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  1. www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
    September 01, 2016 - Biosketches Jason Adelman, MD, MS Chief Patient Safety Officer and Associate Chief Quality Officer Columbia University Medical Center/New York-Presbyterian Hospital Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
    November 01, 2023 - Recovering After Hip Fracture Surgery Recovering After Hip Fracture Surgery e Hip Fracture Surgery Patient Education Guide 1 Recovering After Hip Fracture Surgery Patient Name ___________________________________________________________________ Surgeon Name _________________________________________________…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…
  4. www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
    January 01, 2024 - Currently, there are plans to expand the MUSIC-POP to other urological procedures.
  5. www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
    January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…
  6. www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed Analysis in Ambulatory Primary Care Final Report September 30, 2009 Principal Investigator: Donald Kennerly, MD, PhD Team Members: David Ballard, MD, MSPH, PhD, Co-Investigator S. Quay Mercer, BS, MT (ASCP…
  7. www.ahrq.gov/practiceimprovement/delivery-initiative/dowdstudysnapshot.html
    November 01, 2015 - Implementation and Impact Of Medicare's Voluntary Ambulatory Care Quality Reporting Program AHRQ Delivery System Research: Study Snapshot Between 2008 and 2014, practices that voluntarily participated in Medicare's Physician Quality Reporting System (PQRS) received financial bonuses for reporti…
  8. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix B. Prioritize Opportunities for Improvement Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart …
  9. www.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf
    November 01, 2015 - Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program* Bryan Dowd, Tami Swenson, Shriram Parashuram, Robert Coulam, Robert Kane, John Kral…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_apptaide.pdf
    December 01, 2017 - Appointment Aide: Preparing for Your Appointment Appointment Aide: Preparing for Your Appointment Appointment Aide: Preparing for Your Appointment Patients who are active members of their health care team are more likely to see their health conditions improve (following a hospitalization). This tool can hel…
  11. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
    May 01, 2023 - Tool: Task Assistance What Task Assistance Is Task assistance includes both asking for assistance when needed and offering assistance to team members when the opportunity arises. Task assistance is guided by situation monitoring, because situation monitoring allows team members to effectively identify when th…
  12. www.ahrq.gov/news/newsroom/case-studies/201411.html
    August 01, 2014 - Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care Search All Impact Case Studies August 2014 Mercy Health, one of the largest nonprofit health systems in the United States, has used AHRQ's Hospital Survey on Patient Safety Culture and team training tools since 2005 to …
  13. www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
    February 01, 2024 - University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated $350,000 in avoidable costs. Impl…
  14. www.ahrq.gov/es/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation References Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Foundati…
  15. www.ahrq.gov/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation References Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Foundati…
  16. www.ahrq.gov/ncepcr/care/coordination.html
    November 01, 2024 - Care Coordination Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs and preferences are known ahead of time and communicate…
  17. www.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
    March 01, 2019 - State at a Glance: North Carolina Learn more about the CHIPRA quality demonstration projects being implemented in North Carolina. North Carolina is featured in the following reports from the National Evaluation: Evaluation Highlight No. 1 : How are CHIPRA demonstration States approaching practice-level qu…
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-english-2.0.pdf
    June 05, 2025 - SOPS Nursing Home Survey Version 2.0 Items and Composite Measures SOPS® Nursing Home Survey Items and Composite Measures Version: 2.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, administerin…
  19. www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
    December 01, 2017 - Surgical Site Infection Investigation Tool AHRQ Safety Program for Surgery Introduction Problem Statement Your team cannot always predict which patients will develop a surgical site infection, but you can learn from them when they occur. To improve, perioperative teams need a structured appr…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Shadowing Another Professional Tool AHRQ Safety Program for Perinatal Care Shadowing Another Professional Tool Shadowing Another Professional Tool Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different profes…

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