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  1. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2025.xlsx
    January 01, 2025 - Introduction Introduction-Medication or Other Substance The tables in this workbook present data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2024. The tables include the relative frequency…
  2. www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
    January 01, 2024 - Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Final Grant Report to the Agency for Healthcare Research and Quality 1 R03 HS16026-01 (PI: Jonathan Temte) Dates: 6/1…
  3. www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
    January 01, 2024 - Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care Title: Addressing Patients' Multiple Concerns in Primary Care Principal Investigator/Team Members: Professor John Heritage, UCLA (PI); Professor Jeffrey Robinson, Rutgers University; Dr. Marc Elliott, RAND Corp; Dr. Megan Beckett, RAN…
  4. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Say: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communicat…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System 145 Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System Radhika Desikan, Melissa J. Krauss, W. Claiborne Dunagan, Erin Christensen Rachmiel, Thomas Bailey, Victoria J. Fraser Abstract Ba…
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
    December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Webinar Transcript On the CUSP: Stop CAUTI in ICU July 8, 2015 ICU Content Call Travis:  Excuse me, everyone. We now have all our speakers in conference. Please note that participation on this call …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
    January 01, 2014 - On the CUSP: Stop CAUTI in ICU July 8 ICU Content Call Travis: Excuse me, everyone. We now have all our speakers in conference. Please note that participation on this call by written invitation from the AHA for AHA members only. Unauthorized participants and/or any part in the aid of unauthorized participants may be s…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
    March 01, 2011 - Attachments 6.1 through 6.9 Attachment 6.1 Version 1 of the PMCoE ADHD Follow-up Measure DRAFT Measure #3: Follow-up and Symptom Management (composite) Attention Deficit Hyperactivity Disorder (ADHD) A. DESCRIPTION Percentage of patients aged 4 through 18 years with a diagnosis of Attention Deficit Hyperact…
  11. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) 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 the best practices…
  12. www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
    January 01, 2024 - Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative AHRQ Grant Final Progress Report Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative GRANT NUMBER: R18 HS18645-03 PRINCIPAL INVE…
  13. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) 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 the best practices…
  14. www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
    January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2007, National Conference On Health Care Journalism Principal Investigator: Leonard J. Bruzzese Organization: Center for Excellenc…
  15. www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
    January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Final Progress Report Project Title: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Principal Investigator: Shaun Grannis, MD, MS, FAAFP Team Membe…
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/careaffordability/qdr2015-chartbook-careaffordability.pptx
    August 01, 2016 - Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Affordability August 2016 This presentation contains notes. Select View, then Notes page to read them. 1 National Healthcare Quality and Disparities Report Annual report to Congress mandated in the Healthcare Research and Quality Act of 1…
  17. www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
    January 01, 2024 - Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety Final Progress Report: Implementing Reduced Work Hours for All House Staff to Improve Patient Safety Principal Investigator: Christopher P. Landrigan, MD, MPH Team Members: Charles A. Czeisler, PhD, MD, David W. …
  18. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/integrate-cusp-approach.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs How To Integrate a CUSP Approach Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tool…
  19. www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
    May 01, 2017 - Warm Handoff Patient and Family Engagement in Primary Care Slide 1: Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in …
  20. www.ahrq.gov/news/newsroom/case-studies/202202.html
    February 01, 2022 - Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ Safety Program to Lower Bloodstream Infections Search All Impact Case Studies February 2022 Using AHRQ's Comprehensive Unit-based Safety Program ( CUSP ), Henry Ford Hospital in Detroit has reduced the incidence of central line-associated bloodstream …

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