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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Processes should incorporate a “feedback loop” to ensure their constant improvement.
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - With greater availability of structured electronic health record data,
it is now more feasible to incorporate … HAC definitions can fully capture the incidence of a given HAC, AHRQ has revised its
definitions to incorporate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - With greater availability of structured electronic health record data,
it is now more feasible to incorporate … HAC definitions can fully capture the incidence of a given HAC, AHRQ has revised its
definitions to incorporate
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
January 01, 2009 - interpretation and/or
methodological errors in measuring the indicator of interest that it is necessary to incorporate
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises
Contents
Nutrition Risk Reports Information Exercises
Exercise #1: Risk Criteria and Rules
Exercise #2: Identify Residents Meeting High-Risk Criteria
Exercise #3: Identify Resi…
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Module Aim
The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices.
Module Goals
The goals of …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
September 08, 2015 - How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the qu…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States
1
Factors Contributing to Sustainment Outcomes in Four States
This supplementary material contains brief case studies that examine key factors influencing
decisions about sustaining elements of four states’ CHIPRA Quality Demonstration Grants. The …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Slide 1
Preventing CAUTI in Specialized Patient Populations: The ICU
1
Hannah Wunsch, MD, MSc
Herbert Irving Assistant Professor of Anesthesiology and Epidemiology
Columbia University
Eugene Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Hospital
Associate Clinical Professor of Medicine
University of Co…
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www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi
FINAL PROGRESS REPORT
Title of Project: Addressing Preventable Medication Use Variance in Mississippi
Principal Investigator: Brown, CA, MD, MPH
Team Members: William Rudman, PhD, Calvin Hewitt, MBA,
Honey Holman, MD, Kent Kirchn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability
Slide Title and Commentary
Slide Number and Slide
Sustainability: Learning From Defects
SAY:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
L&D Unit Safety
2
L&D Unit Safety Tools
The Labor and Delivery…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Magnesium Sulfate
Safe Medication Administration—Magnesium Sulfate
Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Appendix: State Overviews
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Program
Section 2: Engaging S…
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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations
FINAL PROGRESS REPORT
1. TITLE PAGE
Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for
Disease Control Guideline (CDC) guideline in the primary care HIV clini…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Executive Summary
Previous Page Next Page
Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians an…
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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Advancing Patient Safety
A Decade of Evidence, Design, and Implementation
After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…