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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/ereports.html
    December 01, 2017 - Electronic Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Existing Pressure Ulcers Report Table 1: Sample On-Time Existing Pressure Ulcers Report On-Time Existing Pressure Ulcers Report Unit: A Date: 02/10/14 Resident Name (last, first) Room Number D…
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
    May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures Hospital Language Services: Quality Improvement and Performance Measures Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN; Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA Abstract For a growing segment…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
    June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution The Rural Physician Peer Review Model©: A Virtual Solution Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD; Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD Abstract Evaluating …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
    March 11, 2008 - The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery Emily M. Campbell, RN, MS; Hong Li, MD, MSPH; Tomi Mori, PhD; Patricia Osterweil, BS; Jeanne-Marie Guise, MD, MPH …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - Nursing Home Workplace Safety Resource List Improving Workplace Safety in Nursing Homes: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set Purpose This document includes references to websites and other publicly available resources nursing homes can use to improve workplace safety fo…
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Prevention of CLABSI 1 Educational Objectives Define a central line-…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
    February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Electronic Reports On-Time Existing Pressure Ulcers Report Table 1: Sample On-Time Existing Pressure Ulcers Report On-Time Existing Pressure Ulcers Report Unit: A Date: 02/10/14 Resident Name (last, first) Room Number Days …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #4: Foresight Family Physicians New Models of Primary Care Workforce and Financing Case Example Foresight Family Physicians 4 New Models of Primary Care Workforce and Financing Case Example #4: Foresight Family Physicians …
  12. www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
    January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension Principal Investigator: Soumerai, Stephen B. AHRQ GRANT FINAL PROGRESS REPORT RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION Principal Investigator: Stephen B. Soumerai, ScD Team Members: Ken Kleinman, ScD Sumit R. Majumdar, MD, MPH I…
  13. www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
    January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach to Reducing Medication Errors Project Final Report June 26th, 2023 Principal Investigator: Sadaf Kazi, PhD Team Members: Raj Ratwani, PhD Ella Franklin, MSN, RN Deanna-Nicole Busog Organization: MedSta…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
    April 01, 2014 - categories where the Hwang-identified chronic conditions in the category were very rare or did not occur
  15. www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
    January 01, 2024 - This model highlights the role of the adaptations and workarounds that occur when the system is out
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
    September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…
  17. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
    September 01, 2015 - This may occur when a project gets stuck, a practice champion repeatedly fails to follow through, or
  18. www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
    August 01, 2024 - These errors can occur through inappropriate or inadequate quality control procedures, atypical characteristics
  19. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
    April 10, 2025 - Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan 1 AHRQ Action IV Task Order #16 Patient-Centered Care Planning for Peo…
  20. www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
    January 01, 2025 - failures and delays.17 • Gaps exist in ongoing monitoring of high-risk conditions, such that delays occur

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