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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication
FINAL REPORT
Putting a Face on Hospital Medical Errors:
Communication
Project funded by:
Agency for Healthcare Research and Quality
Grant No. 1R03HS016122-01
September 29, 2005-September 30, 2006
Federal Project Officer: Elizabeth D…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Say:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
June 01, 2020 - References
Health Services and Primary Care Research Study: Comprehensive Report
42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq.
42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.”
AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Evidence may include rigorous systematic reviews of research
literature and high-quality research studies
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elements included in them must be in
the nursing home’s electronic medical record (EMR) to generate all components of the re…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-sms-heart-health.pptx
December 01, 2010 - Self-Management Support
Self-Management Support Strategies for Improving CVD Risk Factors – Practice Engagement!
Bonnie Jortberg PhD, RD, CDE
Department of Family Medicine
University of Colorado School of Medicine
Objectives
Describe the differences between patient education and self-management support.
Discuss hea…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elements included in them must be in the nursing home’s electronic medical record (EMR) to generate all components of…
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www.ahrq.gov/sites/default/files/2024-09/harris-report.pdf
January 01, 2024 - Final Progress Report: Analyzing Nurses’ Impact on Outcomes Using Detailed Data
Analyzing Nurses’ Impact on Outcomes Using Detailed Data
Principal Investigator
Marcelline R. Harris, PhD
Mayo Clinic
200 1st St SW
Rochester MN 55905
Team Members
Mayo Clinic
V. Shane Pankratz, PhD
Cynthia Leibson…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Mini Presentation: Performing a Premortem Project Assessment
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Performing a Premortem Assessment>
1
Educational Objectives
At the en…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Readiness Assessment
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - Educational Bundles
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
Educational bundles provide evidence-based prevention practices and strategies to reduce catheter-associated urinary tract infection (CAUTI) and other HAIs in the long-term care (LTC) setting. The bundles include slide set…
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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
Previous Page Next Page
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/sops/events/webinar/3-bestpractices-web-sopssurveys-famolaro.pdf
September 01, 2020 - Best Practices for Web-based SOPS Surveys - Famolaro Slides
Web-based SOPS Surveys
Theresa Famolaro, MPS, MS, MBA
Senior Study Director and SOPS Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
Use of Web in SOPS Surveys
25%
45%
76%
83%
2007 2010 2014 2018
% o…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfstrategies.pdf
August 01, 2015 - Office Systems Inventory to Improve Asthma Care and Treatment in Primary Care Practices
Practice name here: ______________________________ Date completed: _________
Developed by Vermont Child Health Improvement Program (VCHIP) CHAMP (Child Health Advances Measured
in Practice) using sources cited, August 2015, by…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
January 01, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Hickner
1
1
Development of the
AHRQ Medical Office Survey on
Patient Safety Culture
John Hickner, MD, MSc
Chairman, Family Medicine,
Cleveland Clinic
2
2
Objectives
• Describe the development of the AHRQ
Medical Office Survey on Pat…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Slides
AHRQ Safety Program for Improving Antibiotic Use
Improving Communication Between Members of the Practice Around Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(22…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd1b.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D, Table D1B
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Deve…
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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…