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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - to deliver any services which might be reasonably expected to improve the health of the district's residents … The team targeted hydration in LTC residents whose intake was poor by setting fluid intake goals for
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
January 01, 2023 - Physicians used SDM less when supervising
residents for many reasons (residents have fewer
opportunities
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www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
January 01, 2024 - The US
Census 2006 indicated that 140,408 residents were living in Lane County who were age 45 or older
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www.ahrq.gov/sites/default/files/2024-12/romano-report.pdf
January 01, 2024 - Final Progress Report: Information about Quality in a Randomized Evaluation (INQUIRE)
1
FINAL PROGRESS REPORT
Information about Quality in a Randomized Evaluation (INQUIRE)
Principal Investigator:
Patrick S. Romano, MD MPH
Professor of Medicine and Pediatrics
University of California Davis School of Medicine …
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www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - , 5 One
study reported an increased risk for drug toxicity-related hospitalizations among elderly
residents
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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-Emanuel-Berwick_110.pdf
July 02, 2008 - A review of studies
concerning effects of sleep deprivation and fatigue on
residents’ performance.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
April 01, 2022 - Prompting Removal of Unnecessary Indwelling Urinary Catheters
Indwelling Urinary Catheter Removal
Maintaining Catheter Awareness and Prompting Removal
AHRQ Pub. No. 17-0019-5-EF
March 2018
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Prog…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
7. Tools and Resources
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Rapid Response Systems
Rapid Response for Perinatal Safety—Rapid Response Systems
Purpose of the tool: This tool describes the key perinatal saf…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 3: Selecting and Targeting Populations for a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Plannin…
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www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes
1. TITLE PAGE
Title: Changes in Hospital Care Organization and Outcomes
Principal Investigator: Ann Kutney-Lee
Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo
Abraham (co-mentors)
Organization: University…
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www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care
AHRQ Grant Final Progress Report
Title:
Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care
Principal Investigator:
Virginia A. Moyer, MD, MPH
Team Members:
Papile, Lucille A., MD, Co-Investigator
Guillory, Char…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
The Emergency Department & Catheter Insertions
*
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brig…
-
www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - Final Progress Report: Safety Advancement in the Emergency Department
FINAL PROGRESS REPORT
PROJECT TITLE: SAFETY ADVANCEMENT IN THE EMERGENCY DEPARTMENT*
PRINCIPAL INVESTIGATOR: KENDALL K. HALL, MD, MS (AHRQ, formerly of UNIV of MARYLAND)
KEY PERSONNEL: YAN XIAO, PhD (BAYLOR, formerly of UNIV of MARYLAND)
ANTHO…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
7. Tools and Resources
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer p…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
References
Previous Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay Between Cognitive Load and Diag…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-00…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - addresses the tension between resident autonomy and
safety by providing strategies for administrators, residents
-
www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care
May 11, 2015
Download accessible version of slides (PDF, 1.5 MB)
The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve…
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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - Medical Failure-to-Rescue Final Report
Medical Failure-to-Rescue
Final Report
November 13, 2018
Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5
Co-investigators: Paul R. Rosenbaum, Ph.D5,6
Patrick S. Romano, MD, MPH7
Project Manager: Bijan A. Niknam, BS1
Orit Even-Shoshan, MS1,5
Senior Statis…