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  1. 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 …
  2. 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…
  3. 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…
  4. 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 …
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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 …
  11. 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…
  12. 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 …
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. Tool: SSA (doc file)

    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…
  18. 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, …
  19. 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…
  20. 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…

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