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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 …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
March 19, 2012 - Community Kangaroo Mother Care: implementation and potential for neonatal survival
and health in very … Community Kangaroo Mother Care: implementation and potential for neonatal survival
and health in very
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Tobacco Use and Dependence, General References
General References
1. Fiore MC, Bailey WC, Cohen SJ, et al.
Smoking cessation. Clinical Practice
Guideline No. 18. Rockville, MD, U.S.
Department of Health and Human Services,
Public Health Service, Agency for Health
Care Policy and Research. AHCPR
Publication …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Instructor Guide
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
Say:
In this session we will introduce you to the Preventable Hospital and ED Visits el…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Communication: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Communication
Severe Hypertension
Module 3 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 3 of the SPPC‐II Teamwork Toolkit. In this module we will talk about
communication and the various tools in the SPPC‐II Toolkit for improving commun…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
December 01, 2021 - Inappropriate medications are defined by the implementation of the Beers criteria in MEPS
(Zhan et al
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
January 01, 2003 - Accident
and emergency department led implementation of
ketamine sedation in pediatric practice and
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - It also illustrates the adoption, implementation, and spread of the Common
Formats over time. … sequentially as follows: (a) Does the report
meet the Validation Data Set requirements contained in the Implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby,
Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar,
Richard…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 6. Track Performance with Metrics
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis
211
AHRQ WebM&M—Online Medical
Error Reporting and Analysis
Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello,
Scott A. Flanders, Erin E. Hartman
Abstract
The AHRQ WebM&M Web site represents an unprecedented effort to publish
illustrative case…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HIT/HIT_CAHPS_Meeting_Summary.pdf
December 01, 2006 - HIT/CAHPS Stakeholders Meeting Summary
Health Information Technology-
Consumer Assessment of Healthcare
Providers and Systems
Stakeholders Meeting
Meeting Summary
June 28, 2006
1
Introduction
On June 28, 2006, the Agency for Healthcare Research and Qual…
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 6. Track Performance with Metrics
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery …
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2a.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
2. Description of the Intervention (continued)
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes
Falls: Associated
Factors and Clinical
Outcomes
NPSD Data Spotlight
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated. Suggested citation: NPSD Data Spotlight, Falls…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
June 02, 2025 - Appendix 2: CED Compiled Public Comment Themes
Summary_Out of Scope Comments
There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
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www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference
AHRQ Grant Final Progress Report
Title of Project: Diagnostic Error in Medicine Annual Conference
Principal Investigator: Hardeep Singh, MD
Team Members:
• Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research
Principal Investigator: Hripcsak, George
Progress Report
Close-Out Documentation
Title: Mining complex clinical data for patient safety research
Principal Investigator and Senior Team Members:
George Hripcsak, MD, MS (PI)
Caro…
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www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
January 01, 2024 - Final Progress Report: Deaf People and Healthcare
Deaf People and Healthcare
PI: Steven Barnett
Primary mentor: Kevin Fiscella
Co-mentors:
Ron Hays
Jonathan Klein
Thomas Pearson
Robert Pollard
University of Rochester
9/30/2006 – 9/29/2012
AHRQ Project Officer: Kay Anderson
This project was supported by gr…