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  1. 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 …
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
    November 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
    January 01, 2017 - Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Publication No. 16(17)-001…
  4. www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
    January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room Title Page Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room Principal Investigator: • Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University. Co-Investigators: • Richar…
  5. www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
    January 01, 2024 - Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients FINAL REPORT Title: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients Principal Investigators: Matthew B. Weinger, MD, MS, & Daniel Josep…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs Katherine J. Jones, PT, PhD; Anne Skinner, RHIA; Liyan Xu, MS; Junfeng Sun, PhD; Keith Mueller, PhD A…
  7. www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
    March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane …
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V: Tested Measures by DRA Domain Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and S…
  9. www.ahrq.gov/data/apcd/confrpt.html
    February 01, 2018 - Expanding and Enhancing All Payer Claims Database System Capacity in States The National Association of Health Data Organizations (NAHDO) and the APCD Council brought together States aggregating health care claims data from payers to transfer knowledge and best practices in all-payer claims database (APCD) coll…
  10. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
    March 01, 2016 - Resources for Advanced Practices Resources for Advanced Practices The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents Introduction ......................................................................1 Shared Decisionmaking .................…
  12. 0129References (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
    October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change SAY: This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…
  14. www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
    January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED 1 1. TITLE PAGE April 10th, 2012 Final Report Grant No: 1R03HS017740-01 Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension) Title: Developing a Rational Clinical Approach to the Dispositio…
  15. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
    December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data Deep-Rooting Your Data AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
    October 01, 2024 - Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings AHRQ Safety Program for MRSA Prevention Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings Introduction 1 The Importance of MRSA Prevention 1 Four Key Strategies of MRSA Prevention 1 Decolonize Patients 2 Decontamina…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization SAY: Welcome to this presentation on the implemen…
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
    January 01, 2011 - with the PCPI plans to focus on the development of EHR specifications for new measure development projects
  20. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
    July 01, 2018 - engagement and creating specific measurable goals. 156,157 The implementation plan should consider which projects

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