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www.ahrq.gov/action-alliance/resources/type-harm.html
September 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
April 01, 2025 - Gap Analysis for MRSA and SSI Prevention (Surgical Services)
AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Surgical Services Gap Analysis for
…
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www.ahrq.gov/news/events/nac/2020-03-nac/nacmtg032620-minutes.html
August 01, 2020 - Meeting Minutes, March 2020
National Advisory Council
Minutes from the March 26, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of March 26, 2020, Meeting Summary
AHRQ Budget Update and Recent Accomplishments
A…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary
…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Person-Centered Care
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Resea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
June 03, 2008 - Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement
Transforming the Morbidity and Mortality Conference
into an Instrument for Systemwide Improvement
Jamie N. Deis, MD; Keegan M. Smith, MD; Michael D. Warren, MD;
Patricia G. Throop, BSN, CPHQ; Gerald B. Hickson, MD; …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Workshop A4 & B4: Building a Multi-Organizational QI Support System
PA SPREAD:
Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure
Alan M. Adelman, MD, MS
Penn State University College of Medicine; Hershey, PA
This project was supported by grant number U18HS020988 from the Agency for Healthcare Re…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice
445
Outpatient Surgery and Patient Safety—
The Patient’s Voice
Ann Schoofs Hundt, Pascale Carayon, Scott Springman,
Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst
Abstract
Four outpatient surgery centers from a large Midwestern communit…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 4, Emerging Trends in Care Coordination Measurement
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - Metabolic Monitoring for Children and Adolescents on Antipsychotics
1
Metabolic Monitoring for Children and Adolescents
on Antipsychotics
Section 1. Basic Measure Information
1.A. Measure Name
Metabolic Monitoring for Children and Adolescents on Antipsychotics
1.B. Measure Number
0150
1.C. Measure Descripti…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
February 01, 2017 - 0169 - Establishment of Gestational Age: Full Report
Establishment of Gestational Age
Section 1. Basic Measure Information
1.A. Measure Name
Establishment of Gestational Age
1.B. Measure Number
0169
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it measure…
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www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty
Title Page
TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in
times of diagnostic uncertainty
PRINCIPAL INVESTIG…
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www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
January 01, 2024 - CRP Certification: Promoting Accountability and Learning After Adverse Events
FINAL PROGRESS REPORT
1. Title Page
Title of Project: CRP Certification: Promoting Accountability and Learning After Adverse Events
Principal Investigator and Team Members:
Thomas H. Gallagher, MD, Principal Investigator
Karen Brigham…
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www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
January 01, 2024 - Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma
1. TITLE PAGE
Title of Project: Simulation to Support Competency-Based Training in Orthopedic Trauma
Principal Investigator and Team Members.
Principal Investigators:
Donald D. Anderson, PhD – Professor, Orthopedics & Rehab…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-summaries.pdf
September 01, 2014 - Survey Codebook Summaries
Variable / Core-optional Status Citation Survey Instrument
R18_cooperative
Practice_site_ID
Prac_member_id
Date
AR1
Nutting, P. A., Crabtree, B. F., Stewart, E. E., Miller, W. L., Palmer,
R. F., Stange, K. C., & Jaén, C. R. (2010). Effect of facilitation on
practice outcomes in the Natio…
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www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
November 01, 2016 - Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy
May 17, 2016
Download accessible version of slides (PDF, 1.9 MB)
Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy…
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www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
January 01, 2024 - Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care
1
Title of Project
Physician Organization and the Efficiency of Surgical Specialty Care
Principal Investigator and Team Members
Dr. David C. Miller
Dr. John D. Birkmeyer
Organization
The Regents of the University of Mi…
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www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process
Final Report
1. Title page
Patient Safety and the Primary Care Testing Process
PI: Nancy C. Elder, MD, MSPH
Department of Family and Community Medicine
University of Cincinnati
PO Box 670582
3235 Eden Ave, 142 HPB
Cincinnati, OH 45267…
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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions
1
Final report-2011/11/29 (limited to 20 pages)
AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions
Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…