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  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
    September 18, 2014 - Section 6-B, Expert Workgroup Roster and Materials …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4c Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on reta…
  3. www.ahrq.gov/policymakers/chipra/overview/background/references.html
    April 01, 2025 - 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 References 1. Centers for Medicare and Medicaid Services. CHIPRA Quality Demonstration Grants Summary. CHIPRA. https://www.medicaid.gov…
  4. www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing 1. Title Page Title: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing PI: Lewis Lipsitz, MD Team Members: Amber Moore, MD, MPHa,b; Julie C. Lima, MPH, PhDc; Sweta Patel, BD…
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
    January 01, 2017 - Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol QUESTIONS & ANSWERS The CAHPS Patient Narrative Elicitation Protocol: A Scientific Approach to Collecting Comments on Experiences of Care Narratives from patients about their health care experiences can provide a valuable complement to standar…
  6. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
    July 02, 2020 - 1 Learning Community Affinity Group Summary-at-a-Glance: Operational Adjustments while Resuming In-Person Cardiac Rehabilitation Programs July 2, 2020 Event Purpose and Overview • Purpose: To share and acquire strategies for how to adjust operations while resuming in-person cardiac rehabilitation p…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count Why Focus on Retained Fore…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4q Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on retained forei…
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
    April 20, 2021 - Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide Table of Contents Introduction ......................................................................................................................................1 What Is the Monitor and Sustain Guide?....................................…
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - Supplemental measures are not discussed in the core report, except to highlight important topical issues
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
    June 01, 2021 - Suggested Timeline for Implementation Date Presentations and/or Narrated Presentations Supporting Materials Activities for the Stewardship Team Activities for Frontline Providers Week 1 The Four Moments of Antibiotic Decision Making: An Introduction to Improving Antibiotic Use i…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? 371 Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? John D. Banja Abstract Medical malpractice insurance policies customarily contain a “cooperation” clause requiring ins…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
    December 01, 2017 - Though time intensive, direct contact helped us understand the issues the hospitals were facing, and … the Perioperative Staff Safety Assessment or the “two questions,” to identify and help solve local issues … inhibits efforts in quality improvement, as available resources are often redirected toward pressing issues
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - implementation challenges could be addressed by convening the various stakeholders to resolve the issues … prepares prescriptions; collects UDTs; conducts pill counts; checks PDMPs, assessing concerning patient issues … were regulations, clinical logistics of dispensing medications, internal cost and reimbursement issues
  15. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - Additional issues include knowledge gaps among clinicians, cognitive fatigue of clinicians evaluating
  16. www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
    December 01, 2012 - concerns about several of the SNAC-recommended measures for the core set and considered other programmatic issues
  17. www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
    April 01, 2013 - fortunate and lucky that our CNO and our CMO were very receptive with acknowledging the fact that we had issues
  18. www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
    January 01, 2024 - house staff has been successful, and each are held accountable for addressing specific patient safety issues
  19. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
    May 01, 2025 - for case management Transportation Housing Food Safety-falls Disability - Communication issues
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Depending on specifics of definitional issues, we have found substantial numbers of children with identifiable

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