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  1. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
    June 02, 2025 - Six Building Blocks How-To-Implement Toolkit: Self-Assessment Tool Six Building Blocks Self-Assessment Tool Instructions: Review and consider each question and circle the answer that best reflects your organization’s current status. Three numbered options for each answer allow you to select how far along you …
  2. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-additional-topics.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Additional Topic Areas Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Res…
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-appendix.pdf
    January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part II Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey: 2025 User Database Report Part II: Appendix A—Results by Nursing Home Characteristics Appendix B—Results by Respondent Characteristics Prepared for…
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 3. Grand Hospital Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
    May 01, 2004 - Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability 7 Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability Peter E. Rivard, A. Rani Elwy, Susan Loveland, Shibei Zhao, Dennis Tsilimingras, Anne Elixhauser, Patrick S. R…
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
    January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II Surveys on Patient Safety CultureTM (SOPSTM) Medical Office Survey: 2020 User Database Report Part II Appendix A—Results by Medical Office Characteristics Appendix B—Results by Respondent Characteristics Prepa…
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
    March 01, 2020 - IEEE J Biomed Health Inform. 2019;23(2):857-66. doi:10.1109/jbhi.2018.2834863. 10.
  8. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
    October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Training Guide Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Module Goals The goals of…
  9. www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
    January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery 1. Title Page Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH Organization University of Chicago Dates of the Project 07/01/2018 - 04/30…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…
  11. References (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
    October 23, 2013 - References References 1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY, Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission prevalence and variability across hospitals. JAMA. 2013;309(4):372–380. 2. Pelletier AJ, Mansbach JM, …
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-post-intervention.pdf
    June 02, 2025 - Follow-up Practice Survey Codebook Including Core and Optional Items Follow-up Practice Survey Codebook Including Core and Optional Items This codebook contains optional items that at least one cooperative expressed intentions of collecting in follow-up survey administration, and thus may be useful in selecting opt…
  13. www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
    November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement Executive Summary Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection Connie Savor Price, MD 2nd Annual AHRQ HAI Investigators Meeting September 18, 2011 Bethesda, Maryland HHSA-290-2006-00…
  15. www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety Slide presentation of the webinar held on August 1, 2016 The Agency for Healthcare Research and Quality (AHRQ) held a Webinar on August 1, 2016, to provide an overview of the AHRQ Quality Indicators (QIs…
  16. www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
    January 01, 2024 - Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) TITLE PAGE Title of Project: Preventing Opioid Misuse through Safe Opioid Use Agreements between Patients and Surgical Providers (PROMISE-ME) Team Members: Principal Investi…
  17. www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
    July 01, 2015 - Meeting Minutes, March 27, 2015 National Advisory Council Minutes from the March 27, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 7, 2014, Meeting Summary Director's Update and Strategic Directi…
  18. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/blood-pressure-flowchart.pdf
    June 02, 2025 - controlling high blood pressure Controlling High Blood Pressure Was the patient aged 18 years or older on the first day of the measurement period? Yes Was the patient aged 85 years or younger on the last day of the measurement period? Yes No Did the patient have at least one face to face visit with an e…
  19. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/smoking-cessation-flowchart.pdf
    June 02, 2025 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Was the patient aged 18 years or older on the first day of the measurement period? Did the patient have at least two face to face visits with an e…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…

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