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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - Safety Program for Surgery – Implementation
29
SAY:
Principles of safe system design, a feature of high-reliability
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - Reliability was established through agreement among the trained coders.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
March 28, 2008 - F-measure = 2 x (recall x precision) / (recall + precision)
The F-measure, which quantifies the overall reliability
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - Observations were also reviewed to ensure inter-rater reliability.
11
The team defined a “communication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - High-reliability systems and a culture
of learning from errors (or near misses) are needed to minimize
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - As BRFSS move to incorporating cell phone data and changed weighting methods, a review of
reliability
-
www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - report a reliability of 0.71 for the scale. … Results of our analysis show a reliability of 0.79 in the pre-intervention
sample (N=125). 19
Results
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
December 01, 2012 - Systems Change: Treating Tobacco Use and Dependence
Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update
Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…
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www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture
Title of Project: Impact of state policies on nursing home patient safety culture
Principal Investigator: Yue Li, Ph.D., University of Rochester
Team Members: Helena Temkin-Greener, Ph.D., University of Rochester
Xueya Cai, Ph…
-
www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Grant number: 1R03HS026291-01
Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Research Team
Principal invest…
-
www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents
1
Project Title: Creating Learning Cultures Around Mistakes for Residents
Timothy J. Hoff, PhD, Principal Investigator
University at Albany, SUNY
School of Public Health
Henry Pohl, MD, Co-Investigator
Joel Bartfield, MD, Co-Investi…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - CHCANYS Participation Guide
HealthyHearts NYC
Primary Care Partnerships Advancing Heart
Health Initiative
CHCANYS Participation Guide
[Insert Health Center Name]
This research was supported by grant number 1R18HS023922-01 from the Agency for Healthcare Research and Quality (AHRQ).
The contents of this p…
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www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases
AHRQ Grant Final Progress Report
Title of Project:
Developing a Medical Biometric Identification System with a Secure Database Network That Can Access
Electroni…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia
SAY:
Welcome to this …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
October 01, 2024 - Optimizing Environmental Cleaning
AHRQ Safety Program for MRSA Prevention
Optimizing Environmental Cleaning
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Optimizing Environmental Cleaning
SAY:
Welcome to this presentation on optimizing environmental cleaning and incorporating effective environme…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Sustainability Module: Facilitator Notes
Slide 1: Sustainability Module
Say:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Sustainability Module
Facilitator Notes
SAY:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
-
www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration
Title: Midcoast Maine Patient Safety and IT Integration
Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient
Care
Team Members:
Northeast Health and Partner Organizations
Donna Deblois, MS, RN – Executive Dire…
-
www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Assemble the Team and Engage Leadership for Perinatal Safety
Say:
The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care addresses tea…