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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
March 01, 2021 - Meeting Minutes, November 2020
Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
( Virtual Meeting )
Contents
Summary
Call to Order and Approval of July 14, 2020, Meeting Summary
Overview and Recent AHRQ Accomplishments
AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium
411
Lessons in Safety Climate
and Safety Practices from a
California Hospital Consortium
Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert,
David M. Gaba, Kathryn M. McDonald, Laurence C. Baker
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. Wears, Shawna J. Perry,
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro,
Christopher Beach, Pat Croskerry, Ka…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration
Proactive Postmarketing Surveillance:
Overview and Lessons Learned from Medication
Safety Research in the Veterans Health Administration
Robert R. Campbell, JD, MPH, PhD; An…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events
News Media and Health Care Providers at the
Crossroads of Medical Adverse Events
Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie
Abstract
In 2005, Indiana Governor Mitch Daniels issued an executi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year 2025:
Eight Perspectives
Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton,
FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE;
David M. Gaba, MD;…
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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-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
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
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report
Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P)
Task Order: 75Q80124F32002
Task #2b: Rapid Scan May 1, 2025
1
AHRQ Action IV Task Order #16
Person-Centered Care Plannin…
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care
Adverse Event-Directed Analysis in Ambulatory Primary
Care Final Report
September 30, 2009
Principal Investigator: Donald Kennerly, MD, PhD
Team Members:
David Ballard, MD, MSPH, PhD, Co-Investigator
S. Quay Mercer, BS, MT (ASCP…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
September 01, 2014 - 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid
Services (CMS). N…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
November 01, 2014 - Conceptualization of and Goals for Lean
To meet its organizational needs and goals, LHC uses Lean as a mechanism … Lean is used as a mechanism to improve efficiency and patient experience, while Six Sigma is applied
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - Regardless of the mechanism for publicizing accomplishments, it is important to provide ongoing and positive … Stories provide a mechanism by which clinicians, hospital staff, and patients can communicate and develop
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
April 01, 2010 - The new charge nurse position was also
welcomed by the nursing staff because they saw it as a mechanism … The new
charge nurse position was also welcomed by the nursing staff because they saw it as a
mechanism
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www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - The best mechanism will be
hospital-dependent and requires discussion.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - What is the mechanism for reporting quality program progress and outcomes to frontline staff and up through
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www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
January 01, 2024 - Nemith) as part of the Practice-Based Research Network (PBRN) funding mechanism to pilot test a digital
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
January 01, 2020 - to compare their performance with other
clinics or State or regional benchmarks, which is a known mechanism
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
July 01, 2016 - opportunities arise
related to measurement or data systems, states might con
sider participating as a mechanism
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - were not disciplinary or punitive in any way; rather, they focused on a collaborative
and supportive mechanism