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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-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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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
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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
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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…
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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
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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…
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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
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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…
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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…
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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…
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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
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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…
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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…