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www.ahrq.gov/news/newsroom/ahrq-stats.html
January 01, 2025 - AHRQ Stats
New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design
1
PATIENT
SAFETY
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, function…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design
1
PATIENT
SAFETY
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, function…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Introduction to Falls Reports
Falls Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors (by Unit or Facility)
Contextual Factors Report (by Unit or Facilit…
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www.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
January 01, 2024 - Final Progress Report: Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system
Final Report
Development of a community-wide real-time
health information exchange–based hospital readmission risk
prediction and notification system for…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care
Type of Evidence Key Findings Citation
Readmission and Quality of Care Coordination, Discharge, and Care
Transition Processes
Meta-analysis Investigators reviewed
randomized controlled
studies of structured
telephone support or
t…
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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/patient-safety/resources/simulation/simulation-issue-brief.pdf
July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
e PATIENT
SAFETY
This page intentionally left blank.
e
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
Prepared for:
Agency for Healthcare Research …
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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/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/2025-02/kleinman2-report.pdf
January 01, 2025 - Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis
Title Page
Title: Improving Implementation and QI Research with Regression Risk Analysis
Principal Investigator: Lawrence C. Kleinman, MD, MPH
Key Team Members: Edward C. Norton, PhD
Jason Wang, PhD
Kasey Coyne
Morgen …
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www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia
5R01HS018413-02 REVISED Tanner CM
I
FINAL PROGRESS REPORT
Project Title:
Principal Investigator:
Team Members:
Project Dates:
Federal Project Officer:
Acknowledgment of Agency Support
and Grant Number:
DIAGNOSTIC ERROR IN DYSTONIA
Tanner, Caroline M., MD, …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
September 08, 2015 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9
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 quality of
health care for chil…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/ncahec.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication
FINAL REPORT
Putting a Face on Hospital Medical Errors:
Communication
Project funded by:
Agency for Healthcare Research and Quality
Grant No. 1R03HS016122-01
September 29, 2005-September 30, 2006
Federal Project Officer: Elizabeth D…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
July 01, 2011 - A Tale of Three Practices: How Medical Groups are Improving the Patient Experience
1
CASE STUDY
A Tale of Three Practices: How Medical
Groups are Improving the Patient Experience
July 2011
Introduction
Medical practices are facing increasing pressure to improve their patient experience
survey scores…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
December 01, 2017 - Presentation: Engaging Senior Executives
Engaging Senior Executives
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module we will discuss the importance of senior engagement on your safety program team.
1
Why Do We Need an Executive?
We discussed our PSSA data …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
July 01, 2023 - Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
Implementing the
SPPC-II Teamwork Toolkit
Module 7 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
Implementing the
SPPC-II Teamwork Toolkit
Module 7 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and plannin…