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  1. 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…
  2. 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 …
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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 …
  9. 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…
  10. 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
  11. 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…
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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