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  1. 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 …
  2. 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 This page intentionally left blank. e Issue Brief 23 The Patient’s Role in Diagn…
  3. 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 This page intentionally left blank. e Issue Brief 23 The Patient’s Role in Diagn…
  4. 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 …
  5. 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,…
  6. 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.
  7. 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). …
  8. 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…
  9. 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,…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. Section 5, Table 1 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
    January 01, 2014 - Section 5, Table 1 …
  15. 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…
  16. 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 …
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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