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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-Borowitz_4.pdf
January 22, 2008 - Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World
Resident Sign-Out: A Precarious Exchange of Critical
Information in a Fast-Paced World
Stephen M. Borowitz, MD, Linda A. Waggoner-Fountain, MD, Ellen J. Bass, PhD,
and Justin M. DeVoge, MS
Abstract
Background: Sign-out is a …
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
7. Appendix C: Additional Tables by Topic Area
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 Excel…
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www.ahrq.gov/data/apcd/envscan/summary.html
June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Executive Summary
Previous Page Next Page
Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evi…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed
Slide Presentation
Slide 1: Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1–Understanding Why Change Is Needed
Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit.
Slide …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Workshee…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 2. Talking With Residents’ Family Members
These talking points are presented in Q&A format to encourage an open and respectful dialogue
between nurses or prescribing c…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture
How PSOs Help Health Care Organizations
Improve Patient Safety Culture
Developing a culture of safety is an essential task for
health care organizations as they strive to eliminate
the factors that contribute to medical errors, patient
harm, …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-Spanish-05.18.21.docx
June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0 Spanish
SOPS® Hospital Survey
Version: 2.0
Language: Spanish
· For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing da…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
February 01, 2017 - Build a Business Case for Quality Improvement: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Build a Business Case for Quality Improvement
Say:
This slide set introduces building a business case for quality improvement.
Slide 2: Learning Objectives
Say:
Afte…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish.docx
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety - Spanish
SOPS® Nursing Home Survey
Version: 1.0
Language: Spanish
· For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, …
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6v.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 23)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
March 01, 2016 - IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool B.2a
IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS
PROGRAMS
Guidance for…
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www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
VI. Summary and Conclusions
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
September 01, 2014 - Based on rate of state participation. … continued discussion of whether most appropriate at state level vs hospital reporting given very low participation
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www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture
Title of Project: Impact of state policies on nursing home patient safety culture
Principal Investigator: Yue Li, Ph.D., University of Rochester
Team Members: Helena Temkin-Greener, Ph.D., University of Rochester
Xueya Cai, Ph…
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www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
January 01, 2025 - Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange
Title Page
Title: Advancing Quality Measurement and Care Improvement with Health Information
Exchange
Principal Investigator and Team Members:
Jason S Shapiro Role: Principal Investigator
Cindy Clesca…
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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents
1
Project Title: Creating Learning Cultures Around Mistakes for Residents
Timothy J. Hoff, PhD, Principal Investigator
University at Albany, SUNY
School of Public Health
Henry Pohl, MD, Co-Investigator
Joel Bartfield, MD, Co-Investi…
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report
Title: Effects of Extended Work Hours on ICU Patient Safety
Principal Investigator: Charles A. Czeisler, Ph.D., M.D.
Organization: Brigham and Women's Hospital
Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …