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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - In most nursing centers, this involves completing an incident report.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
January 01, 2017 - Monitoring Ventilator-Associated Events Module 2
Monitoring Ventilator-Associated Events
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-26-EF
January 2017
Monitoring VAEs ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this sessio…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Ra…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Ra…
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery
Developing a patient-centered model of the risk of perioperative complications in spine surgery
John Ratliff, MD, PI
Team members:
Summer Han, PhD
Richard Olshen, PhD
Lu Tian, PhD
Paola Suarez
…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-chat-transcript.pdf
May 01, 2025 - We added the after-action review tool as a debriefing tool as part of our incident management
system
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave6.html
July 01, 2025 - Hospitals should consider incorporating AI-specific categories into their incident reporting infrastructure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
April 01, 2011 - Conducting a Comprehensive Skin Assessment
Conducting a Comprehensive
Skin Assessment
Presented by
Dr. Karen Zulkowski, D.N.S., RN
Montana State University
Welcome!
Thank you for joining this webinar about how to
conduct a comprehensive skin assessment.
2
A Little About Myself…
• An associate professo…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
…
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www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - which has been subject to numerous biases in previous research.23,33,34 Several studies have used incident … reporting to identify outpatient adverse events,35–37 but incident reporting is known to capture only … Analysing potential harm in Australian general practice: an incident-
monitoring study.
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www.ahrq.gov/coronavirus/ahrq-publications.html
July 01, 2023 - AHRQ-Supported Publications and Resources
AHRQ has a robust collection of research findings and analyses published by AHRQ-supported grantees.
Patient Adverse Financial Outcomes Before and After COVID-19 Infection (May 2023)
Primary Care's Challenges and Responses in the Face of the COVID-19 Pandemic: In…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Comprehensive
critical incident monitoring in a neonatal-pediatric
intensive care unit: Experience … Analysing
potential harm in Australian general practice: An
incident-monitoring study.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenref.html
October 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
References
Previous Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
2. Description of the Intervention (continue…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Care for Cancer
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
Appendix A. Search Terms
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
Ref…
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Nine complications were individually tracked
monthly for incident and mortality rate.
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www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
Search All Impact Case Studies
April 2008
Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice
445
Outpatient Surgery and Patient Safety—
The Patient’s Voice
Ann Schoofs Hundt, Pascale Carayon, Scott Springman,
Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst
Abstract
Four outpatient surgery centers from a large Midwestern communit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - the medication delivery systems in LTC
facilities is fragmented, largely drawn from retrospective incident … are designed to evolve as fresh data from
new studies, patient safety reporting systems, or facility incident … the time and/or resources to thoroughly
understand the elements and risk factors that led up to the incident