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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…
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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 _________________________________________________…
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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…
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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.
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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…
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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…
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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…
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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
…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…