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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients
173
Impact of Pharmacy-led Dyslipidemia
Interventions on Medication Safety and
Therapeutic Failure in Patients
Joseph G. Weaver, Judy Enders McManus, Tammy Leung,
Rhonda B. Mangione, Heidi R. Snow, Staci…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19
1
Hospital Deaths for Common Heart
Conditions Increased While
Hospitalizations Decreased During
the First Year of COVID-19
Deaths From Heart Disease Increased in 2020
Heart disease is the mo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals
Pilot Study Results From the 2017
AHRQ Surveys on Patient Safety Culture (SOPSTM)
Health Information Technology Patient Safety
Supplemental Item Set for Hospitals
Prepared for:
Agency for Healthca…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I
Pilot Test Results From the 2019 AHRQ
Surveys on Patient Safety CultureTM (SOPSTM)
Hospital Survey Version 2.0
Part I: Overall Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rock…
-
www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Next Page
Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
Results
References
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Hand Hygiene in the
Perioperative Setting
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Hand Hygiene in the Perioperative Setting
SAY:
Welcome to this presentatio…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work
Systems-Based Practice: Improving the Safety
and Quality of Patient Care by Recognizing
and Improving the Systems in Which We Work
Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients
Using Six Sigma® Methodology to Improve
Handoff Communication in High-Risk Patients
Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD;
Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL;
Karen S. Frush, MD…
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Practice and Quality Improvement
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration
Using Rapid-Cycle Research to
Reach Goals: Awareness,
Assessment, Adaptation,
Acceleration
Using Rapid-Cycle Research to Reach Goals:
Awareness, Assessment, Adaptation, Acceleration
P…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
Appropriate Emergency Department Blood Testing for
Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement
Primary Care
Practice Facilitation
Curriculum
Module 2: Practice Facilitation as a Resource
for Practice Improvement
Agency for Healthcare Research and Quality
Advancing Excellence in Healt…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results
Results From the 2014 AHRQ
Ambulatory Surgery Center
Survey on Patient Safety Culture
Pilot Study
Prepared for:
Agency for Healthcare Research and Quality (AHRQ)
U.S. Department of Health and Human Services (HHS)
540 Gaithe…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - executive vice president for health services (now subsumed under the title of president and chief operating officer
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation
2014 National Healthcare Quality and Disparities Report
Contents
Introduction
Part 1: Overviews of the Report and the Hispanic Population
Part 2: Trends in Priorities of the Heckler Report
Part 3: Trends in Access and Priorities of the National Qua…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - Improving Patient Safety by Engaging Patients and Families
AHRQ-Funded Patient Safety
Project Highlights
Improving Patient Safety by
Engaging Patients and Families
Overview
Research has shown that involving patients, as well as their families and caregivers, in the planning,
delivery, and evaluation of their heal…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience
Improving Patient Safety Using ATHENA-Decision
Support System Technology: The Opioid Therapy for
Chronic Pain Experience
Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…
-
www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
FINAL PROGRESS REPORT
1. TITLE, TEAM, DATES
Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
Urmimala Sarkar, M.D., M.P.H.
Dean Schillinger, M.D.
Margaret Handley, Ph.D., M.P.H.
Ned…