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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - Fall and fall-related injury outcome measures
Measure Definition
Fall An unplanned descent to the … Systematic reviewers reported that most acute care fall prevention programs were
heterogeneous and employed … Joint Commission. 2008 National patient safety goals:
Hospital program. … Reducing patient falls: A research-based
comprehensive fall prevention program. … Do hospital fall
prevention programs work? A systematic review.
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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 - Fall and fall-related injury outcome measures
Measure Definition
Fall An unplanned descent to the … Systematic reviewers reported that most acute care fall prevention programs were
heterogeneous and employed … Joint Commission. 2008 National patient safety goals:
Hospital program. … Reducing patient falls: A research-based
comprehensive fall prevention program. … Do hospital fall
prevention programs work? A systematic review.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia
AHRQ Safety … Program for Perinatal Care
Labor and Delivery Unit Safety
Shoulder Dystocia
Labor and Delivery Unit … The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … This might include an existing medical peer review process or review by a perinatal safety or quality … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
January 31, 2024 - The inability of some
electronic health records to produce clinical quality measures, observed in earlier … Network, the Medicare
Beneficiary QI Program, and the Michigan Rural Health Clinic Quality Network. … measures forward, and develop inter-practice
support through learning collaboratives. … Michigan also focused on the fact that practitioners have to participate in quality payment
programs … The inability of some
electronic health records to produce clinical quality measures, observed in earlier
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
December 01, 2017 - Designing a Scorecard for Sustainability: Facilitator Notes
AHRQ Safety Program for Surgery … Say:
After this session, you will be able assess objectively your unit’s current stage in surgical quality … implementation, describe how to design a scorecard to measure performance as a part of your sustainability … Is there a feedback loop for sharing progress on quality work? … Ask:
Have you embedded Science of Safety in onboarding or orientation programs for all new staff, including
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
March 01, 2009 - Director, EPC Program EPC Program Task Order Officer
Agency for Healthcare Research and Quality … Only 58 SRs (41 percent) used quality scales or checklists to
assess the methodological quality of the … Seven of the eight SRs used single quality scales (e.g., good, fair, or poor) for both intervention … The definitions (or the quality items considered) of these quality scales
varied. … scales or
checklists to assess the methodological quality of the primary studies included.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - healthcare approaches that attempted to educate patients and caregivers and provide them
a greater measure … departments), and
■ Co-designing interventions (e.g., co-creating a home blood pressure monitoring program … Supplemental Material to the CMS MMS Hub Patient-Reported Outcome Measures. … Patient and public involvement in patient-reported
outcome measures: evolution not revolution. … Agency for Healthcare Research and Quality.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - Refinement Document
Home Mechanical Ventilators
ID: PULT0717
Agency for Healthcare Research and Quality … Technology Assessment Program
Mayo Clinic Evidence-based Practice Center
16 October 2017 … unit (ICU),
need for intubation, outpatient visits, emergency room visits, disease exacerbations, quality … initiation
and continuation of treatment
Equipment and usage
Device type
Parameters of device usage
Measures … of life (QoL)
• Activities of daily living (ADL)
• Dyspnea
• Sleep quality
• Exercise tolerance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - for his or her risk of an
ischemic and/or thrombotic complication, and use appropriate prophylactic measures … Use of training programs to reduce fatigue-related preventable adverse events.
10. … It is important to note, however, that
this project did not identify performance measures that could … There is an urgent need to identify
performance measures that can be used to reliably assess, quantify … Nonetheless, for purposes of stability and consistency of program
implementation, the set of Safe Practices
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - The Centers for Medicare & Medicaid Services (CMS) has established quality
measures, and financial penalties … Teach-Back for quality education and patient safety. … noted that patients improved their understanding of
diabetes management, no data were provided on measures … There was no statistically significant difference in HbA1c
outcome measures.6
The largest study we … Agency for Healthcare Research and Quality.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting … FiO2 (80%) decreased SSIs among patients with general anesthesia with tracheal intubation (moderate quality … of evidence)
No increased risk of major adverse events (low quality of evidence)
Conclusion: Surgical … Perioperative Infection Prevention
23
Preoperative Glycemic Control Optimization
Hemoglobin A1c can be a measure … | 30
Case Example
AHRQ Safety Program for MRSA Prevention | Surgical Services
AHRQ Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting … FiO2 (80%) decreased SSIs among patients with general anesthesia with tracheal intubation (moderate quality … of evidence)
No increased risk of major adverse events (low quality of evidence)
Conclusion: Surgical … Perioperative Infection Prevention
23
Preoperative Glycemic Control Optimization
Hemoglobin A1c can be a measure … | 30
Case Example
AHRQ Safety Program for MRSA Prevention | Surgical Services
AHRQ Safety Program
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth … Using Administrative Data to Develop Measures for Monitoring
Healthcare Quality in Pregnancy & Childbirth … assessment measures. … measures. … The IQIs are a set of measures designed to reflect the quality of care inside hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - identifying target users, engaging connector organizations, identifying barriers, developing success measures … research project, when findings are known or the research efforts have produced a product, tool, or program … While the ultimate measure of success is improved patient care, this section of the tool helps the researcher … Rockville, MD: Agency for Healthcare Research and Quality; 2005.
5. Rogers EM. … Stages in the implementation of innovative clinical programs in complex organizations.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - identifying target users, engaging connector organizations, identifying barriers,
developing success measures … research project, when findings
are known or the research efforts have produced a product, tool, or program … While the ultimate
measure of success is improved patient care, this section of the tool helps the … researcher think about interim process measures of success, such as the number of
physicians who request … Rockville, MD:
Agency for Healthcare Research and Quality; 2005.
5. Rogers EM.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
5600 Fishers … (AHRQ) Patient Safety Organization (PSO)
program by providers and PSOs nationwide. … Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pub. … The NPSD data are not
statistically comparable to clinical quality measures. … For example, the data from clinical quality
measures reported by agencies such as the Centers for Medicare
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - and adverse drug reactions through several established
Advances in Patient Safety: Vol. 4
362
programs … United States Pharmacopeia (USP) and the Institute for Safe
Medication Practices (ISMP) are two such programs … Center Registry and
MEDMARX are considered nominal-style variables, and therefore only
descriptive measures … and the FDA’s MedWatch
program. … new program.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for … Suggests comfort measures during labor to the woman and her partner. … second victims of adverse events and often provide psychological support through employee assistance programs … Examples include working with staff, clinicians, and leaders to improve policies, processes, programs … In addition to the information presented in this module, CUSP tools are available through the Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
March 22, 2014 - Displays alternative significant weight loss measures:
≥2 percent From Previous Week
≥5 percent … Four consecutive monthly weights instead of weekly
weights
b. … Weight values in weeks when weights were recorded and
blank cells when weights were not recorded … Measure is also on the Nutrition Report. … Quality
improvement teams may want to access trended information to
gain insight into the status of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Innovative program
features may be of interest to other States implementing reporting systems. … facilities to
conduct a root-cause analysis and develop risk-reduction strategies with
corresponding measures … tracking of less serious but common adverse
events may encourage clinical leaders to implement preventive measures … Key dissemination activities include sharing lessons learned, educational
programs, presentations, the … Program Overview. http://psrs.arc.nasa.gov/
program_briefing.htm.
31.