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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
    April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review the guide information when developing and implementing a systems approaching to event investigation and analysis. T…
  2. www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
    January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error Reduction, Technologies, and Human Factors Final Report Pascale Carayon, PI, Tosha B. Wetterneck, co-PI Roger Brown Professor, UW School of Nursing Pascale Carayon Principal investigator; Professor, Department of …
  3. www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
    January 01, 2024 - Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety FINAL REPORT SUMMARY Grant #: HS11375-03 Matthew B. Weinger 9/27/01 to 9/30/05 Center for Perioperative Research in Quality Vanderbilt University Medical Center 1211 22nd Avenue South, 526 MAB Nashville, TN 37212 Phone: 615…
  4. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
    September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Issue Brief 23 The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design PATIENT SAFETY e This page intentionally left blank. e Issue Brief 23 The Patient’s Role in Diagn…
  5. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
    September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Issue Brief 23 The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design PATIENT SAFETY e This page intentionally left blank. e Issue Brief 23 The Patient’s Role in Diagn…
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
    January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans March 2015  Webcast Speakers Stacia Cohen, RN, MBA, Vice President, Medicare Stars Center of Excellence, BCBS of Minnesota, Eagan, MN Christopher Seller…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Guide to Patient and Family Engagement Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 4: IDEAL Discharge Planning (Implementation …
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
    March 01, 2016 - Episiotomy (Overuse): Report Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measur…
  9. www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
    February 21, 2016 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report Contract Final Report National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report Prepared for: Agency for Healthcare Research and Quality Rockville, MD Contract HHSA29020090002191 …
  10. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
    May 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs Invest Trustin 2 Contents Introduction 3 Summary 4 Section 1: How We Approached This Project 6 Section 2: What Is …
  11. www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
    January 01, 2021 - AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 US DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane …
  12. www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
    January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Resea…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
    January 01, 2017 - Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanica…
  14. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
    June 01, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration  Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration P…
  15. www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
    November 01, 2008 - Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 Evidence Report/Technology Assessment Number 169 Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy Prepared for: Agency for Healthcare Research…
  16. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief PATIENT SAFETY e Issue Brief 16 Current State of Diagnostic Safety: Implications for Research, Practice, and Policy This page intentionally left blank. e Issue Brief 16 Current State of Diagnostic Safety: …
  17. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
    September 01, 2015 - Practice-Based Research Network Business Opportunities with ACOs and Other Health Care Systems: Training and Technical Assistance PRACTICE-BASED RESEARCH NETWORK BUSINESS OPPORTUNITIES WITH ACOs AND OTHER HEALTH CARE SYSTEMS: Training and Technical Assistance PBRN TRAINING & TECHNICAL ASSISTANCE HEALTH CAR…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
    February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Functional Specifications Current a…
  19. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
    May 01, 2025 - Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan May 1, 2025 1 AHRQ Action IV Task Order #16 Person-Centered Care Plannin…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
    March 29, 2016 - Patient Self-Management Support: A Chronic Conditions Practice Improvement Activity Advancing Excellence in Health Care–•–www.ahrq.gov Patient Self­Management Support A Chronic Conditions Practice Improvement Activity User Guide Resources To use a screen reader application with this module, please change your …

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