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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
    February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
  2. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.html
    February 01, 2017 - Forming a Comprehensive Unit-based Safety Program Team: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Forming a Comprehensive Unit-based Safety Program Team Slide 2: Learning Objectives After this session…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…
  4. 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…
  5. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p.html
    May 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products Timothy Landers, Ph.D., R.N., CNP, CIC Assistant Professor, The Ohio State University College of Nursing Slide 2: Disclosures Dr. Landers receives sala…
  6. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-6.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table 3-6. Examples of Instructions, Phrasing, and Terminology to Capture Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Qual…
  7. www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapf.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement F. Granular Ethnicities with No Determinate OMB Race Classification Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Re…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …
  9. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - cardiovascular lab, clinical services, and hospital services; a scheduler; a physical therapist; and a representative
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
    March 01, 2020 - isolation of carriers Three cross-sectional surveys of rectal carriage of CRE that were conducted in representative
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…
  12. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
    February 01, 2012 - conditions.8 Variations in Care • A cross sectional survey by Froehlich et al evaluates a nationally representative … A cross sectional survey by Froehlich et al evaluates a nationally representative sample of the US population … Slomowitz, Marcia Child and Adolescent Psychiatrist Northwestern Memorial Hospital Stine, Laurel Consumer Representative
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - Chapter-3 - Sepsis Recognition Sepsis Recognition 3-1 3. Sepsis Recognition Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S. Introduction Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years, and accounts for more hospital admissions and spending than…
  14. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - 85016 CAVEAT Data Limitations: The Network of Patient Safety Databases (NPSD) does not contain a representative
  15. www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 2. Forming a Patient Flow Team Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary S…
  16. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
    June 01, 2018 - Chartbook on Care Coordination: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Coordination June 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress mandat…
  17. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
    April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Teamwork and Leadership Overview According to the Joint Commission, in 2022, failures in communication, teamwork, a…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
    March 01, 2020 - had a timely follow-up visit.35 Finally, Lin conducted a retrospective analysis of a nationally representative
  19. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
    September 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Sustaining Antibiotic Stewardship Efforts Ambulatory Care Slide Title and Commentary Slide Number and Slide Sustaining Antibiotic Stewardship Efforts SAY: Welcome to the presentation titled, “Sust…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-2-specs.pdf
    June 30, 2009 - Section 2, Detailed Measure Specifications SECTION II. DETAILED MEASURE SPECIFICATIONS: INFORMED COVERAGE II.A. Description The percentage of time, within an 18-month observation window, eligible children received coverag…

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