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www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture
Title of Project: Impact of state policies on nursing home patient safety culture
Principal Investigator: Yue Li, Ph.D., University of Rochester
Team Members: Helena Temkin-Greener, Ph.D., University of Rochester
Xueya Cai, Ph…
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www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities
May 13, 2014
Download accessible version of slides (PDF, 1.1 MB)
Introducing Nine Levers to Support the Aims and Priorities [Slide 1]
Ann Gordon: Welcome to today's event featuring t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Improving Patient Safety in Ambulatory Surgery
Centers: A Resource List for Users of the AHRQ
Ambulatory Surgery Center Survey on Patient Safety
Culture
Purpos…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …
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www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/2016_samhsa-agencyspecificplan.pdf
January 01, 2016 - In 2016, SAMHSA is working to disseminate core behavioral health measures through peer
reviewed literature
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www.ahrq.gov/news/newsroom/case-studies/ktockt23.html
October 01, 2014 - AHRQ staff also reviewed a request for proposals and recommended that State officials incorporate provisions
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www.ahrq.gov/news/newsroom/case-studies/coe0605.html
October 01, 2014 - treatment of coronary disease for women, but it also led to the development of the first rigorously reviewed
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www.ahrq.gov/news/newsroom/case-studies/cp30503.html
October 01, 2014 - These physicians reviewed some 6,000 emergency department records and determined the probability that
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www.ahrq.gov/news/newsroom/case-studies/201513.html
June 01, 2015 - "We reviewed the AHRQ results and decided to revise our policies," said Ms. Phillips.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
January 01, 2013 - targets
• Coordinated with MGH/MGPO targets
• Specific action plans required by all practices
• Reviewed
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.html
March 01, 2017 - A multidisciplinary team reviewed the literature to determine the optimal evidence-based bathing practices
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen5.html
April 01, 2018 - multiple outlets, including research conferences, statewide clinical and policy working groups, peer-reviewed … Publications
We will draft and submit at least one peer-reviewed manuscript and one trade journal manuscript … The peer-reviewed manuscript will describe the intervention, research methods, and study results.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Process for Identifying Cases
• Decision support staff can identify IQI cases and all should be reviewed … • Aggregate results are reviewed regularly (quarterly or biannually) to determine if there is any … Summary data of sentinel events reviewed by The Joint Commission.
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www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
February 01, 2017 - Once VAC has been established using the criteria we just reviewed, the patient can be evaluated for IVAC … AHRQ Safety Program for Mechanically Ventilated Patients
Say:
We will now use the VAC criteria reviewed … Say:
Does anyone have any questions about the material we have just reviewed?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - Once VAC has been established using the criteria we just reviewed, the patient can be evaluated for IVAC … Slide 26
DIAGNOSING A POTENTIAL VAC
SAY:
We will now use the VAC criteria reviewed earlier to determine … SAY:
Does anyone have any questions about the material we have just reviewed?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
September 01, 2007 - Reports were reviewed by two ED
clinicians, and events were categorized into two taxonomies: (1) the … The same investigators (KKH, SS) reviewed all reports to determine whether or not any
events had associated … Reports were independently reviewed by two of the investigators (KKH,
SS). … Each of the reports was reviewed, and the events were categorized into the segment of
care during which … When necessary, event
categories were again iteratively reviewed and revised to take into account new
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - We then reviewed the children of these concepts and identified codes which described the types of procedures … During our study time frame there were 71,102 of our target procedures performed that were reviewed in … Thus, we anticipated that, when an IP reviewed procedures identified by the algorithms, this person would … To investigate reasons for false alarms by the algorithm at the various sites, we reviewed all positives … False negatives were reviewed at each center to determine the reasons for low sensitivity.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Randomly selected clean and clean-contaminated procedures were retrospectively
reviewed for patients … Educational program
The investigators systematically reviewed the literature related to SSI; the … First, the QCRM department reviewed cases
for compliance on a weekly basis as part of the concurrent … Infection control nurses reviewed the following sources of information to identify
SSIs: microbiology … All
records reviewed by the nurses were checked for SSI.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - The results were reviewed directly by a clinical pharmacist;
by clinical year pharmacy students under … The clinical
pharmacist further reviewed any ambiguous cases that were discovered by the
research assistants … have a negation located within six words of it) were present in
the note, the note was included to be reviewed … ADEs,
medication errors and ADE/MEs discovered by the monitor, then dividing that by
the total reviewed … When these hits were again reviewed, the outcome was
the same at both sites, that no events were identified
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www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk2512.html
October 01, 2014 - Page last reviewed October 2014
Page originally created January 2008
Internet Citation: 25.12 Exercise … Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.