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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
June 02, 2025 - Journey of Mr. Kane
The Diagnostic Journey of
Mr. Kane
TeamSTEPPS® for Diagnosis Improvement
Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - THE MEDICAL HOME INDEX:
Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation of the CHIPRA Quality Demonstration Grant Program.
The Medical Home Index: Revised Short Form: Pediatric
Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families
The …
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www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED
1
1. TITLE PAGE
April 10th, 2012
Final Report Grant No: 1R03HS017740-01
Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension)
Title: Developing a Rational Clinical Approach to the Dispositio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
SAY:
The “Labor and Delivery Unit Safety” bundle
provides information on the key safety
elements concerning four specific situations
encountered in labor and deliv…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
4. Defining Language Need and Categories for Collection
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1.…
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - Meeting Minutes, March 2021
Virtual Meeting
Minutes from the March 18, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 10, 2020, Meeting Summary
Recent AHRQ Accomplishments
Update on AHRQ Bud…
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Also, we suspected
that medication-induced electrolyte abnormalities requiring intervention represent … observation, as drug-induced electrolyte depletion
severe enough to result in total body deficits requiring intervention … Implementation of a System for Computerized Adverse Drug Event Surveillance and Intervention
at an Academic
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-fullreport.pdf
May 01, 2018 - This has broad impact on
Medicaid, Medicaid expenses, and early intervention services, including Early … This has broad impact on Medicaid, Medicaid expenses, and early intervention
services, including EPSDT … Improving admission temperature in extremely low birth
weight infants: a hospital-based multi-intervention
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - for structural abnormalities of the brain that may predispose to future seizures or require
surgical intervention … for structural abnormalities of the brain that may predispose to future seizures or require
surgical intervention … Risk of intracranial pathologic conditions requiring emergency
intervention after a first complex febrile
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
November 01, 2019 - have experienced a seizure to evaluate for structural brain abnormalities
that may require surgical intervention … o Imaging study obtained on the day of or within the 180 days following neurosurgical
intervention … have
experienced a seizure to evaluate for structural brain abnormalities that may require surgical
intervention
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www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
January 01, 2024 - particularly pronounced in older adults, is increasing, making this at-risk population an ideal target
for intervention … A 2-phase labeling and choicearchitecture
intervention to improve healthy food and beverage choices. … Food choices of minority and low-income
employees: A cafteria intervention.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
June 01, 2015 - Impact of a primary care intervention on physician practice and patient and family behavior: Keep ME
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - well as actual and anticipated
competing demands for attention.6, 25 Therefore, a single signover intervention
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - This information will help future intervention studies develop
and evaluate communication tools to provide … this dissertation research was intended to garner
information needed for a future transition-in-care intervention
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www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - Physician pain reminder as an
intervention to enhance analgesia for extremity and clavicle injuries in … emergency
department crowding and hospital performance on antibiotic timing for pneumonia and
percutaneous intervention
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0084-fullreport.pdf
March 01, 2016 - Postpartum Followup and Care Coordination
Postpartum Followup and Care Coordination
Section 1. Basic Measure Information
1.A. Measure Name
Postpartum Followup and Care Coordination
1.B. Measure Number
0084
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it …
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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses
Title: “The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving
Collisions among 12-Hour Day and Night Shift Nurses”
Pri…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
August 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Issue Brief 18
Documenting Diagnosis: Exploring
the Impact of Electronic Health
Records on Diagnostic Safety
PATIENT
SAFETY
e
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e
Issue Brief 18
Documenting Diagnosis: Explorin…
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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-Quan_52.pdf
March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium
Adaptation of AHRQ Patient Safety Indicators
for Use in ICD-10 Administrative Data
by an International Consortium
Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP;
Euge…