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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
-
www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience
28 November 2009
Title of Project Creating Safe Ambulatory Care: The Path to Resilience
Principal Investigator Christopher Nemeth, PhD
Team Members James Walter, MD
Robert Wears, MD, MS
Richard Cook, MD
Organization The University of Ch…
-
www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - Background for AHRQ Quality Indicators
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Toolkit
Prepared by RAND and …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - concerns
Postoperative urinary retention (POUR)
Catheter removal in patients with epidural
Pre-Implementation … funding provided by the Agency for Healthcare Research and Quality through the contract, “National Implementation
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
July 01, 2024 - Equitability of
depression screening after implementation of general adult screening in primary care
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-child-hcahps-chartbook.pdf
January 01, 2025 - //www.ahrq.gov/cahps/surveys-guidance/hospital/about/child_hp_survey.html
https://www.ahrq.gov/pqmp/implementation-qi
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - We had non-evidence-based policies and procedures going that are being followed or a lack of implementation
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-meps-methods.pdf
December 01, 2023 - Inappropriate medications are defined by the implementation of the Beers criteria in MEPS.1
According
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - Communication: Severe Hypertension - PowerPoint Presentation
Communication
Severe Hypertension
Module 3 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 3 of the SPPC-II Teamwork Toolkit. In this module we will talk about communication and the various t…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Situation Monitoring: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Situation Monitoring
Severe Hypertension
Module 4 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 4 of the SPPC‐II Teamwork Toolkit. In this module, we will talk about
situation monitoring: what it is, how to do it, and what tools a…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
December 01, 2016 - national evalua-
tion research team and technical expert panel for providing support in the
design, implementation
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2023 - Advances in Patient Safety: From
Research to Implementation (Volume 2: Concepts and Methodology).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/proposed-changes-cahps-c&g-survey2015.pdf
March 01, 2015 - Proposed Changes to the CAHPS Clinician & Group Survey
Proposed Changes to the CAHPS Clinician & Group Survey
The Agency for Healthcare Research and Quality’s (AHRQ) CAHPS Consortium is
recommending changes to the CAHPS Clinician & Group (CG-CAHPS) Survey and the
Patient-Centered Medical Home (PCMH) Item Set. The…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6)
Insert hospital logo here
Communicating to
Improve Quality
Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 2: Communicating to Improve Quality Training (Tool 6)
Guide to Patient & Family Engagement
As people enter the …
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-2-tech-specs.pdf
December 01, 2012 - /*
'PEDIATRIC MEDICAL COMPLEXITY ALGORITHM v1.0.sas'
Programmer(s): Dorothy Lyons, Peter Woodcox
First Steps Database
Research and Data Analysis Division
Washington State Department of Social and Health Services
Date: September 2012, …
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
January 01, 2014 - Section 5, Table 1
…
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…