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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Research Agenda
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Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
March 01, 2019 - State at a Glance: North Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in North Carolina.
North Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 1 : How are CHIPRA demonstration States approaching practice-level qu…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures4.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care
Measures of Engagement in Decisionmaking
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Table of Contents
Chartbook on Person- and Family-Centered Care
Acknowledgments
Person- and Family-Centered Care
Summary of Trends
Measures of Person- and Family- Centered Care
Co…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices-slides/slides.html
October 01, 2014 - Best Practices: How Successful Units Engaged Their Senior Executive Leaders
This PowerPoint slide presentation was shown on October 18, 2011.
Contents
Slide 1. Best Practices: How Successful Units Engaged Their Senior Executive Leaders
Slide 2. Jonathan Kling, BSN, BHA, RN, CCRN
Slide 3. Initial Challen…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest-slides/slides.html
October 01, 2014 - CLABSI Investigation: Walk the Process (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on September 14, 2010.
Contents
Slide 1. CLABSI Investigation
Slide 2. Learning Objectives
Slide 3. Infection Rate Above Zero?
Slide 4. Spike in Infections?
Slide 5. Pro…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
October 01, 2014 - Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - Tool: Glucose Control Audit
Glucose Control Audit Tool
Introduction
Problem Statement
While debate continues about its exact numeric value, euglycemia should be maintained perioperatively to prevent surgical site infection. Research suggests an association between hyperglycemia and post-operative complications. Perio…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-audit.html
December 01, 2017 - Glucose Control Audit Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
While debate continues about its exact numeric value, euglycemia should be maintained perioperatively to prevent surgical site infection. Research suggests an association between hyperglycemia and post-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Shadowing Another Professional Tool
AHRQ Safety Program for Perinatal Care
Shadowing Another Professional Tool
Shadowing Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different profes…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section6.html
March 01, 2019 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
6. References and Notes
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Table of Contents
National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
1. Overview
2. Synthesis of Key Findings by C…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1516-p003-ef.pdf
March 01, 2016 - Measure: Tobacco Use and Help with Quitting Among Adolescents
Measure: Tobacco Use and Help with Quitting
Among Adolescents
Measure Developer: National Collaborative for Innovation in Quality Measurement
(NCINQ) at the National Committee for Quality Assurance
Numerator Denominator Exclusions Data Source(s)
Ado…
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www.ahrq.gov/es/nursing-home/resources/search.html?page=2
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-overview.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
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Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measu…
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4.html
February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Module 4: Summary and Next Steps
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Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around D…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rabson.pdf
January 01, 2017 - CAHPS Elicitation Protocol Webcast
Collection of Statewide Patient
Comments in Massachusetts
Barbra G. Rabson, President and CEO
Massachusetts Health Quality Partners
January 26, 2017
© MHQP 2017 45
MHQP Background and Governance
Established in 1995, MHQP is a non-profit regional health improvement
collabor…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb3.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B5: Falls Assessment Cue Sheet
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview…
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www.ahrq.gov/es/nursing-home/resources/search.html?page=11
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-Episiotomy-FactSheet.pdf
November 01, 2015 - Measure: Episiotomy (Overuse)
Measure: Episiotomy (Overuse)
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients who
underwent an
episiotomy.
All patients, regardless of age, who
gave birth vaginally (without shoulder
dystocia), during …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tech-specs.pdf
June 02, 2025 - CHIPRA 212 Technical Specifications
This measure assesses the percentage of children, ages 1 through 17 years with persistent asthma, who,
during the measurement year, presented to a hospital emergency department (ED) for an asthma
exacerbation and were prescribed an inhaled corticosteroid (ICS) at the…
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integrationacademy.ahrq.gov/news-and-events/news/new-tribal-healthcare-initiatives
February 21, 2025 - An official website of the Department of Health & Human Services
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