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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action References Previous Page   Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introduction ED-to-Hosp…
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HIT/HIT_CAHPS_Meeting_Summary.pdf
    December 01, 2006 - HIT/CAHPS Stakeholders Meeting Summary Health Information Technology- Consumer Assessment of Healthcare Providers and Systems Stakeholders Meeting Meeting Summary June 28, 2006 1 Introduction On June 28, 2006, the Agency for Healthcare Research and Qual…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
    March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…
  4. www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals Implementing a Program of Patient Safety in Small, Rural Hospitals Principal Investigators Katherine J. Jones, PhD, PT, January 2007 – June 20071 Keith J. Mueller, PhD, July 2005 – December 20061 Team Members Anne Skinn…
  5. www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
    March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD; John Brehm, MD; David Lomely, BA. Abstract Prevention of patient falls i…
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Trigger Summary Report Information Exercises Objective: Facilitators will understand criteria and rules that determine information that displays on the Trigger Summary Report. …
  7. www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
    January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians 1. TITLE PAGE Title: Developing and Training Interruption Management Strategies for Emergency Physicians Principal Investigator: Raj M. Ratwani, PhD Co-investigators: Zach Hettinger, MD, MS; Allan Fong, MS; T…
  8. AHRQ_Brand_NameOnly (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
    March 01, 2017 - Sheet1 The purpose of this tool is to support the maintenance of your AHRQ Safety Program for Long-Term Care: CAUTI program efforts and its benefits to the improvement of resident safety culture overtime. This tool will help your team identify their current state, including what’s working and what’s not working, outl…
  9. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
    June 01, 2018 - Chartbook on Care Coordination Use of Electronic Health Records Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoidabl…
  10. www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…
  11. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
    December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Optimize Briefings and Debriefings Slide 2: Learning Objectives Describe characteristics of effective briefings and debriefings. Present the evidence bas…
  12. www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
    January 01, 2017 - Head of Bed Elevation or Semirecumbent Positioning Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-ass…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
    January 01, 2017 - Presentation: Program Overview Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-43-EF January 2017 Evidence Behind PAD ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Ob…
  14. www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
    June 01, 2023 - Implementation Coaching If training and other implementation activities are methods for helping your organization effectively use TeamSTEPPS and its tools, coaching is a strategy for assisting individuals and teams through this process. This discussion of coaching provides information to: Define coaching an…
  15. www.ahrq.gov/policy/electronic/plain-writing/language-access.html
    July 01, 2025 - Language Access Plan for the Agency for Healthcare Research and Quality Language Access Principles  The Agency for Healthcare Research and Quality (AHRQ) will follow the language assistance principles outlined in this plan when assessing and addressing situations in which individuals with limited English profic…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
    July 01, 2014 - 2013 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Da…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
    January 01, 2013 - 2013 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Da…
  18. www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
    January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention Labor and Delivery Nurse Staffing: A Patient Safety Intervention Team members: Barbara L. Wilson, PhD, RN Principal Investigator (PI) Associate Professor University of Utah College of Nursing Barbara.wilson@nurs.utah.edu R…
  19. www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
    January 01, 2024 - Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Final Grant Report to the Agency for Healthcare Research and Quality 1 R03 HS16026-01 (PI: Jonathan Temte) Dates: 6/1…
  20. www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
    January 01, 2024 - Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model Final Progress Report Brief, Risky, High-Benefit Procedures: Best Practice Model Colin F. Mackenzie, MD, Principal Investigator Co-investigators: Yan Xiao, PhD, Grant Bochicchio, MD, Peter Hu, MS, CNE, F. Jacob Seagull, PhD…

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