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  1. www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
    January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach to Reducing Medication Errors Project Final Report June 26th, 2023 Principal Investigator: Sadaf Kazi, PhD Team Members: Raj Ratwani, PhD Ella Franklin, MSN, RN Deanna-Nicole Busog Organization: MedSta…
  2. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4a.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests 4. Assessment 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 2…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/cati-script.pdf
    July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) Care Coordination Quality Measure for Primary Care (CCQM-PC) Computer Assisted Telephone Interview (CATI) Script Interviewer/CATI Programmer Formatting C onventions • CATI programmer instructions appear in [ENG…
  4. www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators. How to use this tool: Use the Communication Assessment Guid…
  6. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023 Network of Patient Safety Databases Chartbook, 2023 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2023. R…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
    September 01, 2011 - ADAPT to Adult-Focused Health Care ADolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Detailed Measure Specifications Center of Excellence for Pediatric Quality …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
    January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
    January 01, 2005 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database 277 Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database Elaine M. Furmaga, Peter A. Glassman, Francesca E. Cunningham, Chester B. Good Abstract Objective: In view of the wi…
  11. www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
    January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…
  12. www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
    January 01, 2024 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization PI Name: Aaron S. Kesselheim, M.D., J.D., M.P.H. Application ID: 5K08HS018465-05 Proposal Title: Off-label prescribing: Comparative evidence, regulation, and utilization Title: Off-label prescribing: Comparative evidence…
  13. www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
    January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents 1 Project Title: Creating Learning Cultures Around Mistakes for Residents Timothy J. Hoff, PhD, Principal Investigator University at Albany, SUNY School of Public Health Henry Pohl, MD, Co-Investigator Joel Bartfield, MD, Co-Investi…
  14. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
    January 01, 2020 - 2020 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2020 CAHPS Health Plan Survey Database 2020 Chartbook What Consumers Say About Their Experiences With Their Health Plans and Medical Care This document is in the public domain and may be used and reprinted without permission in the United St…
  15. www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
    January 01, 2024 - Final Progress Report: ED Staffing and Patient Outcomes ED Staffing and Patient Outcomes Final Report Nina A. Bickell, MD, MPH, Principal Investigator Team Members: Rebecca Anderson, MPH, Project Manager Carol Barsky, MD, Co-Investigator Mary Rojas, PhD, Co-Investigator Department of Health Policy Moun…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
    December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Introduction to Pressure Ulcer Prevention Reports Pressure Ulcer Prevention Electronic Reports Electronic Reports Nutrition Risk Reports: High and Medium Risk Weight Summary Report Trigger Summa…
  17. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
    January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depar…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation SAY: In this module, you will be introduced to daily care pr…
  20. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/meta02.html
    October 01, 2014 - Studies in Meta-analyses (continued, 2) This Clinical Practice Guideline used the references below in meta-analyses of research on treating tobacco use and dependence. Table 6.13. Meta-analysis (2000): Effectiveness of and estimated abstinence rates for various types of format (n = 58 studies) Barbarin OA. …

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