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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - learning rate for the learning curve of the Assistant paradigm indicate that much
learning does not occur
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www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations
1
Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety
Improvement Research Demonstrations
Principal Investigator: Victoria J. Fraser, MD
Co-Principal Inv…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Transcript)
March 20, 2012
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that ti…
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www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
January 01, 2024 - Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics
Workshop on Consumer Engagement in Selected Patient Safety Topics
(“Chicago Patient Safety Workshop”)
Final Progress Report (filed November 2008)
Grant No.: 1R13HSO17605-01
Principal Investigator and Project Team (Steering Co…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - Measure 1, Section 14, Attachment 1
Attention Deficit Hyperactivity Disorder
Performance Measurement Set
Supported by AHRQ/CHIPRA-PQMP
Proposed by the ADHD Expert Work Group (listed in Appendix A)
In collaboration with the Pediatric Measurement Center of Excellence (P…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - ADHD Performance Measurement Set
Attention Deficit Hyperactivity Disorder
Performance Measurement Set
Supported by AHRQ/CHIPRA-PQMP
Proposed by the ADHD Expert Work Group (listed in Appendix A)
In collaboration with the Pediatric Measurement Center of Excellence (PMCo…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - Just Culture Webcast November 2016
Using Just Culture to Improve Hospital Survey on Patient Safety Culture Results
November 9, 2016 – Webcast Transcript
Speakers:
Celeste Mayer, PhD
Patient Safety Officer, University of North Carolina Health Care System, Chapel Hill, NC
(Presenter)
Theresa Famolaro, MPS, MS…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - 2. Study Methods
Health Services and Primary Care Research Study: Comprehensive Report
In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation
Implementation Guide for
Automatic Referral
Introduction
Acronym List
Term Abbreviation
AHRQ Agency for Healthcare Research and Quality
AR Automatic referral
CABG Corona…
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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-Faltz_56.pdf
March 27, 2008 - These events occur for a variety of reasons, such as poorly designed systems, inadequate
training, communication … One study estimated that 1,200 to 2,700 events
occur annually in the United States.20 Based on a review … Increasingly complex and invasive procedures now occur routinely in
other settings, particularly imaging
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
February 01, 2018 - Limited Assistance (LA)
• Extensive Assistance (EA)
• Total Dependence (Total)
• Activity Did Not Occur … Limited Assistance (LA)
• Extensive Assistance (EA)
• Total Dependence (Total)
• Activity Did Not Occur … value by taking the highest (or worst) value recorded
for that week:
• Do no use Activity Did Not Occur
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Understand the Science of Safety for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Describe the h…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
April 01, 2022 - So, we
have incorporated that question into our interdisciplinary rounds that occur
each day on our
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Discussion about who should participate in each gap analysis focus group should occur early (at least
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix C
Visual Model
The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-00…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
June 19, 2015 - Recruitment Process Diagram Northwest
Draft H2N Recruitment Process Flow
June 19, 2015
Practice
completes
interest form
Interest form
is received in
H2N email
box
Recruiter sends an
email to practice
scheduling time for a
phone conversation,
provides some
additional information
about H2N via email…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Introduction
Previous Page Next Page
Table of Contents
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Introduction
The Patient-Clinician Dy…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - education
Organizations should be prepared to respond and communicate proactively when adverse events occur
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Handouts: Overview of On-Time (continued)
Self-Assessment Worksheet
Section 1: Screening for Pressure Ulcer Risk
Section 2: Pressure Ulcer Prevention Plan
Section 3: Communication Practices
Section 4: Investigations/Root Cause …