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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…
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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
…
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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 …
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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
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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
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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
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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
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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…
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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…
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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…
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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…
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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…