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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
…
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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…
-
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…
-
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…
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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…
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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…
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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…
-
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…
-
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?....................................…
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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
-
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…
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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…
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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
-
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
-
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
-
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
-
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
-
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
-
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
-
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