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www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Summary
Health Services and Primary Care Research Study: Comprehensive Report
Background
On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act 2018, became law, Congress directed and authorized the Agency for Healthcare Research and Quality (AHRQ) to contract with an independent entity for …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact-references.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
References
Previous Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic Documentation
History of EHR Documen…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
November 24, 2020 - Co-producing a Diagnosis
Engaging Patients To Improve Diagnostic Safety
Practice Orientation
AHRQ Publication No. 21-0047-8-EF
August 2021
1
Diagnostic Errors Are a
Big Challenge
Nearly every person will experience a diagnostic error in their lifetime.
Diagnostic error is the leading patient safety challenge…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T
Development of a Planning Tool
to Guide Research Dissemination
Deborah Carpenter, Veronica Nieva,
Tarek Albaghal, Joann Sorra
Abstract
Investigation in patient safety improvement is …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility
Clinical Impact of an Anticoagulation Screening
Service at a Pediatric Tertiary Care Facility
Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA;
Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
May 17, 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.4x
Selected Best Practices and Suggestions for Improvement
PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs)
Why focus on c…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T
Advances in Patient Safety: Vol. 4
Development of a Research Dissemination Tool
Development of a Planning Tool
to Guide Research Dissemination
Deborah Carpenter, Veronica Nieva,
Tarek Al…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
April 01, 2022 - Building an Engaged CUSP Team Facilitator Guide
CUSP Module: Building an Engaged CUSP Team
Facilitator Guide
Slide Number and Image
This module, titled “Building an Engaged CUSP Team,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/managing-urinary-incontinence-slides.pdf
October 14, 2022 - Improving Nonsurgical Management of Urinary Incontinence in Women
Improving Nonsurgical
Management of Urinary
Incontinence in Women
Friday, October 14, 2022
2:30pm – 4:00 pm ET /
11:30am – 1:00pm PT
2
Webinar Agenda
• Welcome
• The Challenge & Opportunity: Patient & Provider Perspect…
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www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Principal Investigator: Ronilda Lacson, MD, PhD
Team Members: Ramin Khorasani, MD, MPH
Katherine Andriole, PhD
Luciano Prevedello, MD, MPH
Tejal …
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www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
January 01, 2024 - Final Progress Report: Deaf People and Healthcare
Deaf People and Healthcare
PI: Steven Barnett
Primary mentor: Kevin Fiscella
Co-mentors:
Ron Hays
Jonathan Klein
Thomas Pearson
Robert Pollard
University of Rochester
9/30/2006 – 9/29/2012
AHRQ Project Officer: Kay Anderson
This project was supported by gr…
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www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
January 01, 2024 - Final Progress Report: Multi-Method Proactive Risk Assessment
Title: Multi-Method Proactive Risk Assessment
PI and Team:
Wilson D. Pace, MD – Principal Investigator
David R. West, PhD – Co-investigator
Stephen Ringel, MD – Co-investigator
Susan West, RN – Co-investigator
Doug Fernald, MS – Project Manager
Caroline …
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3a.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
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 "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A, Pt. 3
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Developm…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
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 "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review
AHRQ Safety Program for Mechanically Ventilated Patients
Summary
Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
January 01, 2017 - Tool: SSA
Summary
Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…
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www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare
AHRQ Grant Final Progress Report
Title of Project: EMR Planning to Improve North Iowa Healthcare
Principal Investigator and Team (Steering Committee) Members:
• Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
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www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
January 01, 2024 - Final Progress Report: Communicating Probabilities through Interactive Computer Graphics
Final Progress Report
“Communicating Probabilities through Interactive Computer Graphics”
Principal Investigator: Rita Kukafka,1,2
Other team members: Jessica Ancker,1 Elke Weber3
1. Columbia University College of Physicians…