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  1. www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
    April 01, 2019 - Meeting Minutes, November 2018 National Advisory Council Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 18, 2018, Meeting Summary Director's Welcome and Update Update on AH…
  2. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  3. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations 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 …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? 371 Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? John D. Banja Abstract Medical malpractice insurance policies customarily contain a “cooperation” clause requiring ins…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
    March 29, 2008 - Improving Perioperative Patient Safety Through the Use of Information Technology 1 Improving Perioperative Patient Safety Through the Use of Information Technology Paul J. St. Jacques, MD; Michael N. Minear Abstract The perioperative care process is a unique and challenging environment. Perioperative …
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
    January 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance Using the CAHPS Database to Compare, Report, and Improve Organizational Performance January 2014  Webcast Speakers Janice Ricketts, Senior Study Director, CAHPS Database, Westat, Rockville, MD Deborah Kilstein, BSN, MBA, Vice…
  7. www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…
  8. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
    April 10, 2025 - Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan 1 AHRQ Action IV Task Order #16 Patient-Centered Care Planning for Peo…
  9. www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
    January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan 1. title page The ED Pharmacist as a Safety Measure in Emergency Medicine Supported by: Agency for Healthcare Research and Quality Grant N…
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators Pri…
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
    September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
    January 01, 2022 - hyperthermia Ocular injury Peri-operative injury Post-dural puncture headache Respiratory failure indicated
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
    January 01, 2022 - hyperthermia Ocular injury Peri-operative injury Post-dural puncture headache Respiratory failure indicated
  14. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
    May 01, 2025 - An example was provided by the KI from the Area Agency on Aging who indicated one of the new and developing
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
    January 01, 2022 - hyperthermia Ocular injury Peri-operative injury Post-dural puncture headache Respiratory failure indicated
  16. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
    March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  17. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. Hospital Practice Insights: Challenges and Solutions Previous Page   Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Cha…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
    September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…
  19. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules Health Services and Primary Care Research Study: Comprehensive Report This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results: D…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
    April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook) Strategy 2: Communicating to Improve Quality (Implementation Handbook) Guide to Patient and Family Engagement Communicating to Improve Quality Implementation Handbook Strategy 2: Communicating to Improve Quality (Implementation Ha…

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