-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - UMHS launched a system-wide
intervention to send automated telephone reminders to patients with upcoming … understand project goals and systematically test approaches on a small scale before
spreading the intervention … M.S., from UMHS stated, “There is power to just having the
data, but if you have any kind of complex intervention
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - impact on the caregiver, supports them, and
identifies individuals who require further support or intervention … The intervention should be measured through observations, audits, or other data collection methods. … help reveal this issue and gives the owners of the solution an
opportunity to refine or change the intervention
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - • Is there adherence to sepsis bundle intervention while facing an evolving evidence base?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18465-Kesselheim-draft-1.pdf
January 01, 2015 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization
PI Name: Aaron S. Kesselheim, M.D., J.D., M.P.H.
Application ID: 5K08HS018465-05
Proposal Title: Off-label prescribing: Comparative evidence, regulation, and utilization
Title: Off-label prescribing: Comparative evidence…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/anumba-report.pdf
August 07, 2023 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety
FINAL PROGRESS REPORT
PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH
HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY
PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
5. Improving Data Collection across the Health Care System
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
September 29, 2017 - Abt Single-Sided Body Template
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
· On-Time Falls High-Risk Report.
· Quarterly Summary of Falls Risk Facto…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix F. Hospital Practice Insights: Challenges and Solutions
Previous Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Cha…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education
TECHNICAL ASSISTANCE DOCUMENT
IMPLEMENTING U.S. PREVENTIVE SERVICES
TASK FORCE (USPSTF) RECOMMENDATIONS
INTO HEALTH PROFESSIONS EDUCATION
September 21…
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www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety
FINAL PROGRESS REPORT
PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH
HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY
PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
PATIENT
SAFETY
e
Issue Brief 6
The Contribution of Diagnostic Errors
to Maternal Morbidity and Mortality
During and Immediately After Childbirth:
State of the Science
This…
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www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
January 01, 2024 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization
PI Name: Aaron S. Kesselheim, M.D., J.D., M.P.H.
Application ID: 5K08HS018465-05
Proposal Title: Off-label prescribing: Comparative evidence, regulation, and utilization
Title: Off-label prescribing: Comparative evidence…
-
www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient Safety
Laurence Baker, PI
Sara Singer, Co-PI
Jeff Geppert, Co-Investigator
Bruce Spurlock, Consultant
David Classen, Consultant
Stanford University Center for Health Policy
August 2000 - August 2004
Federal P…
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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-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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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-Walsh_74.pdf
May 28, 2008 - In pilot testing, the research nurse never observed an error that required her
intervention.
-
www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients
Title Page
Project title: Developing biomechanical models from initiated fall actions and
reactions in frail elderly patients
Principal Investigators: Drs. Janice Morse and Andrew Merryweather…
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www.ahrq.gov/research/findings/studies/index.html?page=191
January 01, 2024 - This intervention was associated with a 7.8% reduced incidence of tachypnea-specific systemic inflammatory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - catheters based on HICPAC recommendations
Proper care for appropriate indwelling catheters
3) Placement Intervention
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/Patient-Safety-Tools-flyer-June2022.pdf
May 01, 2022 - Staphylococcus aureus) Enhanced Protocol explains
that universal decolonization is the most effective
intervention
-
www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
January 01, 2025 - Interventions
N/A – this project proposed no intervention.