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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
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Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
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www.ahrq.gov/sdoh/resources.html
April 01, 2023 - Social Determinants of Health Resources
AHRQ has a wide variety of resources related to social determinants of health (SDOH). Visit:
Health Systems Research : Learn about AHRQ research related to SDOH and find resources for researchers.
Practice Improvement : Find tools that health systems can use to addr…
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www.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
January 01, 2016 - Agency for Healthcare Research and Quality
Report on AHRQ Conference Spending, Fiscal Year 2015
Summary of AHRQ’s conference spending for fiscal year 2015.
Office of Extramural Research Education and Priority Populations (OEREP)
21 st Annual National Research Service Award (NRSA) Trainees Research Confer…
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www.ahrq.gov/cpi/centers/od/klein.html
July 01, 2025 - Roger D. Klein, M.D., J.D.
Roger D. Klein, M.D., J.D. , is a board-certified molecular pathologist and attorney who was formerly Chief Medical Officer of OmniSeq, Inc., a tumor profiling company that was acquired by LabCorp. Dr. Klein continued in a similar capacity at LabCorp helping to ensure the successful i…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh11.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 11. Performance on SSI types using test set
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Ch…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh6.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 6. Demonstration that algorithm positives can be identified by compact logic
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome D…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh52.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 52. Modified Denver Health algorithm performance data
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Su…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh48.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 48. Original manual process flow for surgical site infection surveillance
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Dete…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh24.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 24. List of additional SSI risk factors at Intermountain Healthcare
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection …
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
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www.ahrq.gov/practiceimprovement/index.html
June 01, 2025 - Practice Improvement
AHRQ develops, tests and shares resources and strategies to assist health systems and clinicians deliver high-quality, safe, high-value healthcare. These evidence-based tools, toolkits, and training resources can help clinicians address challenging changes in medical practice and deliver th…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/unhealthy-alcohol-use.pdf
January 01, 2019 - EvidenceNOW: Managing Unhealthy Alcohol Use
Problem
Unhealthy alcohol use is the Nation’s third leading cause of preventable
death, affecting almost a third of adults. It is associated with adverse effects
on physical and mental health. In addition, unhealthy alcohol use has
detrimental socioeconomic consequence…
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www.ahrq.gov/cahps/surveys-guidance/cancer/develop-cancer-surveys.html
March 01, 2017 - Development of the CAHPS Cancer Care Survey
The CAHPS ® Cancer Care Survey was developed and tested in two phases by the American Institutes for Research (AIR) and the Mayo Clinic with the support of multiple funders:
The first phase of the project took place between October 2009 and March 2013. It was s…
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www.ahrq.gov/sops/events/webinar/asc-use-012121.html
February 01, 2024 - How To Use the AHRQ SOPS Ambulatory Surgery Center Survey To Improve Patient Safety (Webcast)
January 21, 2021
Summary
Speakers and Presentation Slides
Recording
Summary
This webcast provided information on how to use AHRQ’s Surveys on Patient Safety Culture™ (SOPS ® ) Ambulatory Surgery Center (A…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
Search All Impact Case Studies
March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
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Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Introduction
Nurses’ Roles…
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care
Using a Computerized Fall Risk Assessment Process
to Tailor Interventions in Acute Care
Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD,
RN, FAAN, FRCN
Abstract
Patient falls account …
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www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - Final Progress Report: Technology To Improve Medication Safety in Nursing Homes
Nursing Home Medication Safety 1
Technology to Improve Medication Safety in Nursing Homes
Jill Scott-Cawiezell, PhD
Principal Investigator
Marilyn Rantz, PhD, Lanis Hicks, PhD, Richard Madsen, PhD, & Greg Petroski, PhD
Investigators
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide
Table of Contents
Introduction ......................................................................................................................................1
What Is the Prepare and Launch Guide? .....................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care
Using a Computerized Fall Risk Assessment Process
to Tailor Interventions in Acute Care
Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD,
RN, FAAN, FRCN
Abstract
Patient falls account …