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  1. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-childhcahps-chartbook.pdf
    January 01, 2021 - 2021 CAHPS Hospital Survey Database Chartbook THE CAHPS DATABASES CAHPS Child Hospital Survey Database 2021 Chartbook What Pediatric Patients and Their Parents or Guardians Say About Their Experiences With Inpatient Care Public Domain Notice. This product is in the public domain and may be used and reprinte…
  2. www.ahrq.gov/patient-safety/reports/advancing/index.html
    July 01, 2022 - Advancing Patient Safety A Decade of Evidence, Design, and Implementation After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
  3. www.ahrq.gov/patient-safety/reports/liability/sands.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commen…
  4. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…
  5. www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
    December 01, 2015 - Meeting Minutes, July 24, 2015 National Advisory Council Minutes from the July 24, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 27, 2015, Summary Report Director's Update 2014 National Healthcare Q…
  6. www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
    August 01, 2017 - Meeting Minutes, November 2016 National Advisory Council Minutes from the November 2, 2016 meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 22, 2016, Summary Report Director's Update The Learning Health Care Sy…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
    May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
    March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…
  9. www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
    January 01, 2024 - Final Progress Report: Opioid Stewardship in Urology Opioid Stewardship in Urology American Urological Association (AUA) Quality Improvement Summit December 8, 2018 Team Members. Presenters Gregory Auffenberg, MD, Northwestern University Angela B. Smith, MD, MS, University of North Carolina Timothy D. Averch, …
  10. www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
    January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard TITLE PAGE Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard Princip…
  11. www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
    January 01, 2024 - Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error AHRQ Grant Final Project Report Title of Project Using Public Deliberation to Define Patient Roles in Reducing Diagnostic Error Principle Investigator Tina Nabatchi, PhD, Associate Professor, Maxwell School of Ci…
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pptx
    January 01, 2014 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 4: Health Care of Residents of the U.S.-Mexico Border National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics This part of the chartbook focuses on health …
  13. www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
    January 01, 2024 - Final Progress Report: Improving Pain Management in Nursing Homes Final Report Improving Pain Management in Nursing Homes Principal Investigator: Katherine R. Jones Team Members: Investigator: Regina Fink Investigator: Evelyn Hutt Investigator: Ginny Pepper Investigator: Jill Scott Investigator: Lauren Clark Inves…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
    October 01, 2019 - Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid 1 Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid Section 1. Basic Measure Information 1.A. Measure Name Reporting of CAHPS Data Regarding Availability of Specialist Care for …
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
    December 01, 2019 - Depression Screening and Follow-up for Adolescents and Adults 1 Depression Screening and Follow-up for Adolescents and Adults Section 1. Basic Measure Information 1.A. Measure Name Depression Screening and Follow-up for Adolescents and Adults (Health Plan) 1.B. Measure Number 0246 1.C. Measure Description P…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
    March 01, 2016 - Episiotomy (Overuse): Report Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measur…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
    December 31, 2015 - Behavioral Health Risk Assessment Behavioral Health Risk Assessment Section 1. Basic Measure Information 1.A. Measure Name Behavioral Health Risk Assessment 1.B. Measure Number 0085 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad …
  18. www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
    January 01, 2024 - Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems TITLE PAGE Title of Project: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems Team Members: Principal Investigator: Christopher P. Bonafid…
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
    March 01, 2016 - Episiotomy (Overuse) Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measure is aim…
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
    October 01, 2021 - 1 OVERVIEW The Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care How-To- Implement Toolkit: Overview Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 Contract No. HHSP23320…

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