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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health
August 6, 2015
Download accessible version of slides (PDF, 1.1 MB)
The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1]
Operator: Ladies and gentlemen, than…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management
Primary Care
Practice Facilitation
Curriculum
Module 31: Facilitating Panel Management
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care Practice Facilitation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project
283
Expediting Clinician Adoption of Safety
Practices: The UCSF Venous Access Patient
Safety Interdisciplinary Education Project
Nancy E. Donaldson, Rosemary K. Plank, Ann Williamson,
J…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - by major surgical
procedure
Healthcare-Associated Infection
Surgical site infection following operating … room procedures Healthcare-associated Infection
Patients with one or more falls during stay Fall … VTE prior to
procedure)
Venous Thromboembolism
One or more adverse outcomes from one or more
operating … room procedures or instance of anesthesia
during stay
Surgery or Anesthesia
Iatrogenic pneumothorax
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - major
surgical procedure
Healthcare-associated Infection (HAI)
Surgical site infection following operating … room
procedures
Healthcare-associated Infection (HAI)
Patients with one or more falls during stay … VTE prior to
procedure)
Venous Thromboembolism
One or more adverse outcomes from one or more
operating … room procedures or instance of anesthesia
during stay
Surgery or Anesthesia
Iatrogenic pneumothorax
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - Medication Delivery
2018-2023
$2,466,217
Purpose: Engineer reductions in anesthesia medication errors in operating … rooms
that address three sources of failure: failures of execution, failures of intention, and
complexities … project identified many medication-use practice issues,
including unlabeled infusion bags from the operating … room, missing medication orders
for infusing medications, and protocols not being followed by the user
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www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism
Final Grant Report for
Agency for Healthcare Research and Quality
Title: Health Journalism 2007, National Conference On Health Care Journalism
Principal Investigator: Leonard J. Bruzzese
Organization: Center for Excellenc…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
November 01, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®)
Action
Planning
Tool for
the AHRQ
Surveys
on Patient
Safety
Culture
Public Domain Notice
This document is in the public domain and may be used and reprinted without permission in the United States
for noncommercial purposes, unl…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease
1
Appropriate Emergency Department Pain Assessment
for Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Pain Assessment for Children with Sickle Cell D…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
February 23, 2012 - Cesarean sections are now the most common operating room procedure in the United
States and … this increase is cesarean
delivery on maternal request. 34 Cesarean sections are now the most common
operating … room procedure in the United States and expenses related to C-section
births account for
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
February 23, 2012 - Cesarean sections are now the most common operating room procedure in the United
States and … this increase is cesarean
delivery on maternal request. 34 Cesarean sections are now the most common
operating … room procedure in the United States and expenses related to C-section
births account for
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
February 23, 2012 - Cesarean sections are now the most common operating room procedure in the United
States and … this increase is cesarean
delivery on maternal request. 34 Cesarean sections are now the most common
operating … room procedure in the United States and expenses related to C-section
births account for
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
February 23, 2012 - Cesarean sections are now the most common operating room procedure in the United
States and … this increase is cesarean
delivery on maternal request. 34 Cesarean sections are now the most common
operating … room procedure in the United States and expenses related to C-section
births account for
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
February 23, 2012 - Cesarean sections are now the most common operating room procedure in the United
States and … this increase is cesarean
delivery on maternal request. 34 Cesarean sections are now the most common
operating … room procedure in the United States and expenses related to C-section
births account for
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www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
July 01, 2024 - Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act
PATIENT
SAFETY
e
Issue Brief 19
Electronic Test Result Communication
in the Era of the 21st Century Cures Act
This page intentionally left blank.
e
Issue Brief 19
Electronic Test Result Communication …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease
1
Appropriate Antibiotic Prophylaxis for Children with
Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. Measure Number
0138
1.C…
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training
Final Progress Report
A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training
Principal Investigator: Sandrijn M. van Schaik, MD, PhD
Team Members:
• Naike Bochatay, PhD
• Deborah Fr…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - of this facility)
Labor and delivery
Radiology/ imaging department,
including onsite mobile units
Operating … room or procedure area
(e.g., cardiac catheter lab, endoscopy
area), including PACU or recovery area … area (i.e., grounds
of this facility)
Radiology/imaging department,
including onsite mobile units
Operating … room or procedure area
(e.g., cardiac catheter lab, endoscopy
area), including PACU or recovery area … Operating
room or procedure area includes for example, cardiac catheter labs, other endoscopy areas,
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - System-Focused Event Investigation and Analysis Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose : To help teams adopt a system-focused approached to event investigation and analysis.
Who should use this tool? Event Reporting, Investigation, and Analysis Team.
How to use this tool : Review…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
June 27, 2023 - Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar
National Action Alliance Summer Webinar – Addressing Violence in the
Workplace Chat Conversations, June 27, 2023
from Jade Perdue to everyone: 1:51 PM
Welcome to the second call of the National Action Alliance Summer Webinar Series …