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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-5.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Conclusions
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introducti…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary
Findings From the 2023 Nursing Home Survey Database
62
participating
nursing homes
3,224
nursing home staff
respondents
Average Response Rate by
Survey Administration Mode
Paper 52%
Web 45%…
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www.ahrq.gov/patient-safety/reports/liability/acknowledgements.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Acknowledgments
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Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in Massachusetts: Communication, Apology,…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - generated policy-relevant information about financial and other incentives that
aim to promote healthcare improvements
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part II
Nursing Home Survey on Patient Safety Culture:
2019 User Database Report
Part II
Appendix A—Overall Results by Nursing Home Characteristics
Appendix B—Overall Results by Respondent Characteristics
Prepared for:
Agency for Healt…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
June 02, 2025 - Implementation Quick Start Guide: Create a Safe Medicine List Together
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide
Create a Safe Medicine
List Together
1 Review intervention and training materials
� Understand the purpose, use,…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/intro.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Overview
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Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for Im…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix I. Initial Risk Factors
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administra…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-shaller.pdf
January 01, 2017 - Developing Invitation Messages that Increase Survey Response Rates - Shaller
Wording to Encourage Completion of
Open-Ended Survey Questions:
Results of Two Pilot Studies
Dale Shaller, M.P.A
Overview
• Two pilot studies examined completion rates of the
CAHPS Narrative Item Set added to the CAHPS
Clinician & G…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program
Toolkit 1. Start an Antimicrobial Stewardship Program
Tool 1. Gather a Team
Choose members to serve on the antimicrobial stewardship program team. Depending on the size of the nursing home, the team may be very small (two or three me…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-one-pager.pdf
September 01, 2022 - Acute Otitis Media
• Moderate to severe bulging of the tympanic membrane or new-onset ear drainage (otorrhea) with signs and
symptoms of middle-ear inflammation (e.g., ear pain, fever)
• Severe symptoms include ill appearance, moderate to severe otalgia, otalgia lasting at least 2 days, or
temperature o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-ltvv-slides.pptx
January 01, 2017 - Presentation: Program Overview
Measure Descriptions for
Low Tidal Volume Ventilation
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-36-EF
January 2017
LTVV Measures ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this session, you wi…
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-slides.html
October 01, 2020 - Measure Descriptions for Low Tidal Volume Ventilation: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Measure Descriptions for Low Tidal Volume Ventilation
Slide 2: Learning Objectives
After this session, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Module 2: PowerPoint Presentation
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 2: Daily Huddles | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
1
A Frontline Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
April 01, 2022 - Team Roster
ICU Comprehensive Unit-based Safety Program (CUSP) Team Roster
Objective: To assemble a team of influential leaders and staff members necessary to drive successful implementation of the AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI.
Name
Team Role
Key Characteristics
Sugge…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
June 02, 2025 - On-Time - Menu of Implementation Strategies
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Pressure Ulcer Prevention Menu of Implementation Strategies 1
On-Time Pressure Ulcer Prevention
Menu of Implementation Strategies
The On-Time Menu of Process Improvement …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - Upper Respiratory Tract Infection: The Common Cold
Diagnosis
• Upper respiratory tract infections or “the common cold” are caused by viruses and present with symptoms
such as rhinorrhea, sneezing, sinus congestion, sore throat, cough, low-grade fever, headache, and
fatigue.
• The common cold occurs…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - Grantee Profile
Designing and Testing Novel Solutions To Make Labor and Delivery Safer for Moms and Newborns
Louis P. Halamek, M.D.
Neonatologist
Stanford Medicine Children’s Health – Lucile Packard Children’s Hospital
Louis P. Halamek, M.D.
“AHRQ is a unique funding agency, one that is incr…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
October 01, 2023 - Grantee Profile
Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance
Barbara Wells Trautner, M.D., Ph.D.
Professor of Infectious Diseases and Health Services Research
Michael E. DeBakey VA Medical Center
Baylor College of Medicine
Barbara Wells Trau…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataaph3.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table H-3: Written Language Codes (ISO)
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
…