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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change
383
Beyond the Dusty Shelf: Shifting
Paradigms and Effecting Change
Dwight McNeill, Howard Holland, Kerm Henriksen
Abstract
This paper addresses how to make happen the improvements in the quality of
health care that have been identified from si…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
January 01, 2003 - Making a Case for Organizational Change in Patient Safety Initiatives
455
Making a Case for Organizational
Change in Patient Safety Initiatives
Rangaraj Ramanujam, Donna J. Keyser, Carl A. Sirio
Abstract
Objectives: Widespread organizational change is indispensable for significantly
improved patient safety…
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www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
March 01, 2004 - Screening for Family and Intimate Partner Violence: Systematic Evidence Review
Systematic Evidence Review
Number 28
Screening for Family and Intimate Partner
Violence
U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality
www.ahrq.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts
AHRQ’s Safety Program for Nursing Homes
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Completed Self-Assessment Worksheet
…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - 6. Research Gaps and Prioritization of Federally Funded HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
One of the study’s key research questions focuses on identifying research gaps—understudied or underfunded areas in HSR and PCR that, if addressed, would move the fields fo…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - Adolescent Depression Remission/Response
1
Adolescent Depression Remission/Response
Section 1. Basic Measure Information
1.A. Measure Name
Adolescent Depression Remission/Response (Provider)
1.B. Measure Number
0247
1.C. Measure Description
Please provide a non-technical description of the measure that conv…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Handouts: Implementation of the Healing Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports: Handouts
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Com…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
March 01, 2018 - Family Experiences with Coordination of Care (FECC) Measure Set
1
Family Experiences with Coordination of Care (FECC)
Measure Set
Section 1. Basic Measure Information
1.A. Measure Name
Family Experiences with Coordination of Care (FECC) Measure Set
1.B. Measure Number
0166 FECC Survey/Measure Set
1.C. Measu…
-
www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
January 01, 2025 - Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections
TITLE PAGE
Project Title:
National Claims-Based Quality Measures for Surgical Site Infections
Principal Investigator:
Richard Platt, MD, MSc, Professor and Chair, Department of Population Medicine, Executive
Director, Harv…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department
1
Protocol for Identifying and Treating Children with
Sepsis Syndrome in the Emergency Department
Section 1. Basic Measure Information
1.A. Measure Name
Protocol for Identifying and Treating Children with Sepsis Syn…
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - And I just have to say it again, communication problems and delays are the number one cause cited reason
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Regulation of Health Policy: Patient Safety and the States
405
Regulation of Health Policy:
Patient Safety and the States
Joanna Weinberg, Lee H. Hilborne, Quang-Tuyen Nguyen
Abstract
In its 1999 report on patient safety, the Institute of Medicine recommended a
nationwide mandatory reporting system to co…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
January 01, 2024 - Still, there is reason to be optimistic for the future, with many feasible opportunities for
improvement
-
www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - The IRB process took approximately 6
months to complete, and this was the primary reason underlying
-
www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
January 01, 2025 - < 100
mmHg, dysrhythmia, suspected/confirmed systemic infection, syncope, medicosocial admission
reason
-
www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
January 01, 2005 - Reason J. Human error. New York, NY: Cambridge
University Press; 1990.
46. Gaither C.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide
REdesigning SystEms to
Improve Teamwork
and Quality for Hospitalized
Patients: RESET Project
Implementation Guide
Prepared by the RESET Investigators Version 2.0: September 2019 Funded by …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
July 01, 2018 - Community Pharmacy Survey on Patient Safety Culture: User's Guide
PHARMACY
SURVEY
ON PATIENT
SAFETY
CULTURE
USER’S GUIDE
PATIENT
SAFETY
This report may be used, in whole or in part, as the basis for development of clinical practice
guidelines and other quality enhancement tools, or as a basis for reimbursement…
-
www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - patient is there
Older adult receives needed care in
the ED
ED care frequently inconsistent with reason
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
November 01, 2019 - We designed the measures to identify reduced availability for any
reason, including geographic isolation