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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)
Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
Myrtede …
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
e
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e
Issue Brief 23
The Patient’s Role in Diagn…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
e
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e
Issue Brief 23
The Patient’s Role in Diagn…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Appendixes
2021 National Healthcare Quality and Disparities Report
Appendixes
Appendix A: Data Sources Used for 2021 NHQDR
Appendix B: Definitions and Abbreviations Used in 2021 NHQDR
Appendix C: Measures Used in the 2021 State Maps
U.S. DEPARTMENT OF
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
March 01, 2004 - Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments
69
Clinical Informatics and Its Usefulness
for Assessing Risk and Preventing
Falls and Pressure Ulcers in Nursing
Home Environments
Christie Teigland, Richard Gardiner, Hailing Li,…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - This resource lists 10
organization-level practices to advance diagnostic excellence.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism
Venous Thromboembolism 16-1
16. Venous Thromboembolism
Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S.
Introduction
Background
Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary
embolism (PE). …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training
Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Introduction to Pressure Ulcer Healing Reports
AHRQ’s Safety Program for Nursing Homes:
On-Time Pr…
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting
Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory
Setting
Principal Investigator: Terry S. Field, DSc
Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke
Harrow,…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Sustaining Zero CLABSIs (Transcript)
May 8, 2012
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/proposed-changes-cahps-c&g-survey2015.pdf
March 01, 2015 - Proposed Changes to the CAHPS Clinician & Group Survey
Proposed Changes to the CAHPS Clinician & Group Survey
The Agency for Healthcare Research and Quality’s (AHRQ) CAHPS Consortium is
recommending changes to the CAHPS Clinician & Group (CG-CAHPS) Survey and the
Patient-Centered Medical Home (PCMH) Item Set. The…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 1: Introduction (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. E…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
March 01, 2017 - Module 5: Resident and Family Engagement: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 5: Resident and Family Engagement
Say:
The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
January 01, 2014 - Section 5, Table 1
…
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www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
April 01, 2015 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research
1
Care Management
Issue Brief
Care Management: Implications
for Medical Practice, Health Policy,
and Health Services Research
Executive Summary
Health care delivery systems throughout the United States are employing…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3
Video-Based Simulation:
Facilitator Guide
Situation Monitoring
Shared Mental Model
TeamSTEPPS Training Curriculum
…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
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www.ahrq.gov/ncepcr/care/coordination/mgmt.html
August 01, 2018 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research
Care Management Issue Brief
Contents:
Executive Summary
Care Management: a Fundamental Vehicle for Managing the Health of Populations
Overview
Strategy: Identify Populations with Modifia…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…