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  1. 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 …
  2. www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
    January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …
  5. www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix A. Teleconferences with AHRQ & CDC Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1.…
  6. www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
    August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination e Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination Hybrid CR Workgroup Evalu…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…
  8. www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
    January 01, 2024 - Final Progress Report: Communicating Probabilities through Interactive Computer Graphics Final Progress Report “Communicating Probabilities through Interactive Computer Graphics” Principal Investigator: Rita Kukafka,1,2 Other team members: Jessica Ancker,1 Elke Weber3 1. Columbia University College of Physicians…
  9. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
    March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation—Part 4 2014 National Healthcare Quality and Disparities Report Health Care of Residents of the U.S.-Mexico Border Slide 1 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of …
  10. www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
    January 01, 2025 - Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI Final Report Triage and Allocation Model for Primary PCI After STEMI Principal Investigator: Thomas W. Concannon, PhD, MA Team Members: 1. Jason Nelson, MPH (Research Assistant) 2. Harry P. Selker, MD, MSPH (Primary Mento…
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
    December 01, 2020 - Primary Content The purpose of MPSMS is to provide a tool to facilitate improvements in patient safety
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-scripts-final508.pdf
    June 02, 2025 - Create a Safe Medicine List Together: Scripts The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Create a Safe Medicine List Together Scripts Request patients bring in all their medicines [Clinician] wants you to bring all of your medicines to your next appointment s…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
    December 01, 2013 - AHRQ Slide Template 2004 On-Time Prevention Program for Long Term Care: Clinical Decision Support William Spector, Ph.D. AHRQ Sandra Hudak, MS RN SLH Clinical Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure ulcers, falls, and preventable hospitali…
  14. Penicillin Allergy (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
    September 01, 2022 - Penicillin Allergy Penicillin Allergy Importance of documenting an accurate allergy history • About 10 percent of people in the United States report an allergy to penicillin, but at least 95 percent of them can safely tolerate beta-lactam antibiotics—penicillins and cephalosporins.1 • Inaccurate…
  15. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/coping-staff-challenges-slides.pdf
    June 02, 2025 - Affinity Group: Coping with Staffing Challenges in Today’s Cardiac Rehabilitation Programs H i c h a m S k a l i , M D , M S c S e p t e m b e r 1 6 , 2 0 2 0 Welcome and Background Welcome and greetings from TAKEheart, AHRQ and CDC Update on status of TAKEheart:  Resumption of TAKEheart cohort 1 sched…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) Introducing the AHRQ SOPS Health IT Patient Safety Supplemental Items Naomi Yount, PhD Westat Health IT Patient Safety Supplemental Items • Supplemental item set that can be added to the end of the Hospit…
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
    June 01, 2021 - Approach to Residents With Reported Penicillin Allergy Ask about the associated antibiotic, timing, and outcome of the reaction o What antibiotic was the resident taking when he or she had the reaction?_________________ o What year was it or how old was the resident when the reaction happened? ______________…
  18. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix L. Intensive Care Unit Infographic Poster Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…
  19. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic Toolkit 1. Working With a Lab To Improve Antibiotic Prescribing Tool 2. Step-by-Step Guide to Working With a Laboratory To Obtain an Antibiogram 1. Contact the nursing home’s lab to inquire about creating an antibiog…
  20. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.docx
    October 01, 2016 - Tool 2. Step-by-Step Guide to Working With a Laboratory To Obtain an Antibiogram 1. Contact the nursing home’s lab to inquire about creating an antibiogram Identify the correct contact at the laboratory to determine if it is able to create an antibiogram report. Most labs have this capability and producing the report r…

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