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  1. www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
    January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…
  2. www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
    January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…
  3. www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
    June 01, 2017 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performanc…
  4. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …
  5. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
    June 01, 2010 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Compar…
  7. Rafael Borja (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
    September 09, 2014 - Rafael Borja American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Association Chicago, Tuesday, September 9, 2014 scheduled for 11:00 a.m. Central Time. Ladies and gentlemen, than…
  8. www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
    November 01, 2015 - Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) Webinar Transcript American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Associ…
  9. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
    March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…
  10. www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
    January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs Title Page Title of Project: Risks Of Inaccurate Or Incomplete Preoperative Assessments In Freestanding ASCs Principal Investigator: Nancy Kupka DNSc, MPH, RN - The Joint Commission Team Members: Diana Bickham, …
  11. www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
    January 01, 2024 - Final Progress Report: Determinants of Intrapartum Quality of Care Determinants of Intrapartum Quality of Care Jennifer Bailit MD, MPH David Aron, MD Thomas Love, PhD Case Western Reserve University 9/30/05-9/29/07 Project Officer: Judith Sangl This project was supported by grant number 5 R03 HS014352 from …
  12. www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
    November 01, 2016 - Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care May 11, 2015 Download accessible version of slides (PDF, 1.5 MB) The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve…
  13. www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
    November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results August 19, 2014 Download accessible version of slides (PDF, 2.4 MB) National Quality Strategy Webinar: Using the Nine Levers to Achieve Results [Slide 1] Ann Gordon:  Good afternoon everyone. We want to…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
    April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT; Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…
  15. www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
    January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: Improving Medication Safety in Nursing Home Dementia Care Principal Investigator: Stephen Crystal, Ph.D. Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell, Sharon Cook, Shere…
  16. www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
    February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD, RN, FAAN, FRCN Abstract Patient falls account …
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pptx
    September 01, 2016 - Slide 1 National Healthcare Quality and Disparities Report Chartbook on Person- and Family-Centered Care September 2016 This presentation contains notes. Select View, then Notes page to read them. 1 National Healthcare Quality and Disparities Report Annual report to Congress mandated in the Healthcare Research…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
    February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD, RN, FAAN, FRCN Abstract Patient falls account …
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
    January 01, 2013 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Federal Register Notice 2474-NC-CMS: Request for Public Comment on Initial, Recommended Core Set of Children’s Healthca…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
    January 01, 2001 - Development of a Screening Tool for Safe Wheelchair Seating 127 Development of a Screening Tool for Safe Wheelchair Seating Deborah Gavin-Dreschnack, Lawrence Schonfeld, Audrey Nelson, Stephen Luther Abstract Objectives: Most elderly nursing home residents who need wheelchairs are not being assessed i…

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