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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
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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…
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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…
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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…
-
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…
-
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…
-
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
-
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…
-
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
…
-
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…
-
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…
-
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? .....................................…
-
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,
-
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…
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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…
-
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…
-
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…
-
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…
-
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…
-
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…