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  1. www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
    January 01, 2024 - The field experience and familiarity of these individuals with resuscitation scenarios reinforce the
  2. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
    June 01, 2025 - Functional fixedness—a cognitive trap in which individuals struggle to think beyond the most obvious
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
    January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Items for Hospitals 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Workplace Safety Supplemental Item Set for Hospitals Prepared for: Agency for Healthcare Research and Qua…
  4. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pdf
    January 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 4 Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of the U.S.-Mexico Border 2014 National Healthcare Quality and Disparities Report | 77 PART 4: HEALTH CARE OF RESIDENTS OF THE U.S.-MEXICO BORDER This part of the chartbook focuses on he…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Worksheet Purpose The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
  6. 0129References (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
    October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
    October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action References Previous 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 Rurality Three Areas To Immediately Advance…
  8. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/consolidation-ownership-slides.pdf
    April 03, 2025 - The Impact of Consolidation and Ownership on Primary Care - Slide Presentation National Center for Excellence in Primary Care Research National Center for Excellence in Primary Care Research Presents The Impact of Consolidation and Ownership on Primary Care April 3, 2025 Presented by: Amelia Bond, PhD E. Ma…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
    January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard Slide Title and Commentary Slide Number and Slide Tools for Sustainability: Premortem and Scorecard SAY: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS; Sally Reynolds, M…
  11. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? Evaluation Highlight No. 11 Authors: Grace Anglin and Mynti Hossain Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Qua…
  12. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
    May 01, 2013 - How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? Evaluation Highlight No. 2 Authors: Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly Devers, and Rebecca Peters Contents Key Messages Background Findings Conclusions Implications …
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
    August 01, 2021 - Co-producing a Diagnosis Provider Training Slides Toolkit for Engaging Patients and Families To Improve Diagnosis AHRQ Publication No. 21-0047-7-EF August 2021 1 "Just listen to your patient, he is telling you the diagnosis."1 - Sir William Osler This quote from Sir William Osler, who is also commonly referred …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD Abstract Objective: To explore the feasibility of a novel method for capturi…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
    July 01, 2023 - Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation Introduction to the SPPC-II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in the Safety Prog…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
    January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey The PeaceHealth Ambulatory Medication Safety Culture Survey Ronald Stock, MD; Eldon R. Mahoney, PhD Abstract Objective: The objective of this project was to construct a measure of medication safety culture in ambulatory settings. Methods: A 16-it…
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care SAY: Thank you for joining us. This…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
    March 01, 2017 - PowerPoint Presentation Clean Equipment and Environment Promotes Safe Resident Care Training Module 2 AHRQ Pub. No. 16(17)-0003-9-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 2: Engaging Stakeholders in a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Manage…
  20. www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - How a clinical decision tool performs varies based on the nature of the individuals being measured and

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