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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B1: The FMP Self-Assessment Tool (Text Description) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…
  2. digital.ahrq.gov/sites/default/files/docs/publication/r18hs018226-sequist-final-report-2013.pdf
    January 01, 2013 - A Risk-Based Approach to Improving Management of Chronic Kidney Disease - Final Report Grant Final Report Grant ID: R18HS018226 A Risk-Based Approach to Improving Management of Chronic Kidney Disease Inclusive Project Dates: 09/30/09 – 07/31/13 Principal Investigator: Thomas D. Sequist MD, MPH Team Membe…
  3. psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
    January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Comment…
  4. digital.ahrq.gov/principal-investigator/bove-alfred
    January 01, 2023 - Bove, Alfred Managing hypertension in urban underserved subjects using telemedicine--a clinical trial. Citation Bove AA, Homko CJ, Santamore WP, et al. Managing hypertension in urban underserved subjects using telemedicine--a clinical trial. Am Heart J 2013 Apr;165(4):615-21. …
  5. www.ahrq.gov/cpi/about/organization/orgchart/organizational-chart.html
    July 01, 2025 - AHRQ Organization Chart Office of the Director Roger D. Klein, M.D., J.D., FCAP, Director Mamatha S. Pancholi, Deputy Director for Programs Jeffrey "Jay" Toven, Executive Officer Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D., Director Directs the sci…
  6. digital.ahrq.gov/principal-investigator/goldberg-lee
    January 01, 2023 - Goldberg, Lee Caveat emptor: the need for evidence, regulation, and certification of home telehealth systems for the management of chronic conditions. Citation Farberow B, Hatton V, Leenknecht C, et al. Caveat emptor: the need for evidence, regulation, and certification of hom…
  7. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/orgchart/organizationchart-072825.pdf
    July 01, 2025 - AHRQ Organization Chart Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D. Director Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research an…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850166/psn-pdf
    June 07, 2023 - Classification of health information technology safety events in a pediatric tertiary care hospital. June 7, 2023 Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):251-257. doi:10.1097/pts.0000000000001…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/orgchart/organizationchart-060225.pdf
    June 01, 2025 - AHRQ Organization Chart Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D. Director Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research an…
  11. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
    December 01, 2017 - Federal Balance Budget Act of 1997: Excerpts Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.   The Federal Balanced Budget Act of 1997, Public Law 105-33, increased the attention given to performance monito…
  12. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool8.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Pati…
  13. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool3.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Pati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865309/psn-pdf
    May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…
  15. Ldusafety Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Labor and Delivery Unit Safety SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
  16. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Labor and Delivery Unit Safety Say: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
    September 01, 2003 - Spotlight Case September 2003 Spotlight Case September 2003 Infant Paralyzed for Intubation Before Airway Materials Ready Source and Credits This presentation is based on the Sept. 2003 AHRQ WebM&M Spotlight Case in Pediatrics See the full article at http://webmm.ahrq.gov CME credit is available through the …
  18. digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment
    January 01, 2023 - Technology for Optimizing Population Care in a Resource-Limited Environment Project Final Report ( PDF , 424.5 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represe…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4g Selected Best Practices and Suggestions for Improvement PSI 10: Postoperative Physiologic and Metabolic Derangement Why Focus on Postoperative Phys…
  20. www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
    April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL) Principal Investigator:  Sara Singer, Ph.D., Harvard University, Cambridge, MA AHRQ Grant No.:  HS24453 Project Period:  09/30/15–09/29/21 Description:  The goal of this learning lab was to enhance capacity for innovation and develop highly reliable system…