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www.ahrq.gov/news/newsletters/e-newsletter/952.html
April 01, 2025 - AHRQ Celebrates National Public Health Week
Issue Number
952
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
April 8, 2025
AHRQ Stats: Rates of Ventilator-Associated Pneumonia The rate of ventilator-associated pneumonia during inpatient stays increased by 20.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4h
Selected Best Practices and Suggestions for Improvement
PSI 11: Postoperative Respiratory Failure
Why Focus on Postoperative Respiratory Failure? …
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/musculo.html
June 01, 2018 - Chartbook on Effective Treatment
Musculoskeletal Diseases
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Table of Contents
Chartbook on Effective Treatment
Acknowledgments
Effective Treatment
Effective Treatment Trends and Measures
Cardiovascular Disease
Cancer
Chronic Kidney Disease
Diabetes
HIV and AIDS …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Inpatient-to-Outpatient Transitions
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Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to A…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-rationale.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Scientific Rationale
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Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. Flow Char…
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www.ahrq.gov/patient-safety/resources/learning-lab/brain-health-long-desc.html
April 01, 2021 - Brain Health Patient Safety Learning Laboratory (Brain Safety Lab)
Principal Investigator: Christopher Callahan, M.D., Indiana University, Indianapolis, IN
AHRQ Grant No.: HS24384
Project Period: 09/30/15-03/31/20
Description: The overall goal of this learning laboratory was to prevent harms to brain …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - The science of safety seeks to understand the causes and consequences of each accident and incident and
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - Board evaluates management’s summary of incident reporting trends and timeliness to ensure transparency
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Innovation on Maternal Health
Readiness (unit level)
Recognition and Prevention (patient level)
Response (incident
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www.ahrq.gov/hai/clabsi-tools/guide.html
January 01, 2020 - Guide: Purpose and Use of CLABSI Tools
Purpose of the Tools
These tools are designed to support your efforts to implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI) in your unit. When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the…
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www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - case-control
Retrospective case-control
Data Source(s)
HCUP-NIS
Hospital clinical data
Hospital incident
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
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Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Di…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
January 01, 2024 - National Action Alliance Webinar June 18, 2024: Empowering Patient Voice in Safety Strategies
Empowering Patient Voice in Safety Strategies:
Understanding and Operationalizing the National Action
Alliance Aim #2
NATIONAL WEBINAR SERIES
June 18, 2024
Housekeeping Instructions
• This webinar will be recorded a…
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www.ahrq.gov/research/findings/final-reports/index.html
December 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4a_ed-setting.pptx
January 10, 2017 - Community-Acquired Pneumonia Clinical Decision Support Training - Emergency Department Setting
Community-Acquired Pneumonia
Clinical Decision Support Training
Emergency Department Setting
Disclaimers and Acknowledgements
This project was funded under contract/grant number HHSP233201500023I from the Agency for Hea…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section7.html
May 01, 2023 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing CAUTI: Focus on Culturing Stewardship
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Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
June 01, 2018 - Chartbook on Care Coordination
References
Previous Page
Table of Contents
Chartbook on Care Coordination
Acknowledgments
Care Coordination
Trends in Care Coordination Measures
Transitions of Care
Preventable Emergency Department Visits
Potentially Avoidable Hospitalizations
Integrati…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
OR-to-ICU Transitions
Previous Page Next Page
Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Introd…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/using-large-datasets-pcr-052323.pptx
May 24, 2023 - under Medicare Advantage plans, or those with commercial insurance
Possible inaccurate/missing data
“Incident
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - errors and adverse events can be partly mitigated by effective communication in the aftermath of the incident