- 
                                        
www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes
Issue Brief 7
Improving Education—A Key to 
Better Diagnostic Outcomes
PATIENT 
SAFETY
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Issue Brief 7
Improving Education—A Key to Better 
Diagnostic Outcomes
Prepared for: 
Agency for Healthcare… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae 6-1 
6. Carbapenem-Resistant Enterobacteriaceae
Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. 
Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. 
Introduction 
Background 
Carbapenem-resistant Enterobacteria… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/expanding-cardiac-rehab-implementation-guide.pdf
December 01, 2022 - Hybrid Cardiac Rehabilitation (HYCR) Expanding Capacity Implementation Guide
 
 
 
 
 
 
 
 
 
 
  
 
 
   
   
   
    
   
   
    
    
   
   
   
   
   
    
   
  
   
   
   
   
   
   
   
   
   
   
   
   
Expanding Capacity Implementation Guide 
December 2022 
… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for  
Mechanically Ventilated Patients 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Low Tidal Volume Ventilation Guide for 
Reducing Ventilator-Associated Events 
in Mechanica… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
May 01, 2017 - Transcranial Doppler Ultrasonography Screening Among Children With Sickle Cell Anemia
Transcranial Doppler Ultrasonography Screening 
Among Children with Sickle Cell Anemia 
Section 1. Basic Measure Information 
1.A. Measure Name
Transcranial Doppler Ultrasonography Screening Among Children with Sickle Cell Anemia … 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-fullreport.pdf
August 01, 2018 - Continuity of Insurance: Duration of Newborns' First Observed Enrollment
1 
Continuity of Insurance: Duration of Newborns’ First 
Observed Enrollment  
Section 1. Basic Measure Information 
1.A. Measure Name 
Continuity of Insurance: Duration of Newborns’ First Observed Enrollment 
 
1.B. Measure Number 
0157 
 
1.… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
December 31, 2015 - Pediatric All-Condition Readmission Measure
Pediatric All-Condition Readmission Measure 
Section 1. Basic Measure Information 
1.A. Measure Name
Pediatric All-Condition Readmission Measure 
1.B. Measure Number
0129 
1.C. Measure Description
Please provide a non-technical description of the measure that conveys… 
                                     
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative 
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members: 
Key Pe… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
September 01, 2018 - Access to Outpatient Specialty Care for Children
Access to Outpatient Specialty Care for Children 
Section 1. Basic Measure Information 
1.A. Measure Name 
Access to Outpatient Specialty Care for Children 
 
1.B. Measure Number 
0235 
 
1.C. Measure Description 
Please provide a non-technical description of the mea… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - Documentation of Heart Rate During Fluid Resuscitation for Children With Severe Sepsis or Septic Shock
1 
Documentation of Heart Rate During Fluid 
Resuscitation for Children with Severe Sepsis or 
Septic Shock 
Section 1. Basic Measure Information 
1.A. Measure Name 
Documentation of Heart Rate During Fluid Resu… 
                                     
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies 
 Case 4. Suntown Hospital 
 
 
 
 
 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 
 Case 3.… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators
 
Agency for Healthcare Research and Quality 
Advancing Excellence in Health Care     www.ahrq.gov 
Primary Care 
Practice Facilitation 
Curriculum 
Module 7: Professionalism for Practice Facilitators 
 
 
 
Pri… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
May 01, 2018 - Timely Fluid Bolus for Children With Severe Sepsis or Septic Shock
1 
Timely Fluid Bolus for Children with Severe Sepsis or 
Septic Shock 
Section 1. Basic Measure Information 
1.A. Measure Name 
Timely Fluid Bolus for Children with Severe Sepsis or Septic Shock 
 
1.B. Measure Number 
0231 
 
1.C. Measure Descript… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
February 01, 2018 - Timely Blood Culture for Children With Sepsis Syndrome
1 
Timely Blood Culture for Children with Sepsis 
Syndrome 
Section 1. Basic Measure Information 
1.A. Measure Name 
Timely Blood Culture for Children with Sepsis Syndrome 
 
1.B. Measure Number 
0229 
 
1.C. Measure Description 
Please provide a non-technical … 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - Timely Antibiotics for Children With Severe Sepsis or Septic Shock
1 
Timely Antibiotics for Children with Severe Sepsis or 
Septic Shock 
Section 1. Basic Measure Information 
1.A. Measure Name 
Timely Antibiotics for Children with Severe Sepsis or Septic Shock 
 
1.B. Measure Number 
0230 
 
1.C. Measure Descript… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - Chapter-2 - Failure-To-Rescue
Failure To Rescue 2-1 
2. Failure To Rescue
Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A. 
Introduction 
Background 
Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient 
experiencing complications from a disease p… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
June 25, 2014 - www.eric.ed.gov
http://pediatrics.aappublications.org/
FROM THE AMERICAN ACADEMY OF PEDIATRICS 
FIGURE 1 
Integrating
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency
105 
Fundamentals of Medicare Patient  
Safety Surveillance: Intent, Relevance,  
and Transparency 
David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder, 
Lisa J. Jaser, Nancy Safer, Paul Davern 
Abstract 
The Medicar… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
 
309 
A Conceptual Framework for Studying the 
Safety of Transitions in Emergency Care 
Ravi Behara, Robert L. Wears, Shawna J. Perry,  
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, 
Christopher Beach, Pat Croskerry, Ka… 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339 
Serious Reportable Adverse  
Events in Health Care 
Kenneth W. Kizer, Melissa B. Stegun 
Abstract 
Health care errors resulting in patient harm are a leading cause of morbidity and 
mortality in the United States, although there is no national reporting of such…