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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/understanding-how%20the%20tf-works-2022-update_3.pdf
January 01, 2022 - Understanding How the U.S. Preventive Services Task Force (USPSTF) Works
Understanding How the
U.S. Preventive Services
Task Force (USPSTF)
Works
USPSTF 101
February 2023
Goals
• Improve understanding of the U.S. Preventive Services Task
Force (USPSTF or Task Force)
• Explain the connection between…
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim5.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Conclusions
Previous Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
The national project team …
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/understanding-how%20the%20tf-works-2022-update_0.pdf
January 01, 2022 - Understanding How the U.S. Preventive Services Task Force (USPSTF) Works
Understanding How the
U.S. Preventive Services
Task Force (USPSTF)
Works
USPSTF 101
February 2023
Goals
• Improve understanding of the U.S. Preventive Services Task
Force (USPSTF or Task Force)
• Explain the connection between…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #4…
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www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 2. Forming a Patient Flow Team
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
S…
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www.ahrq.gov/ncepcr/reports/primary-care-research/appendix-a.html
January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Appendix A. Grants Database Search Terms & Analytic Categories/Definitions Used in Portfolio Analysis 2008-2019
Previous Page Next Page
Table of Contents
Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
In…
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: A Team Approach
AHRQ Small Conference Grant Final Report
Title of Project: Medication Reconciliation: A Team Appr oach
Principal Investigator: Jeffrey L . Greenwald, MD, FHM
Team Members: Jeffrey L. Greenwald, MD, FHM (SHM), PI and Conference Chair; …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Diagnostic Safety Research Priorities and Opportunities
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safe…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Quality Improvement Strategies
Previous Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
This section of the…
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www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED)
Principal Investigator: Hall, Kendall K. 7P20HS017111-02
FINAL REPORT
Evaluation of Risk by Active Surveillance in the Emergency Department
(ERASED)
Principal Investigator: Kendall K. Hall, MD, MS (University of …
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2010
January 01, 2010 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2010
Project Name
Technology for Optimizing Population Care in a Resource-Limited Environment
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mech…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
June 02, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B
1
1
2
3
4
5
6
7
8
9
10
11
Appendix B.
Revised Safer Dx Instrument
1 2 3 4 5 6 7
Strongly Disagree Neutral Strongly Agree
ITEM SCORE
The documented history was suggestive of an alternate diagnosis, which was not cons…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Er…
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2011
January 01, 2011 - Guidelines Into Decision Support (GLIDES) - 2011
Project Name
Guidelines Into Decision Support (GLIDES)
Principal Investigator
Shiffman, Richard N.
Organization
Yale University
Contract Number
290-08-10011-20
Project Period
March 2008 - April 2012
AHRQ…
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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/news/newsroom/case-studies/ktcquips85.html
October 01, 2014 - Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support …
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digital.ahrq.gov/principal-investigator/carayon-pascale
January 25, 2018 - Carayon, Pascale
Team adaptation to complex clinical situations: The case of VTE prophylaxis in hospitalized patients.
Citation
Salwei M.E., Carayon, P., Hundt, A.S., Kleinschmidt, P., Hoonakker, P.L.T., Patterson, B.W., Wiegmann, D. (2018). Team adaptation to complex clinical…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - NIPS’10:
Proceedings of the 23rd International Conference on Neural Information Processing Systems.
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psnet.ahrq.gov/node/46597/psn-pdf
November 01, 2017 - A novel process audit for standardized perioperative
handoff protocols.
November 1, 2017
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative
Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011.
https://psnet.ahrq.gov/issue…