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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
    March 01, 2020 - Chapter-2 - Failure-To-Rescue Failure To Rescue 2-1 2. Failure To Rescue Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A. Introduction Background Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient experiencing complications from a disease p…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
    March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - Chapter-3 - Sepsis Recognition Sepsis Recognition 3-1 3. Sepsis Recognition Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S. Introduction Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years, and accounts for more hospital admissions and spending than…
  4. www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics 1. Title: Surveillance for Adverse Drug Events in Ambulatory Pediatrics Principal Investigator(s): Thomas C. Bailey (07/15/09—02/28/11) Peter M. Kilbridge (09/01/07—07/14/09) Team Members: Laura A. Noirot Richard M. Reichley …
  5. www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
    January 01, 2024 - Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture AHRQ Grant Final Progress Report Title of Project: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture Principal Investigator: Thomas H. Gallagher, MD Co-Investigators: Sarah Shann…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
    August 07, 2018 - Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy 1 Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications B…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
    November 01, 2019 - Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies Section 1. Basic Measure Information 1.A. Measure Name Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancie…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
    January 01, 2014 - Follow-Up Referral After Positive Developmental Screen Follow-Up Referral After Positive Developmental Screen Section 1. Basic Measure Information 1.A. Measure Name Follow-up Referral after Positive Developmental Screen 1.B. Measure Number 0204 1.C. Measure Description Please provide a non-technical descri…
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
    April 01, 2019 - CHIPRA 81: Pediatric Global Health-7 Measure Report 1 Pediatric Global Health-7 Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Global Health-7 (PGH-7) Measure 1.B. Measure Number 0081 1.C. Measure Description Please provide a non-technical description of the measure that convey…
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
    January 15, 2025 - Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Qu…
  11. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
    October 01, 2022 - Interim Report of the Subcommittee of the NAC on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities - 1 - INTERIM REPORT OF THE AHRQ NATIONAL ADVISORY COUNCIL SUBCOMMITTEE ON THE PATIENT-CENTERED OUTCOMES RESEARCH TRUST FUND STRATEGIC FRAMEWORK AND FUTURE ACTIVITIES …
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
    January 01, 2023 - AHRQ-Funded Patient Safety Project Highlights AHRQ-Funded Patient Safety Project Highlights Improving Healthcare 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 healthcare c…
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
    January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes 2023 National Healthcare Quality and Disparities Report Appendixes This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quali…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes 2023 National Healthcare Quality and Disparities Report Appendixes This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quali…
  15. www.ahrq.gov/data/apcd/envscan/findings.html
    July 01, 2022 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence Findings Previous Page Next Page Table of Contents All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence E…
  16. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
    August 01, 2016 - AHRQ Individual Research Career Development (K) Award Program AGENCY FOR HEALTHCARE RESEARCH AND QUALITY INDIVIDUAL RESEARCH CAREER DEVELOPMENT (K) AWARD PROGRAM Evaluation Report Evaluation Report Agency for Healthcare Research and Quality Individual Career Development (K) Award Program Prepa…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Pressure Injury Prevention Program Implementation Guide Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No.: HHSA290201200017I Task Order No. 2 Prepared by: AFYA, Inc. Laurel, MD AHRQ Publ…
  18. www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
    January 01, 2019 - Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies 1 Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies Section 1. Basic Measure Information 1.A. Measure Name HROB V: Availability of Outpatient Matern…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

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