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www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality
Final Progress Report
1. Title Page
Title: Development and Validation of a Tool to Evaluate Handoff Quality
Principal Investigator and Team Members:
Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-13-measuring-and-benchmarking.pdf
September 01, 2015 - Measuring and Benchmarking Clinical Performance
Primary Care
Practice Facilitation
Curriculum
Module 13: Measuring and Benchmarking
Clinical Performance
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/health-literacy-hp-cahps-adult-spanish-2157-3b.pdf
June 02, 2025 - Supplemental Health Literacy Items for the CAHPS Health Plan Survey
12/1/2017 Page 1
Document No. 2157-3b
www.ahrq.gov/cahps
Supplemental Items for the CAHPS®
Health Plan Survey 5.0
Topic: Health Literacy
Population Version: Adult
Language: Spanish
Users of the CAHPS® Health Plan Survey are fr…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cvd-risk-calculator.pdf
February 01, 2022 - INTEGRATING CARDIOVASCULAR DISEASE RISK CALCULATORS INTO PRIMARY CARE
NATIONAL CENTER
FOR EXCELLENCE IN
PRIMARY CARE RESEARCH
INTEGRATING CARDIOVASCULAR DISEASE
RISK CALCULATORS INTO PRIMARY CARE
This brief guide is designed for practice facilitators and primary care practices who
may be intere…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
April 01, 2025 - Importance of MRSA and SSI Prevention
Importance of MRSA and SSI Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
I…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix D
CANDOR Tool
PROCESS
QUESTIONS TO REVIEW
Y/N
CONTRIBUTING OR CAUSAL FACTOR Y/N
FINDINGS /
COMMENTS
COMMUNICATION
Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - and the use of safety design concepts to prevent or minimize errors by
detecting them before harm occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
April 01, 2018 - Guide Promotional Postcard
Did you know...Patient safety issues
in primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse drug event
An estimated …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
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www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
Search All Impact Case Studies
April 2008
Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - Tool 2. Talking With Residents’ Family Members—short checklist version
· What are antibiotics?
Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria.
· How do people get bacterial infections?
Normally, your immune system helps control the bacteria…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 2. Talking With Residents’ Family Members—short checklist version
What are antibiotics?
• Antibiotics are medicines that fight infections caused by bacteria. Antibiot…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - and preventable ADEs,
51 percent occurred during the administration stage.15 Because administration occurs
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - in care plans, and
Carry out investigations, including root cause analysis, when an injurious fall occurs … For every meeting that occurs at your facility, indicate the type of meeting, the meeting leader, staff
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications
AHRQ’s Safety Program for Nursing Homes:
On-Time Preventable Hospital and Emergency
Department Visits
Functional Specifications
Current a…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Gap Analysis Facilitator's Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes:
Identifying the existing process.
Identifying the existing outcome(s).
Ide…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
December 01, 2004 - If an error occurs in a process
in the hospital, the adverse event is likely to occur in the hospital … This is not the
case in ambulatory care, where an error that occurs in the practice setting may
result
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings
381
From Here to There: Lessons from an
Integrative Patient Safety Project in
Rural Health Care Settings
Ann Freeman Cook, Helena Hoas, Katarina Guttmannova
Abstract
To date, few studies have focused on pat…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos
U
N
C H E A L T H C A R E S Y S T E M
U
N
C H E A L T H C A R E
Culture of Safety Improvement Project
UNC Medical Center
29
U
N
C H …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
April 01, 2022 - Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUT…