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  1. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Learning From Defects Through Sensemaking Say: This module focuses on the process of Learning From Defects Through Sensemaking. Slide 2: Learning Objectives Say: At the end of this module, you w…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking Slide Title and Commentary Slide Number and Slide Learning From Defects Through Sensemaking SAY: This module focuses on the process of Learning From Defects Through Sensemaking. Slide 1 Learning Objectives SAY: At the end of this module, you will …
  3. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
    September 01, 2014 - Supplemental Document No. 1 The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). No statement in this report should be construed as an official positio…
  4. Improving-Facnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Improving Communication and Teamwork in the Surgical Environment Module Facilitator Notes SAY: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
  5. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection Across the Health Care System (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  6. www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
    November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities July 21, 2016 Download accessible version of slides (PDF, 1 MB) The National Quality Strategy and The Public Sector [Slide 1] Operator: Ladies and gentlemen, thank you for stand…
  7. www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
    January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…
  8. www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
    January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…
  9. www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
    January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management 1. TITLE PAGE Comprehensive Pediatric Hypertension Diagnosis and Management Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD, Katherine E. Twomb…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
    October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…
  11. www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix A. Teleconferences with AHRQ & CDC Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1.…
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
    January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…
  13. www.ahrq.gov/patient-safety/reports/liability/baker.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comme…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Perioperative Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Pro…
  15. www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare https://doi.org/10.1515/dx-2023-0042 Received April 9…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson Abstract An electronic barcode medication administration sy…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD Abstract The Califo…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
    February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
    July 28, 2016 - This list represents possible interventions you may identify for a patient.

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