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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium
33
The San Diego Center for Patient Safety:
Creating a Research, Education, and
Community Consortium
Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger
Abstract
In response to the Agency for Healthca…
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www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
January 01, 2013 - One SNAC
member suggested that a better measure for reducing antibiotic use for viral infections is
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
January 01, 2011 - Section 5, Figure 1 and Tables 1-5
Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for
Children with Complex Needs
Suboptimal Care-
Seeking by Parent/Pt
•Lack of a PCMH
•Urgent care/ED use
instead of PCMH
•Lack o…
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities
Final Report
1. Title Page
Principal Investigator: Ellen Taylor
Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer
healthcare facilitie…
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www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
January 01, 2024 - Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety
AHRQ Grant Final Progress Report
Title of Project: Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety
Principal Investigator: Elizabeth D. Cox, MD, PhD, Associate Professor, Department of Pediatrics a…
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth
1
AHRQ Final Progress Report
Title: What about mom? Using Administrative Data to Develop Measures for Monitoring
Healthcare Quality in Pregnancy & Childbirth
Principal In…
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www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities
May 13, 2014
Download accessible version of slides (PDF, 1.1 MB)
Introducing Nine Levers to Support the Aims and Priorities [Slide 1]
Ann Gordon: Welcome to today's event featuring t…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules
Health Services and Primary Care Research Study: Comprehensive Report
This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results:
D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
January 01, 2008 - Strategy 1: Working with Patients & Families as Advisors (Tool 11)
Insert hospital logo here
Working With Patient
and Family Advisors:
Part 1. Introduction and Overview
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Working With Patient and Family Advisors Training (Tool 11)
Guid…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - Documentation and Coding for the AHRQ Pediatric Quality Indicators
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool B.4 i
Documentation and Coding for the AHRQ
Pediatric Quality Indicators
Note: This tool was updated based on test software provided by AHR…
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www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - EvidenceNow Key Drivers and Change Strategies
Below are descriptions of each key driver and change strategy in the EvidenceNOW Key Driver Diagram.
Key Driver 1: Seek, select, and customize the best evidence for use by the practice
The practice of medicine evolves in response to new knowledge about what care…
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www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial
R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1
Title Page
Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients:
Randomized Trial
Principal Investigator and Team M…
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www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
January 01, 2024 - Final Progress Report: ED Staffing and Patient Outcomes
ED Staffing and Patient Outcomes
Final Report
Nina A. Bickell, MD, MPH, Principal Investigator
Team Members:
Rebecca Anderson, MPH, Project Manager
Carol Barsky, MD, Co-Investigator
Mary Rojas, PhD, Co-Investigator
Department of Health Policy
Moun…
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures?
FINAL PROGRESS REPORT:
ARE VOLUME STANDARDS ACCURATE MEASURES?
Principal Investigator: Laurent G. Glance, M.D.
Co-Investigators: Andrew W. Dick, Ph.D.
Turner M. Osler, M.D.
Dana B. Mukamel, Ph.D.
Organization: University of Rochester School of Medic…
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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/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 …
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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…
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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…