- 
                                        
www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - We know that prescription drug opioid use has skyrocketed in the last 20 years, and unintentional overdoses
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
November 01, 2021 - leads AHRQ’s dissemination and implementation portfolio, multiple chronic condition initiative, and opioid … Since 2015, he has led specific efforts tackling a variety of policy issues including the opioid crisis … standardization of clinical quality, ambulatory antimicrobial stewardship, judicious prescribing of opioid
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - the hospital but, on 
the other hand, may not if the overdose occurred due to voluntary recreational opioid
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox
 Designing and Delivering 
Whole-Person Transitional Care: 
The Hospital Guide to Reducing 
Medicaid Readmissions 
TOOLBOX 
DESIGNING AND DELIVERING WHOLE-PERSON TRANSITIONAL CARE: 
THE HOSPITAL … 
                                     
                                                                    - 
                                        
www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR 
 
 
 
 Health Services and Primary Care Research Study: Comprehensive Report 
 This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - Drug-drug Interactions between
Antiretrovirals and medications used to treat TB, Malaria, Hepatitis B&C and opioid
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet 
On-Time Preventable Hospital and Emergency Department Visits: 
Electronic Reports 
Five reports are described here. Each section presents a sample report followed by purpose, 
description… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet 
On-Time Preventable Hospital and Emergency Department Visits: 
Electronic Reports 
Five sample reports are provided here. The reports are: 
• High-Risk Transfer Report (a medium-risk rep… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Triggers associated with opioid and 
benzodiazepine toxicity, intravenous 
infiltration, hypoglycemia
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Planning Grants Final Evaluation Report 
 Appendix A. Grantee Profiles 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Planning Grants Final Evaluation Report 
 Executive Summary 
 Introduction 
 Methodology 
 Findings 
 Appendix A. Grantee Profiles 
 Appendix B. References 
 
 
 
 
 
 
 
 Carilion Medical … 
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - substance use disorder who 
completed treatment course 
TEDSD 2020 
Hospital inpatient stays involving opioid-related … diagnoses per 
100,000 population 
HCUP 2020 
Emergency department visits involving opioid-related … Disparities Report 
2023 National Healthcare Quality and Disparities Report E-5 
• MOUD: medication for opioid
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
January 01, 2023 - substance use disorder who 
completed treatment course 
TEDSD 2020 
Hospital inpatient stays involving opioid-related … diagnoses per 
100,000 population 
HCUP 2020 
Emergency department visits involving opioid-related … Disparities Report 
2023 National Healthcare Quality and Disparities Report E-5 
• MOUD: medication for opioid
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - Proportion of Patients with chronic pain is on long term opioid therapy who are 
checked in Prescription
                                     
                                                                    - 
                                        
www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - Another was emerging problems that need to be solved, such as the current opioid crisis, or HAIs.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small, 
Rural Hospitals
Principal Investigators
Katherine J.  Jones, PhD, PT, January 2007 – June 20071 
Keith J. Mueller, PhD, July 2005 – December 20061 
Team Members
Anne Skinn… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - Slide 1
Preventing CAUTI in Special Populations: 
Focus on Procedure-Related Catheter Use
1
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiology, Infection Prevention and Control
Hospital of the University of Pennsylvania
Gregory D. Kennedy, MD, PhD 
Ass… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - The initiative evaluated evidence on safety practices including deprescribing 
for older adults, opioid … begun developing and testing 
solutions, including multilingual postoperative education materials and opioid
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool
1. Title Page
DEMONSTRATION PROJECT TO REFINE, AUTOMATE AND TEST A NOVEL EMERGENCY 
DEPARTMENT TRIGGER TOOL
Principal Investigator and Team Members
· Richard T. Griffey, MD, MPH
· Ryan Schneider, BSN-… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
January 01, 2024 - Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care
Final Progress Report 
HIV/HCV Support Team to Improve Medication Safety and Engagement in Care
Principal Investigator: Stephen A. Berry, MD, PhD
Team Members: David Thompson, PhD; Elizabeth Holmes, RN; Janessa M. Smith… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative 
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members: 
Key Pe…