive Summary Previous Page Next Page Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions Healthcare-a…
  17. 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…
  18. 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 Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale…
  19. 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…
  20. 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 …

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