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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - Final Progress report: Creating High Reliability Organizations
Creating High Reliability Organizations
Principal Investigator:
Stephen D. Small, MD
Key Team Members:
Kay Metis, MS, MA
Bobbie J. Sweitzer, MD
Paul Barach, MD (2001-2002)
Additional funded collaborators:
Julie Mohr, PhD
David Meltzer, MD, …
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www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events
Application of Machine Learning to Enhance e-Triggers to Detect
and Learn from Diagnostic Safety Events
Principal Investigator: Hardeep Singh
Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data
119
Medical Injury Identification
Using Hospital Discharge Data
Peter M. Layde, Linda N. Meurer, Clare Guse,
John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn,
Karen J. Brasel, Stephen W. Hargarten
Abstract
Objective: Determine the feasi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results
2025 AHRQ Surveys on Patient Safety Culture®
(SOPS®) Nursing Home Survey Version 2.0 Pilot
Test Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services …
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www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
November 01, 2020 - Meeting Minutes, July 2020
National Advisory Council
Minutes from the July 14, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
( Virtual Meeting )
Contents
Summary
Call to Order and Approval of March 26, 2020, Meeting Summary
Overview and Recent Accomplis…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
January 01, 2020 - National Advisory Council Meeting, July 14, 2020: Minutes
National Advisory Council, July 14, 2020 Page 1
Agency for Healthcare Research and Quality
National Advisory Council Meeting
(Virtual Meeting)
July 14, 2020
SUMMARY
NAC Members Present
Tina M. Hernandez-Boussard, Ph.D., M.…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set
SOPS Workplace Safety for Hospitals Supplemental Item Set Resource List 1
Improving Workplace Safety in Hospitals:
A Resource List for Users of the AHRQ Workplace
Safety Supplemental Item Set
I…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - culture as I go on, but one of the things that we find out, and I'd learned this through some of my participation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - culture as I go on, but one of the things that we find out, and I’d learned this through some of my participation
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
January 01, 2015 - And then also, we really want to encourage and increase participation of our parents on some of our
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
January 30, 2017 - Behavior Therapy as First-Line Treatment for Preschool-Aged Children With ADHD
Behavior Therapy as First-Line Treatment
for Preschool-Aged Children with ADHD
Section 1. Basic Measure Information
1.A. Measure Name
Behavior Therapy as First-Line Treatment for Preschool-Aged Children
1.B. Measure Number
0089
1…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment Worksheet for Pressure Ulcer Prevention 1
On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet i…
-
www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
January 01, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative
Issue Brief
The Agency for Healthcare Research and Quality and the Coordinating Center of the Comparative Health System Performance Initiative held a workshop September 29, 2016, to share learning a…
-
www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
January 11, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative
A Summary of the First Annual
Workshop of AHRQ’s
Comparative Health System
Performance Initiative
Based on the workshop
discussions, a number of important
takeaways will inform future work
of the initiative:
•…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
February 16, 2011 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 2 Tools
2A: Multidisciplinary Team
2B: Quality Improvement Process
2C: Current Process Analysis
2D: Assessing Pressure Ulcer Policies
2E: Assessing Screening for Pressure Ulcer Risk
2F: Assessing Pressure Ulcer Care Planning
2I: Action Plan
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2-0-Spanish-5-26-2021.pdf
January 01, 2021 - 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 analy…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey-spanish.pdf
June 02, 2025 - Cuestionario sobre la de seguridad de los pacientes en los hospitales
SOPSTM Hospital Survey
Version: 1.0
Language: Spanish
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based survey, and
pre…
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - The Emergency Department & Catheter Insertions
Slide Presentation
Slide 1
The Emergency Department & Catheter Insertions
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brigham and Women’s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Build a Business Case for
Quality Improvement
SAY:
This slide set introduces building a business case for quality improvement.
Slide 1
Learning Objectives
SAY:
After reviewing this slide set, you…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish.pdf
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 da…