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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
    March 04, 2016 - Of these no-harm events reaching the patient, about one in four required monitoring and/or intervention …  Nearly one-third (31.3%) of reported errors caused temporary harm or required additional monitoring
  2. www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
    January 01, 2024 - uncertainty as to the potential for broad generalizability and extent to which adaptation would be required
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - Data Adaptation The VA data required modification in order to apply the AHRQ PSI software.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
    January 01, 2020 - Of note, for the past several years, in preparation for ICD-10 implementation, NQF has required measure
  5. www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
    January 01, 2024 - The Plan of Care (which constitutes the federally required CMS Form 485) contains the physician’s orders
  6. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-b.pdf
    January 01, 2025 - • Examine the post-intervention "maintenance" period data: Although not required, practices were … live in a rural/suburban area due to lower concentration of providers and/or longer commuting times required
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
    January 01, 2015 - Survey January 2015  Webcast But there is no minimum number of hospital beds, pediatric beds required
  8. www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
    April 01, 2018 - Chartbook on Effective Treatment: Slide Presentation National Healthcare Quality and Disparities Report Introduction Cardiovascular Disease . Cancer . Chronic Kidney Disease . Diabetes . HIV and AIDS . Mental Health and Substance Abuse . Musculoskeletal Diseases . Respiratory Diseases . …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
    April 17, 2008 - Personal Health Records to Improve Health Information Exchange and Patient Safety Personal Health Records to Improve Health Information Exchange and Patient Safety James R. Fricton, DDS, MS; Diane Davies, MD Abstract The personal health record (PHR) is proposed as an innovative solution to the problems of f…
  10. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
    August 01, 2013 - How are CHIPRA Quality Demonstration States working to improve adolescent health care? Evaluation Highlight No. 3 Authors: Rachel Burton, Ian Hill, and Kelly Devers Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstra…
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight08.pdf
    September 08, 2015 - Evaluation Highlight No. 8: CHIPRA Quality Demonstration States Help School-Based Health Centers Strengthen Their Medical Home Features The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality …
  12. www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
    October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…
  13. Faclearncusp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
    January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…
  14. www.ahrq.gov/patient-safety/reports/engage/findings.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Discussion of Findings Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitation…
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Appendix: State Overviews Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engaging S…
  16. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
    May 01, 2017 - Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide Slide 1: Debrief Example Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few minutes I'll be talking to you about how to turn the work yo…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
    June 02, 2025 - AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix K. Quality Improvement Study Framework Debrief Example Audio Transcript/Facilitator Notes Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few m…
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
    October 01, 2022 - 2022 National Healthcare Quality and Disparities Report Executive Summary e 2022 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2022 Nat…
  19. www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
    January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …
  20. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
    August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation National Center for Excellence in Primary Care Research Presents Research Methods for Studying the Primary Care Workforce May 2, 2024 Presented by: Hannah Neprash, PhD Lawrence P. Casalino, MD, PhD Sylvia Hysong, PhD Moderated by: …

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