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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small,
Rural Hospitals
Principal Investigators
Katherine J. Jones, PhD, PT, January 2007 – June 20071
Keith J. Mueller, PhD, July 2005 – December 20061
Team Members
Anne Skinn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
April 01, 2009 - Treating Tobacco Use and Dependence: A Quick Reference Guide for Clinicians
FINAL Quick Reference guide NEW_FINAL Quick Reference guide 9/24/09 3:15 PM Page ii
FINAL Quick Reference guide NEW_FINAL Quick Reference guide 9/24/09 3:15 PM Page a
To All Clinicians
The Public Health Service-sponsored Clinical …
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021
Network of
Patient Safety
Databases
Chartbook, 2021
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2021. Rockvi…
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www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
Title Page
Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
PI: Elizabeth Schoenfeld, MD, MS
Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 4: Selecting Care Management Interventions
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Progra…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
January 01, 2017 - Presentation: Program Overview
Low Tidal Volume Ventilation:
Introduction, Evidence, and Implementation
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-54-EF
January 2017
LTVV Intro, Evidence, Implementation ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning…
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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/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home
Previous Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Many medications have not been evaluated for safety in pediatric use and are routinely
prescribed off
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
January 01, 2011 - Section 5, Figure 1 and Tables 1-5
Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for
Children with Complex Needs
Suboptimal Care-
Seeking by Parent/Pt
•Lack of a PCMH
•Urgent care/ED use
instead of PCMH
•Lack o…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
March 01, 2025 - patients with dementia or cognitive impairment could become agitated
in the ED and consequently be prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
December 01, 2021 - 2021 National Healthcare Quality and Disparities Report
consequences: the need or use of medicines prescribed
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Note:
Importance: Patients who have problems taking their medications as prescribed are at risk
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - time-sensitive nature of sepsis syndrome protocols can be tracked by EHRs as clinicians
progress through the prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report
Potentially Preventable Readmissions:
Conceptual Framework To Rethink
the Role of Primary Care
Final Report
This page is intentionally blank.
Potentially Preventable Readmissions:
Conceptual Framewo…
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
June 01, 2022 - Section 2. Implementing Recommendations in Academic Curricula
Implementing USPSTF Recommendations into Health Professions Education
This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) rec…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education
TECHNICAL ASSISTANCE DOCUMENT
IMPLEMENTING U.S. PREVENTIVE SERVICES
TASK FORCE (USPSTF) RECOMMENDATIONS
INTO HEALTH PROFESSIONS EDUCATION
September 21…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…