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1501. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD; Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…

1502. National Pcep Meeting White Paper (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
      May 05, 2014 - The National Primary Care Extension Program: Next Steps A White Paper based upon the Proceedings of the National Primary Care Extension Program Meeting in Washington, DC Feb 21, 2014 Executive Summary The Primary Care Extension Program (PCEP) is a strategy to improve community health by helping primary care practices a…

1503. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review the guide information when developing and implementing a systems approaching to event investigation and analysis. T…

1504. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…

1505. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
      January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 January 2019 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017 Summary Updated and new patient safety data for 2014 through 2017 conti…

1506. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
      December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache 1.B. Measure Num…

1507. CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
      February 01, 2020 - CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child 1 Parent Report of Discussion of Weight Concerns for Child Section 1. Basic Measure Information 1.A. Measure Name Parent Report of Discussion of Weight Concerns for Child 1.B. Measure Number 0240 1.C. Measure Description Ple…

1508. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

1509. Follow-Up With Patient Family After Developmental Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
      January 01, 2014 - Follow-Up With Patient Family After Developmental Screening Follow-up with Patient Family after Developmental Screening Section 1. Basic Measure Information 1.A. Measure Name Follow-up with Patient Family after Developmental Screening 1.B. Measure Number 0202 1.C. Measure Description Please provide a non-tec…

1510. Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
      January 01, 2024 - Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis Title of Project Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health…

1511. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
      May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

1512. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - More transfer requests or possible unavailability will lead to longer waiting and handoff time, but

1513. Accurate ADHD Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-088-fullreport.pdf
      January 05, 2017 - Comments were solicited throughout this period from relevant stakeholder organizations, with requests

1514. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
      January 28, 2011 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Strategy 1: Working With Patient and Families as Advisors (Implementation Handbook) Guide to Patient and Family Engagement Working With Patient and Families as Advisors Implementation Handbook Strategy 1: Working With Pa…

1515. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
      April 05, 2013 - Information to Help Hospitals Get Started Key Takeaways Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety. Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…

1516. Section 5, Table 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
      January 01, 2014 - Section 5, Table 1 …

1517. Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
      January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2007, National Conference On Health Care Journalism Principal Investigator: Leonard J. Bruzzese Organization: Center for Excellenc…

1518. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…

1519. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/notes.html
      December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …

1520. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…