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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - Final Progress report: Creating High Reliability Organizations
Creating High Reliability Organizations
Principal Investigator:
Stephen D. Small, MD
Key Team Members:
Kay Metis, MS, MA
Bobbie J. Sweitzer, MD
Paul Barach, MD (2001-2002)
Additional funded collaborators:
Julie Mohr, PhD
David Meltzer, MD, …
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: A Team Approach
AHRQ Small Conference Grant Final Report
Title of Project: Medication Reconciliation: A Team Appr oach
Principal Investigator: Jeffrey L . Greenwald, MD, FHM
Team Members: Jeffrey L. Greenwald, MD, FHM (SHM), PI and Conference Chair; …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - PowerPoint Presentation
AHRQ’s Safety Program
for Nursing Homes:
On-Time Preventable Hospital
and ED Visits Training
Introduction to Preventable Hospital and ED Visits Reports
Preventable Hospital and ED Visits
Electronic Reports
Electronic Reports
Transfer Risk Report – High Risk
Transfer Risk Report – Medium Ris…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Person- and Family-Centered Care
September 2016
Slide 2
National Healthcare Quality and Disparities Report
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results
2025 AHRQ Surveys on Patient Safety Culture®
(SOPS®) Nursing Home Survey Version 2.0 Pilot
Test Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data
119
Medical Injury Identification
Using Hospital Discharge Data
Peter M. Layde, Linda N. Meurer, Clare Guse,
John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn,
Karen J. Brasel, Stephen W. Hargarten
Abstract
Objective: Determine the feasi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors
185
Preparing for Ambulatory Computerized
Prescriber Order Entry by Evaluating
Preimplementation Medication Errors
Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless,
Thomas K. Hazlet, R…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. Wears, Shawna J. Perry,
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro,
Christopher Beach, Pat Croskerry, Ka…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration
Proactive Postmarketing Surveillance:
Overview and Lessons Learned from Medication
Safety Research in the Veterans Health Administration
Robert R. Campbell, JD, MPH, PhD; An…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture
Hospital Administrative Staff vs. Nursing Staff
Responses to the AHRQ Hospital Survey
on Patient Safety Culture
Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS;
Patricia Ruddick,…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
July 31, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Estimating the Costs of Primary Care
Transformation: A Practical Guide and Synthesis
Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human S…
-
www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Integrating Primary Care Practices and Community-based
Resources to Manage Obesity
A Bridge-building Toolkit for Rural Primary Care Practices
Prepared for
Agency for Healthcare Research and Quality
540 Gaither Road
Rockv…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0090-fullreport.pdf
July 25, 2016 - Tobacco Use and Help With Quitting Among Adolescents
Tobacco Use and Help With Quitting Among
Adolescents
Section 1. Basic Measure Information
1.A. Measure Name
Tobacco Use and Help With Quitting Among Adolescents
1.B. Measure Number
0090
1.C. Measure Description
Please provide a non-technical description …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
January 01, 2013 - 2013 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
2013 CAHPS Clinician & Group
Survey Database
2013 Chartbook: What Patients Say
About Their Health Care Providers
and Medical Practices
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Da…
-
www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set
Summary Report
Background Report on 2013 Retirement
of CHIPRA Measures from the Child
Core Set
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD
Prepared by:
RTI International
Resear…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
July 01, 2014 - 2013 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
2013 CAHPS Clinician & Group
Survey Database
2013 Chartbook: What Patients Say
About Their Health Care Providers
and Medical Practices
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Da…
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
January 01, 2018 - an ambulatory care setting owned by a hospital (an HOPD), the
physician practice receives a greatly reduced
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-section-6b.pdf
January 01, 2013 - In other words, using appendectomy to inform coverage reduced the error
with respect to the ACS survey