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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - Metabolic Monitoring for Children and Adolescents on Antipsychotics
1
Metabolic Monitoring for Children and Adolescents
on Antipsychotics
Section 1. Basic Measure Information
1.A. Measure Name
Metabolic Monitoring for Children and Adolescents on Antipsychotics
1.B. Measure Number
0150
1.C. Measure Descripti…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery
Developing a patient-centered model of the risk of perioperative complications in spine surgery
John Ratliff, MD, PI
Team members:
Summer Han, PhD
Richard Olshen, PhD
Lu Tian, PhD
Paola Suarez
…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix A. Teleconferences with AHRQ & CDC
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1.…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - AHRQ Comparative Health System Performance Initiative: Annual Workshop
AHRQ Comparative Health System
Performance Initiative
Annual Workshop
Presentation at AHRQ Headquarters
Rockville, Maryland
September 29, 2016
Mathematica Policy Research
22
Agenda for the Day
• Welcome (9:00–9:20)
• CoE updates and pr…
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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 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges
51
Patient Safety Research in Medical Group
Practices: Measurement and Data Challenges
Amy R. Wilson, Bryan E. Dowd, John E. Kralewski
Abstract
This paper attempts to identify and discuss some of the major challenges to
co…
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www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network
Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers
in a Regional Care Network
Rachel A. Umoren, MBBCh, MS
Mega…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and Affective Approach
Pat Croskerry
Abstract
Diagnosis is the foundation of medicine. Effective treatment cannot begin until an
accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of
clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - The Patient Safety Education Project: An international Collaboration
The Patient Safety Education Project:
An International Collaboration
Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD;
Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD
Abstract
The Patient Safety Edu…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) 2022 Virtual Research Meeting
Summary: Assessing Patient Experience …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - Clinic leaders
and other clinicians take classes through the Center and have the option to develop and
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
April 01, 2019 - Look for the Q&A icon and be sure that the dropdown
option displays all panelists for you to ask the
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - And patients had the option to put their name and contact info in case
they wanted to speak to someone
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
June 02, 2025 - Shiley, Portex
■ Silicone: Less rigid, naturally soft, does not stiffen with repeated use, may be an option
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - A “N/A” option
was provided for four items that referenced behaviors unlikely to occur in every case