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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - Some of the initiatives involved have been institution of a “full
disclosure” policy for medical errors
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - HIT Resource List
Improving Health Information Technology Patient
Safety: A Resource List for Users of the AHRQ Health
Information Technology Item Set
I. Purpose
This document provides a list of references to websites and other publicly available practical
resources that hospitals can use to implement changes …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
March 18, 2008 - Efficiency Gains with Computerized Provider Order Entry
Efficiency Gains with Computerized
Provider Order Entry
Andrew M. Steele, MD, MPH, MSc; Mical DeBrow, PhD, RN
Abstract
Objective: The objective of this project was to measure efficiency gains in turnaround times
with the implementation of a computer…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
March 01, 2019 - Step 3: Build the Stakeholder Group Structure
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - A New Model of Tracheostomy Care: Closing the Research–Practice Gap
521
A New Model of Tracheostomy Care:
Closing the Research–Practice Gap
Joel St. Clair
Abstract
Performance improvements have brought about fundamental changes in the
past year at Walter Reed Army Medical Center (WRAMC), where a concerted …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach
Improving Error Reporting in Ambulatory
Pediatrics with a Team Approach
Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA
Abstract
Objective: We aimed to determine the effectiveness of team-based reporting, system…
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - secondary
purpose of this project was to develop a complete toolkit that provides resources needed for an institution … The institution places a high priority on patient safety, and
institutional and departmental leaders
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www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
January 01, 2024 - Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative
AHRQ Grant Final Progress Report
Contextual Factors Associated with Implementation Effectiveness
within a Quality Improvement Collaborative
GRANT NUMBER: R18 HS18645-03
PRINCIPAL INVE…
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety
AHRQ TEAM TRAINING GRANT
FINAL PROGRESS REPORT
Project Title: Evaluating the Impact of Simulated Team Training on
Patient Safety
Principal Investigator: Daniel J. Scott
Team Members: Rajiv Gala (Co-Investigator)
John Fore…
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of oxytocin during labor. The key elements are presented within the framework of the Comprehensive U…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9)
Patient and Family Advisor
Orientation Manual
Strategy 1: Working with Patients & Families as Advisors (Tool 9)
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 9)
Guide to Patient and Family Engagem…
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www.ahrq.gov/hai/tools/mrsa-prevention/index.html
November 01, 2024 - AHRQ Safety Program for MRSA Prevention
This ongoing implementation project aims to help intensive care units, non-intensive care units, surgical services, and long-term care facilities measurably decrease invasive MRSA infections using AHRQ's Comprehensive Unit-based Safety Program (CUSP) method.
About This …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
June 02, 2025 - Plan-Do-Study-Act Worksheet
PDSA Worksheet Page 1 of 2
PDSA Worksheet
Complete Page 1 of the worksheet when planning your Plan-Do-Study-Act (PDSA) cycle. Multiple PDSAs
can be designed in support of a single Aim.
AIM STATEMENT (Measurable goal, with a target date)
__________________________________________…
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - Learn Best Practices for Common Infectious Syndromes
Tools that describe the diagnosis, treatment, and management of infections common among long-term care residents, including C. difficile , urinary and respiratory tract, and skin and soft tissue infections.
For information on how the materials below can …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appa.html
September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs
Appendix A: Brief History of CMEs
Previous Page Next Page
Table of Contents
Designing Care Management Entities for Youth with Complex Behavioral Health Needs
Part 1: An Introduction to Care Management Entities (CMEs)…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
February 19, 2016 - CHIPRA 201: Section 5, Table 3
Table 3: Evidence in Support of Education for Proper Use of New Medication Delivery Devices for
Children with Asthma
TYPE OF
EVIDENCE
KEY FINDINGS
LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATION(S)
Clinical
guidelines
The Expert Panel recommends that
clinicians d…
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/home-health/examples.html
November 01, 2018 - Examples of Home Health Care Quality Measures for Consumers
The development of measures for home health is in the early stages, but several measures have been endorsed by NQF and are being reported. Here are some examples of measures that would be appropriate for reporting to consumers and are currently include…
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www.ahrq.gov/takeheart/training/module-9/index.html
December 01, 2022 - Module 9: Engaging and Empowering Patients and Families for Success in Cardiac Rehabilitation
YouTube embedded video: https://www.youtube-nocookie.com/embed/M0gL99Fwyzk
Video: Activating Patients to Engage and Complete Cardiac Rehabilitation (59:10)
Slides: Activating Patients To Engage and Complete…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_6_Checklist_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 6)
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 6)
Am I Ready to Become an Advisor?
Are you thinking about becoming a patient and family adviso…