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401. Appendix B: Key CME Design Features in CHIPRA Quality Demonstration States, as of June 2014 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appb.html
     September 01, 2014 - Publishing and Communications Guidelines Search Publications Research Findings & Reports … Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Source: Interviews with CHIPRA quality demonstration staff and State semiannual progress reports to the

402. Puh-Factraining-Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     December 15, 2016 - Treatment Summary Report  Pressure Ulcer Counts by Month Report  Pressure Ulcer Healing Self-Assessment … o The Weekly Pressure Ulcer Treatment Summary Report displays a 6-week view of pressure ulcer treatments … Ulcer Treatment Summary Report  Pressure Ulcer Counts by Month Report AHRQ’s Safety … the report. … If staff report that they believe the information on the On-Time reports is not accurate (e.g., residents

403. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     November 06, 2017 - Facility)  Postfall Assessment Summary Report (by Resident) Each participant should be provided … o Postfall Assessment Summary Report identifies the circumstances and context of a fall and provides … )  Monthly Contextual Factors Report (by Unit or Facility)  Postfall Assessment Summary Report … If staff report that they believe that information on the On-Time reports is not accurate (e.g., residents … If the vendor already has programmed one of the aggregate reports, such as the Key Metric Trends Report

404. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - Rounds Report Weekly Pressure Ulcer Treatment Summary Report Pressure Ulcer Counts by Month Report … the set of reports being presented: Review report information to ensure participants understand: How … residents are selected to populate the report. … Which report(s) will be used at the meeting? … Questions (cont.): Who will be responsible for generating the report, reviewing the report in advance

405. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
     October 01, 2017 - Examples from Falls Prevention Reports: Falls High-Risk Report Quarterly Summary of Falls Risk Factors … (by Unit or Facility) Monthly Contextual Factors Report (by Unit or Facility) Postfall Assessment Summary … the set of reports being presented: Review report information to ensure participants understand: How … residents are selected to populate the report. … Who will be responsible for generating the report, reviewing the report in advance, determining which

406. Nutritional Research Series | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/tr17-series.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Search … Quality & Disparities Reports Making Healthcare Safer Reports AHRQ Research Studies

407. Section 7. Sharing Results | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptflow/section7.html
     July 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

408. Exhibit 1. Relationship of data sources to the development of the ST-PRA | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh1.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

409. Exhibit 6. Steps involved in developing the fault tree model | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh6.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

410. Exhibit 7. Example of an AND gate | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh7.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

411. Exhibit 8. Example of an OR gate | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh8.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

412. Exhibit 49. Revised manual process flow for surgical site infection surveillance | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh49.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

413. Section 1. The Need to Address Emergency Department Crowding | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptflow/section1.html
     July 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports … Nearly half of EDs report operating at or above capacity, and 9 out of 10 hospitals report holding or

414. Table 3. Companion Measure Options (Not for Accountability Purposes) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctab3.html
     July 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

415. Appendix F. ST-PRA Fault Tree Model With Probability Estimates | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/fault-model.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

416. Exhibit 2. Literature review search terms by category | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

417. Appendix B. Figure 1. Top 10 Procedures for California 2008 SASD for Hospital-Based ASCs | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig1.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

418. Appendix B. Figure 2. Top 10 Procedures for California 2008 SASD for Freestanding ASCs | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig2.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

419. Appendix B. Figure 3. Normalized Percent Distribution for Surgical Procedures with Incision (California 2008 SASD) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig3.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports

420. Exhibit 4. Roles of staff interviewed at each site visit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh4.html
     April 01, 2018 - Evidence-based Practice Center (EPC) Reports Fact Sheets Grantee Final Reports: Patient Safety … Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Program AHRQ Research Studies National Healthcare Quality and Disparities Report … Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact … Sheets National Healthcare Quality & Disparities Reports Making Healthcare Safer Reports