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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/ncepcr/about/pcr-webinar-series/person-centered-care.html
July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care
This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…
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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/hai/pfp/interimhacrate2014.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Next Page
Table of Contents
Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact
…
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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/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/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/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/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Death, hospitalization, and economic associations
among incident hemodialysis patients with hematocrit … Double-
blind comparison of full and partial anemia correction in incident hemodialysis patients
without … BH, Sullivan DJ, Zagari MJ, Frei D: Double-blind
comparison of full and partial anemia correction in incident
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Innovation on Maternal Health
Readiness (unit level)
Recognition and Prevention (patient level)
Response (incident … These should take place as soon after the incident as possible.
11
Severe Hypertension
Master Case
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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/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Examples include staff educators, nurse managers, counselors, EAP personnel, paramedics with Critical Incident
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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…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - In the past, incident reporting by clinicians has been delayed or often absent.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - • 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/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
April 01, 2022 - Patient care experience
Infection rates, sepsis
CAUTIs
CLABSIs
Treatment errors
Clinician Outcomes
Incident
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - Among the device or medical/surgical device concerns (n = 14; 4.7%), the most commonly described
incident
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Review/Replanning
Description: In the unfortunate event that a terrorist incident or disaster occurs