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  1. www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - This includes preventable adverse events, nonintercepted serious errors, and intercepted serious errors
  2. www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
    June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes VIEWPOINT Bridging the feedback gap: a sociotech…
  3. www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
    June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 2 NOTES Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Student Workbook Module 2. Communicating Change in a Resident’s Condition These tr…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
    March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton; James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz; Nancy Gagliano, MD; Elizabet…
  5. www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
    January 01, 2025 - Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation IMPACTS: Improving Medical Performance during Acute Crises Through Simulation Principal Investigator: Matthew B. Weinger, MD, MS IMPACTS Team: Anders, Shilo; Andreae, Michael; Banerjee, Arna; Boulet, Jack; Burden, A…
  6. www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
    January 01, 2025 - Final Progress Report: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach Title of Grant: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach Principal Investigator: Lynn Unruh, PhD, RN, LHRM, Department of Health Management & Inf…
  7. www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
    January 01, 2024 - Hospital Compare contains information on over 4,000 Medicare-certified hospitals in the U.S. and includes
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
    June 01, 2014 - Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? June 2014  Webcast Speakers Steven Martino, PhD, Behavioral Scientist, RAND, Pittsburgh, PA Rachel Grob, PhD, Senior Scientist, Cent…
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - Table 5.A.1. Evidence Table …
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
    March 01, 2022 - Scientific Rationale Decolonization of Non-ICU Patients With Devices Section 4 – Scientific Rationale The Burden of Healthcare-Associated Infections Healthcare-associated infections (HAIs) have been recognized as a major preventable cause of morbidity and mortality in the United States. In 1999, the Ins…
  11. www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
    January 01, 2024 - Final Progress Report A Randomized Trial of Home Self-Efficacy Enhancement 1 Title of Project: A Randomized Trial of Home Self-Efficacy Enhancement Principal Investigator: Anthony Jerant, MD Team Members: Peter Franks, MD; Kate Lorig, RN, DrPH; Monique Moore-Hill, MA; Rahman Azari, PhD; J. Paul Leigh, PhD; Marth…
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
    February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide Table of Contents Introduction ......................................................................................................................................1 What Is the Prepare and Launch Guide? .....................................…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - This group includes historically marginalized populations: those who are economically disadvantaged,
  14. www.ahrq.gov/patient-safety/resources/learning-lab/connected-emergency-care-long-desc.html
    January 01, 2025 - Connected Emergency Care Patient Safety Learning Lab (CEC PSLL) Principal Investigator: Jeremiah Hinson, M.D., Ph.D., Johns Hopkins University, Baltimore, MD; formerly  Scott Levin, M.S., Ph.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS26640 Project Period: 09/30/18-12/31/23 Description: Th…
  15. www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
    April 01, 2013 - “Role of the Nurse Manager” Slide Content and Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Title Slide (CUSP logo) The “Role of the Nurse Manager” module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP t…
  16. www.ahrq.gov/news/newsletters/e-newsletter/916.html
    June 01, 2024 - AHRQ Announces Plans for National Healthcare Extension Service To Disseminate Evidence Issue Number 916 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. June 11, 2024 AHRQ Stats: Distribution of Race/Ethnicity Among People With High Expenses In 2021, Non-Hispa…
  17. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/leg-bags-faqs.html
    July 01, 2017 - Frequently Asked Questions About the Use of and Care for Leg Bags in the Long-Term Care Setting AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Disclaimer: Answers to the following frequently asked questions (FAQs) are based on consensus of experts from a national project team of clinical facu…
  18. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.docx
    May 01, 2014 - Slide Title and Commentary Slide Number and Slide Title Slide Toolkit 3. How To Develop and Implement an Antibiogram Program Phase 3. Implementation Training Slides for Prescribing Clinicians [PRINT OUT COPIES OF THE VIGNETTES AND ANTIBIOGRAMS FOR ALL PARTICIPANTS. PASS OUT THE VIGNETTES EARLY, THEN PROVIDE THE ANTI…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Mini Presentation: Performing a Premortem Project Assessment ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Mini Presentation: Performing a Premortem Project Assessment SAY: Welcome to this mini presentation on why and how to use a Premortem Project Assessm…
  20. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p009-7-ef-3.pdf
    May 01, 2013 - Measure: Body Mass Index (BMI) Assessment and Recommended Weight Gain for Pregnant Women Measure: Body Mass Index (BMI) Assessment and Recommended Weight Gain for Pregnant Women Measure Developer: Pediatric Measure Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s) Patients who had a B…

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