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www.ahrq.gov/npsd/data/dashboard/generic.html
September 01, 2025 - Generic Dashboard
Learn more about how the dashboards are set up .
This dashboard examines all reports on patient safety concerns submitted to the PSOPPC in Common Formats for Event Reporting – Hospital versions 1.2 and 2.0. Data collected using CFER-H Version 1.1 is not included. The dashboard charts detail…
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www.ahrq.gov/npsd/data/dashboard/pressure-ulcer.html
September 01, 2025 - Pressure Injury Dashboard
Learn more about how the dashboards are set up . This dashboard details the Pressure Injury Most Advanced Stage, Pressure Injury Residual Patient Harm Level, Extent of Harm by Most Advanced Stage, Contributing Factor, Extent of Harm by Contributing Factor, Documented Skin Inspection o…
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www.ahrq.gov/npsd/data/dashboard/devices.html
September 01, 2025 - Device or Medical/Surgical Supply Dashboard
Learn more about how the dashboards are set up . This dashboard details the type of device; type of device by residual harm to the patient; device defect, failure, or user error; device defect, failure, or user error by residual harm to the patient; type of health in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day
prevention…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
September 01, 2024 - SOPS® Nursing Home Survey Items and Composite Measures
SOPS® Nursing Home Survey Items and
Composite Measures
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection methods,
establishing data collection procedures, conducting a web-based…
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www.ahrq.gov/es/sops/bibliography/index.html?page=0
January 01, 2025 - patient safety culture among medical laboratory technologist in transfusion medicine services through incident
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www.ahrq.gov/es/sops/bibliography/index.html
January 01, 2025 - patient safety culture among medical laboratory technologist in transfusion medicine services through incident
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
June 02, 2025 - • An “event” is defined as any type of error, mistake, incident, accident, or
deviation, regardless
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 02, 2025 - .
· A “patient safety event” is defined as any type of healthcare-related error, mistake, or incident
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 02, 2025 - · An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
February 01, 2017 - Monitoring Ventilator-Associated Events: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Monitoring Ventilator-Associated Events
Slide 2: Learning Objectives
After this session, you will be able to—
Des…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
State Medicaid Program - Key Driver Diagram
Global Aim
To reduce the
incidence of
stroke in children
wi…
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www.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - What is the NPSD’s Role in Quality and Patient Safety?
By enabling providers, PSOs, and, eventually others to contribute nonidentifiable patient safety data to the NPSD, the stage has been set for breakthroughs in our understanding of how best to improve patient safety. The NPSD will facilitate the aggregation …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - Poor safety and teamwork culture is also linked to a lower rate of incident reporting and a higher rate
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www.ahrq.gov/sites/default/files/2024-09/harris-report.pdf
January 01, 2024 - Final Progress Report: Analyzing Nurses’ Impact on Outcomes Using Detailed Data
Analyzing Nurses’ Impact on Outcomes Using Detailed Data
Principal Investigator
Marcelline R. Harris, PhD
Mayo Clinic
200 1st St SW
Rochester MN 55905
Team Members
Mayo Clinic
V. Shane Pankratz, PhD
Cynthia Leibson…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation
Producing Accurate Clinical Quality
Reports for Population Health:
A Delivery System-Oriented
Approach to Report Validation
March 2016
Authored by:
Jeff Hummel, MD, MPH
Peggy C. Evans, Ph…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Only 4% of the
identified adverse events were also
identified via incident reports.
3181d8e405.12 … data, (3) phone interviews with Medicare
beneficiaries or their family members, (4)
hospital incident … events (78%), POA
analysis identified 61 events (51%),
interviews identified 22 events (18%),
incident
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Next Page
Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
Results
References
…
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www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
1
Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
Principal Investigator: Rita Secola, RN, PhD, CPON
Organization: University of California Los Angeles, NIHAward@research.ucla.e…