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  1. 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…
  2. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
    September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? 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…
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
    October 01, 2019 - Lessons from the Field: Making Performance Comparisons Lessons from the Field: Making Performance Comparisons 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 i Table of Contents List o…
  4. 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 …
  5. www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
    October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…
  6. www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
    January 01, 2024 - Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Carl A. Sirio, MD Principal Investigator Team Members: Robert Weber, RPh, MS, Co-Investigator Wishwa Kapoor, MD, Co-Investigator Mark Roberts, MD, MRP, Co-…
  7. www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety FINAL PROGRESS REPORT Systems Approach for Improving Region-Wide Patient Safety Carl A. Sirio, MD (Principal Investigator) Rober Weber, RPh Carlene Muto, MD Donna Keyser, PhD Jan Pringle, PhD Rangaraj Ramanujam, PhD John Jernig…
  8. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
    March 01, 2023 - Patient Safety Action Alliance: Request for Information (RFI) Summary Report Patient Safety Action Alliance Request for Information (RFI) Summary Report March 2023 Background: At the direction of Secretary Becerra, the Department of Health and Human Services (HHS) launched a National Healthcare System Action…
  9. www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
    January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection Connie Savor Price, MD 2nd Annual AHRQ HAI Investigators Meeting September 18, 2011 Bethesda, Maryland HHSA-290-2006-00…
  11. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Dispari…
  12. www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
    November 01, 2016 - Meeting Minutes, July 2016 National Advisory Council Minutes from the July 22, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of April 20, 2016, Summary Report Director's Update Update on the Synthesis of Evide…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
    April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD; Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
    November 01, 2007 - Guidelines ADA guidelines for diabetes care state that any diabetes management plan: … should recognize
  15. www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/plymouth.html
    March 01, 2021 - Building on Innovation to Become a Champion Plymouth Family Physicians has always been on the cutting edge of primary care improvement. Since founding Plymouth Family Physicians in 1985, the husband-and-wife team of Dr. Mary Arenberg and Dr. George Schroeder have focused on quality improvement activities to pro…
  16. www.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
    March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers DEC 5 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. The recent shootings in a Colorado nightclub and a Virginia store are …
  17. www.ahrq.gov/cahps/surveys-guidance/helpful-resources/modifying/index.html
    May 01, 2020 - Modifying and Naming Your CAHPS Survey To maintain comparability and consistency across CAHPS ® surveys, the Agency for Healthcare Research and Quality (AHRQ) offers the following guidelines regarding what changes you can make to a CAHPS survey and how to give proper attribution to the CAHPS program. If you …
  18. www.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
    December 01, 2017 - Supplemental Tools Surgical Care Audit Tools Surgical Site Infection Investigation Tool ( Word , 1.8 MB) This tool will help your safety program team understand lapses in infection prevention processes that may have contributed to the surgical site infection case. It can help your team identify practice …
  19. www.ahrq.gov/cpi/about/nac/pcortf-snac/himmelstein.html
    November 01, 2022 - Subcommittee Member: Jay Himmelstein Jay Himmelstein, M.D., M.P.H. Professor Population and Quantitative Health Sciences and Family Medicine and Community Health Chief Health Policy Strategist CommonWealth Medicine UMass Chan Medical School Jay Himmelstein, M.D., M.P.H., is a professor of Population an…
  20. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
    February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…

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