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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Promoting
patient safety by preventing medical error. JAMA.
1998 Oct 28;280(16)1,444–7.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - Promoting patient safety and preventing
medical error in emergency departments.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises
Contents
Nutrition Risk Reports Information Exercises
Exercise #1: Risk Criteria and Rules
Exercise #2: Identify Residents Meeting High-Risk Criteria
Exercise #3: Identify Resi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Pressure Ulcer Prevention Handouts (continued)
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/impguide.pdf
June 02, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide—Implementation
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 1
Implementation of
the Prevention
Reports
AHRQ’s Safety Program for Nursing
Homes: On-Time Pressure Ulcer
Prevention Facilitator Traini…
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www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery
1. Title Page
Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery
MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH
Organization University of Chicago
Dates of the Project 07/01/2018 - 04/30…
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www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care
Final Progress Report
Reducing Adverse Drug Events from Anticoagulants, Diabetes Agents and Opioids in
Primary Care
Principal Investigator: Andrea M. Wessell, PharmD
Team Members: Steven M. Orns…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 6: Care for the Caregiver
Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight08.pdf
September 08, 2015 - Evaluation Highlight No. 8: CHIPRA Quality Demonstration States Help School-Based Health Centers Strengthen Their Medical Home Features
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
September 08, 2015 - How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the qu…
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
May 01, 2015 - How are CHIPRA quality demonstration States improving perinatal care?
Evaluation Highlight No. 12
Authors: Ellen Albritton and Dana Petersen
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration Grant Program
In Feb…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
January 01, 2019 - Lessons from the Field: Identifying Measurement Challenges and Successes
Lessons from the Field: Identifying
Measurement Challenges and Successes
Prepared for the Agency for Healthcare Research and Quality by L&M
Policy Research, LLC with guidance from the Pediatric Quality Measure
Program (PQMP) Grantees
…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
References
Previous Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To Improve Diagnosis in Health Profes…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
September 30, 2015 - National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medic…
-
www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi
FINAL PROGRESS REPORT
Title of Project: Addressing Preventable Medication Use Variance in Mississippi
Principal Investigator: Brown, CA, MD, MPH
Team Members: William Rudman, PhD, Calvin Hewitt, MBA,
Honey Holman, MD, Kent Kirchn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable
Hospital and Emergency Department Visits
Hospital Transfer Self-Assessment Worksheet
Purpose
The Hospital Transfer Self-Assessment Worksheet can help nurs…
-
www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety
FINAL REPORT: April 16, 2007
Using Barcode Technology to Improve Medication Safety
Principal Investigator: Tejal Gandhi, tgandhi@partners.org
Brigham and Women’s Hospital
Tejal Gandhi MD, MPH, Principle Investigator
Eric Poon, MD, MPH, …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hhco-linkage-techdoc.pdf
January 01, 2022 - Compendium of U.S. Health Systems, 2022, Home Health Care Organization Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2022, Home Health Care Organization Linkage
File, Technical Documentation
Prepared for:
Agency for Healthcare …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hhco-linkage-techdoc.pdf
January 01, 2021 - Compendium of U.S. Health Systems, 2021, Home Health Care Organization Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2021, Home Health Care Organization Linkage
File, Technical Documentation
Prepared for:
Agency for Healthca…
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-hhco-linkage-techdoc.pdf
January 01, 2020 - Compendium of U.S. Health Systems, 2020, Home Health Care Organization Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2020, Home Health Care Organization Linkage
File, Technical Documentation
Prepared for:
Agency for Healthca…