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www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
January 01, 2020 - AHRQ's Digital Healthcare Research Program: Federal Partnerships in Improving Health Care Quality
AHRQ's digital healthcare initiative is part of the Nation's strategy to put information technology (IT) to work in healthcare. Since 2004, the Agency for Healthcare Research and Quality (AHRQ) has fund…
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www.ahrq.gov/gam/summaries/domain-definitions/index.html
July 01, 2018 - NQMC Measure Domain Definitions
Health Care Delivery Measure Domains
Measures of care delivered to individuals and populations defined by their relationship to clinicians, clinical delivery teams, delivery organizations, or health insurance plans. Denominators for these measures are defined by some form of af…
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psnet.ahrq.gov/node/49832/psn-pdf
June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error
June 1, 2018
Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
The Case
A 33-year-old woman with recently diagnosed acute …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety
SOPS® Nursing Home Survey
Version: 1.0
Language: English
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a web-based survey, and
preparing and analyzing data, a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - English
SOPS® Value and Efficiency Supplemental
Item Set for the SOPS Hospital Survey
Language: English
• Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0
to help hospitals assess…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
May 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case May 2004
Too Tight Control:
The Risks of Intensive Insulin Therapy
Source and Credits
This presentation is based on the May 2004
AHRQ WebM&M Spotlight Case in Medicine
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Comm…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
June 01, 2017 - Problem Solving and Escalation – Standards Component Kit
Contents
1. What Are Problem Solving and Escalation?
2. What Is a Problem and What Is a Solution?
3. Where Are Problems Identified?
4. Problem Triage: More on Different Types of Problems
5. Applying the Model for Improvement To Advance Problem …
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - An Untimely End Despite End-of-Life Care Planning
August 1, 2018
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
The Case
A 76-year-old man was admitted to the intensive care unit (…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - Spotlight Case July 2008
Spotlight Case March 2011
Volume Too Low: In and Out
Pediatric Patient Safety
*
*
Source and Credits
This presentation is based on the March 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Marlene Miller, MD, MSc…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - EvidenceNow Executive Summary - Southwest Cooperative
Southwest Cooperative
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure
to help smaller primary care pract…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Spreading the Model to Partner States
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Met…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA
The SOPS Nursing Home Survey and
Database
Theresa Famolaro, MPS, MS, MBA
Senior Study Director and Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
Survey User’s Guide
• On the AHRQ SOPS W…
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www.ahrq.gov/ncepcr/reports/grants-impact/spreading-model.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Spreading the Model to Partner States
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Met…
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www.ahrq.gov/research/shuttered/acfselection/appendixd.html
July 01, 2018 - to ACF
N/A
Hospital first
Hospital first - not possible in this circumstance, though EMS did manage … Respect, adapt
Need strong incident command to manage multiple levels of outside input.
.
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www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - Health Care Simulation to Advance Safety: AHRQ Issue Brief
Foreword
Simulation has long been recognized for the integral role it plays in high-
risk industries. Our aerospace, transportation, and power-generation
industries have become steadily safer over the years with the aid of
simulation. As the Ebola virus di…
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Biosketches
Jason Adelman, MD, MS
Chief Patient Safety Officer and Associate Chief Quality Officer
Columbia University Medical Center/New York-Presbyterian Hospital
Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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cdsic.ahrq.gov/sites/default/files/2023-10/Final%20OO%20Patient%20Outcomes%20of%20PC%20CDS%20to%20AHRQ%2010.6.23.pdf
January 01, 2023 - J Ambul Care Manage.
2001;24(2):30-46. doi:10.1097/00004479-200104000-00005
48 Apkon M, Mattera JA … J Pain Symptom Manage. 1999;17(2):75-82. doi:10.1016/s0885-3924(98)00134-1
94 Center for Health Policy
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www.ahrq.gov/sites/default/files/publications/files/ccrm-atlas-suppl.pdf
October 01, 2013 - particular clinic or community
practice, or for members of the community as a whole for their ability to manage … Description This measure assesses patients’ ability to understand health information needed
to manage … Description This measure assesses patients’ ability to understand numerical information
needed to manage … . that a
clinic/clinician and/or community resource has to provide preventive
services as well as manage
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas-suppl.pdf
October 01, 2013 - particular clinic or community
practice, or for members of the community as a whole for their ability to manage … Description This measure assesses patients’ ability to understand health information needed
to manage … Description This measure assesses patients’ ability to understand numerical information
needed to manage … . that a
clinic/clinician and/or community resource has to provide preventive
services as well as manage