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  1. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events 2024 NETWORK OF PATIENT SAFETY DATABASES CHARTBOOK: MEDICATION AND OTHER SUBSTANCE EVENTS U.S. DEPARTMENT OF …
  2. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…
  3. www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions FINAL REPORT Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions PREPARED FOR: Agency for Healthcare Resear…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions FINAL REPORT Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions PREPARED FOR: Agency for Healthcare Resear…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/25649-O'%20Leary-draft-1.pdf
    March 16, 2023 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) Principal Investigator Kevin J. O’Leary, MD, MS – Northwestern Uni…
  6. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load.pdf
    May 01, 2024 - • Monitor EHR audit log data to determine which clinicians may be at risk of cognitive overload (
  7. www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
    January 01, 2024 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) Principal Investigator Kevin J. O’Leary, MD, MS – Northwestern Uni…
  8. www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
    January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, EdM, PhD Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker, PhD; Jonathan Young; O…
  9. www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
    January 01, 2024 - following implementation of computerized order entry systems (2-5), employment of clinical pharmacists to monitor
  10. www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety Clinical Decision Support Simulations for Medication Administration Safety Principal Investigator: Jacqueline Moss, PhD, RN Co-Investigator: Eta S. Berner, EdD University of Alabama at Birmingham Dates of Aw…
  11. www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
    January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk Assessment of Primary Care of the Elderly Principal Investigator and Team Members: Ben-Tzion Karsh, PhD (PI) Brian Arndt, MD John Beasley, MD Vicki Bier, PhD Roger Brown, PhD Pascale Carayon, PhD Sue Dovey, P…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
    July 01, 2023 - check‐back to verify the receipt of care instructions or confirm understanding of which symptoms to monitor
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
    April 01, 2008 - Guide for Developing a Community-Based Patient Safety Advisory Council Guide for Developing a Community-Based Patient Safety Advisory Council AHRQ Mission: To improve the quality, safety, efficiency, and effectiveness of health care for all Americans. AHRQ is the lead Federal agency charged with supporting resear…
  14. www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
    June 01, 2020 - and better data: “The data is not even there to provide us with information to do the analysis, to monitor
  15. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Detailed Findings Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
    February 01, 2018 - Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department 1 Protocol for Identifying and Treating Children with Sepsis Syndrome in the Emergency Department Section 1. Basic Measure Information 1.A. Measure Name Protocol for Identifying and Treating Children with Sepsis Syn…
  17. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
    May 01, 2024 - • Monitor EHR audit log data to determine which clinicians may be at risk of cognitive overload (
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-179-fullreport.pdf
    November 07, 2010 - such issues as who has access to the information—parent, child (dependent on age), or both—and how to monitor … populations (e.g., who has access to the information – parent, child, or both; how to 31 monitor
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/effectivetreatment/qdr2015-chartbook-effective.pptx
    September 06, 2016 - Slide 1 National Healthcare Quality and Disparities Report Chartbook on Effective Treatment September 2016 This presentation contains notes. Select View, then Notes page to read them. 1 Organization of the Chartbook on Effective Treatment Part of a series related to the National Healthcare Quality and Disparities …
  20. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/early-evidence-on-pcmh-white-paper.pdf
    February 01, 2012 - patients, design patient- centered care plans, provide care coordination and care transition support, and monitor

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