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  1. www.ahrq.gov/news/newsroom/case-studies/coe1304.html
    April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications Search All Impact Case Studies April 2013 The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…
  2. psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
    September 24, 2016 - Study Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. Citation Text: Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post St…
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Famolaro The SOPS Databases Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS Databases 320 Hospitals Version 1.0 (2021) 172 Hospitals Version 2.0 (2021) 191 Nur…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Strategy 4: IDEAL Discharge Planning (Tool 3) Improving Discharge Outcomes with Patients and Families Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 3) O Guide to Patient and Family …
  5. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Management Practices for Sustainability Module 5: Visual Management Slide 1: Management Practices for Sustainability Module 5: Visual Management Management Practices for Sustainability Module 5: Visual Management Slide 2: A Frontline Management System To Promote Safety Standard Work Image: This imag…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-m.pdf
    May 01, 2017 - Preventing Infections in Endoscopic Procedures Appendix M. Endoscopy Infographic AHRQ Safety Program for Ambulatory Surgery Implementation Guide Empower patients and families to insist that all team members wash their hands before providing care; encourage patients and families to perform hand hygie…
  7. www.ahrq.gov/news/newsroom/press-releases/new-national-healthcare-safety-dashboard.html
    December 01, 2024 - New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm Press Release Date: December 5, 2024 Today, the National Action Alliance for Patient and Workforce Safety (NAA) at the U.S. Department of Health and Human Services (HHS) launched the National Healthcare Safety Dashboard ,…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-c-table.pdf
    June 30, 2009 - CHIPRA 155: Section 7.C, Socioeconomic Status Table …
  9. digital.ahrq.gov/national-webinars/prepping-future-digital-solutions-aging-populations
    January 01, 2023 - Prepping for the Future: Digital Solutions for Aging Populations Event Date: October 08, 2025 | 2:30pm – 4:00pm ET To Register: Go to this link: https://ahrqwebinar.webex.com/weblink/register/re71a194111d9a5a652a12a75139b4af2 Click “Register” Enter your informatio…
  10. www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
    January 01, 2023 - Making Adjustments to Health Care Quality Scores One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
  11. www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
    November 01, 2018 - Evaluating the Results of a Quality Reporting Project The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve. What consumer audience were you trying to reach? What changes …
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab2.html
    March 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 2: Availability of Selected Medicaid 1915(c) Waiver Home and Community-Based Services, by State, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Ava…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or designee, unless otherwise indicated. How to use this tool: Use the checklist to ensure that appropriate action is t…
  14. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …
  15. www.ahrq.gov/news/newsroom/case-studies/ktcoe33.html
    October 01, 2014 - Iowa Medicaid Uses AHRQ Research, Data to Improve Quality Search All Impact Case Studies March 2010 As a result of participating in the Medicaid Medical Directors Learning Network—an AHRQ Knowledge Transfer project—the Iowa Medicaid Enterprise, in consultation with the Iowa Foundation for Medical Care, used…
  16. www.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 This document provides estimates of the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients (PFP) program for calendar years 2011 and 2012. The methods used to compute this data are identical to t…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
    October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action Improving Diagnosis in the Context of Rurality Previous Page Next Page Table of Contents Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the Context of R…
  18. psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
    November 03, 2021 - Review Missed nursing care in emergency departments: a scoping review. Citation Text: Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
    December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. Citation Text: Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…
  20. psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm
    December 17, 2014 - Study Measuring adverse events in hospitalized patients: an administrative method for measuring harm. Citation Text: Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. d…