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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…
  3. www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
  4. www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
    January 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? Principal Investigator: Thamer, Mae FINAL REPORT TITLE PAGE Title: Do Safety Warnings Change Prescribing among the US Dialysis Population? Principal Investigator and Team Members: M Thamer, PI, and other team members (…
  5. www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
    April 01, 2018 - to comprehensive PrEP services: CDC: Rapid dissemination of lessons learned from demonstration projects
  6. www.ahrq.gov/patient-safety/resources/learning-lab/physiologic-monitoring-long-desc.html
    January 01, 2025 - Pediatric Patient Safety Learning Laboratory to Reengineer Continuous Physiologic Monitoring Systems Principal Investigator: Christopher Bonafide, M.D., M.S.C.E., Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA AHRQ Grant No.: HS26620 Project Period: 09/30/18-07/31/23 Description: This lab’s goa…
  7. www.ahrq.gov/patient-safety/reports/engage/start.html
    July 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Getting Started With Patient and Family Engagement in Primary Care Implementing the strategies will be like any quality or process improvement project. It requires commitment, leadership, and planning. The Agency for…
  8. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/timeline-checklist-nc.pdf
    April 01, 2018 - Heart Health NOW! Advancing Heart Health in NC Primary Care Heart Health NOW! Advancing Heart Health in NC Primary Care Practice Participation Timeline and Checklist “CCNC PF” = Practice Facilitator; “AHEC PC” = Practice Coach 1) Practice Enrollment: To be completed during 1-2 in-person meetings, as n…
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep5.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Program Performance Measures and Gaps Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan …
  10. www.ahrq.gov/news/newsletters/e-newsletter/922.html
    July 01, 2024 - Artificial Intelligence Tool Shows Strong Performance in Predicting Patient Deterioration During Pandemic Issue Number 922 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. July 23, 2024 AHRQ Stats: Disorders Commonly Associated With Readmission Sepsis, heart f…
  11. www.ahrq.gov/faqs/index.html?page=7
    June 12, 2025 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…
  12. www.ahrq.gov/news/newsletters/e-newsletter/912.html
    May 01, 2024 - Winners Chosen in Challenge Competition To Advance AHRQ’s CDS Connect Issue Number 912 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 7, 2024 AHRQ Stats: Cost of Treatment for Dental Conditions Among Seniors In 2020, the first year of the COVID-19 pandem…
  13. www.ahrq.gov/research/findings/final-reports/ssi/ssiapc.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix C. Data Dictionary Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration …
  14. www.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix S. Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Det…
  15. www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix Q. Surgeon Focus Group Content Analysis Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapt…
  16. www.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix K. Final Risk Factors Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administrati…
  17. www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/agenda-coe-workshop1.pdf
    September 29, 2016 - Comparative Health System Performance Initiative Annual Workshop: Agenda AHRQ COMPARATIVE HEALTH SYSTEM PERFORMANCE INITIATIVE COORDINATING CENTER Comparative Health System Performance Initiative ANNUAL WORKSHOP September 29, 2016 8:00 A.M.—5:00 P.M. AHRQ Headquarters 5600 Fishers Lane, Rockville, MD 20…
  18. www.ahrq.gov/nursing-home/resources/search.html?page=9
    January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
  19. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
    May 01, 2017 - Debrief Example - Implementation Guide Slide 1: Debrief Example Quality Improvement Study Ambulatory Surgery Center Slide 2: Problem Statement The surgical safety checklist has been shown to reduce surgical mortality and complication rates in a variety of surgical settings. …
  20. Module 2: Example (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
    May 01, 2017 - Module 2: Example AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 5: Visual Management Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, lay out the specifications of your…

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