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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task …
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
    January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices Prepared for: Agency for Healthcare Research and Qual…
  3. www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
    January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1 Title Page Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients: Randomized Trial Principal Investigator and Team M…
  4. www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry Grant Final Report Grant ID: 5R01HS015226-03 Improving Safety and Quality with Outpatient Order Entry Inclusive dates: 09/03/04 - 08/31/08 Principal Investigator: Tejal K. Gandhi, MD, MPH Team members: Eric G. Poon, MD, MPH Thomas D.…
  5. www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
    January 01, 2024 - Final Progress Report: ED Staffing and Patient Outcomes ED Staffing and Patient Outcomes Final Report Nina A. Bickell, MD, MPH, Principal Investigator Team Members: Rebecca Anderson, MPH, Project Manager Carol Barsky, MD, Co-Investigator Mary Rojas, PhD, Co-Investigator Department of Health Policy Moun…
  6. www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
    January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children FINAL PROGRESS REPORT Title of Project: Profiling the Needs of Dying Children Principal Investigator: Chris Feudtner, MD, PhD, MPH Organizations: The University of Washington (2000-2002) and The Children's Hospital of Philadelphia (2002-2006) Date…
  7. www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
    January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study AHRQ grant final progress report TITLE The Effect of EMR on Medication Safety: A SPUR-Net Study PRINCIPAL INVESTIGATORS AND TEAM MEMBERS Principal Investigator: Grace M. Kuo, PharmD, MPH Study Co-Investigators: Jeffrey R. Steinbauer,…
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
    January 01, 2020 - 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey 2018 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR THE MEDICAL EXPENDITURE PANEL SURVEY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Health…
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
    January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Effectively engaging practices in a primary care quality improvement (QI) initiative, including both the initi…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
    April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program 291 Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan Abstract Patient safety is a critical dimension of program …
  11. Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
    January 01, 2012 - So you can see that for us in Massachusetts, care coordination has been a huge issue and an area that … empirical evidence that gaps in coordination lead to medical errors, and that’s a very real and important issue … Massachusetts; receiving conflicting information from different doctors or health care professionals as a big issue … as communication among providers within a practice and across practices, that’s a very fundamental issue … So that’s definitely an issue and the portal can be an incredible tool once we get patients and families
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-champions.pdf
    April 01, 2022 - Issue One of the most important roles physicians play in performance improvement is that of physician … tools/clabsi-cauti-icu/team-roster.docx Engaging Physician Champions in Preventing CLABSI and CAUTI Issue
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
    April 01, 2022 - Issue Physicians play various roles in quality and safety, from leaders and champions, to committee … preventing-cauti-engaging-leadership-slides.html Engaging Physicians in Preventing CLABSI and CAUTI Issue
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/celebrating-success.pdf
    April 01, 2022 - Issue Recognizing success, large and small, both early on and long-term is important to sustainability … PlanDoStudyActWorksheet.aspx Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit Issue
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-anemia-dialysis.pdf
    December 02, 2019 - https://www.kisupplements.org/issue/S2157-1716(12)X7400-8. Accessed December 2, 2019. 3. … anemia https://www.niddk.nih.gov/health-information/kidney-disease/anemia https://www.kisupplements.org/issue
  16. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - the underlying factors producing the performance; in other words, the root causes of the performance issue … use with your practices to identify the different factors that are at play with a given performance issue … First, work with practice members to define the issue they want to improve or the problem they wish … why five times until the group members agree they have identified the root cause of the performance issue … Have team members clearly define a measurable performance issue they want to analyze and write this
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep4.html
    June 01, 2010 - Given the evolving nature of AHRQ's long-term strategy for fulfilling the DRA mandate, this issue may … A related issue is the mode of data collection.
  18. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.html
    March 01, 2019 - descriptions Category descriptions More about the national evaluation Reports & Resources: findings, issue … data: quantitative, qualitative Plan dissemination strategies with key stakeholders Publish first issue
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
    April 06, 2008 - organization transmits the Problem Statement to the PSO and concretely defines the core performance issue … • Could the Problem Statement issue result in death or serious injuries to individuals? … • Does the Problem Statement issue have a significant impact on patient care? … • Does the Problem Statement issue have a serious impact on cost, reliability, or compliance? … • What are the ramifications of the Problem Statement issue recurrence?
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
    February 23, 2008 - defined on an ad hoc basis by a judge or jury.5 From the perspective of the VHA group considering this issue … Another cultural issue raised by facilities was, “How will our residents get experience with airway … For many institutions, training availability is an issue. … When instituting the new Directive, we were concerned that cost might be an issue. … Department of Veterans Affairs identified a significant issue through their patient safety program:

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