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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
September 26, 2023 - Placement 6,508 0.07 8,570,449 89.87
3: Administration 318,364 3.34 8,888,813 93.21
4: Measurement and Monitoring … Placement 7,023 0.07 8,357,638 87.64
3: Administration 413,746 4.34 8,771,384 91.97
4: Measurement and Monitoring … Placement 5,969 0.06 8,514,201 89.28
3: Administration 379,140 3.98 8,893,341 93.25
4: Measurement and Monitoring … Placement 4,390 0.05 8,887,726 93.19
3: Administration 231,933 2.43 9,119,659 95.63
4: Measurement and Monitoring … Placement 2,145 0.02 9,288,466 97.40
3: Administration 75,720 0.79 9,364,186 98.19
4: Measurement and Monitoring
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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-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - world-wide respondent access to the survey document and the need for
ongoing data analysis as a means of monitoring
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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/2024-01/rosen-report.pdf
January 01, 2024 - acknowledged, but opportunities to further demonstrate competency were precluded
due to patient conditions or situation
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set
SOPS Workplace Safety for Hospitals Supplemental Item Set Resource List 1
Improving Workplace Safety in Hospitals:
A Resource List for Users of the AHRQ Workplace
Safety Supplemental Item Set
I…
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - One action is to create continuous monitoring and reporting systems that will enable rapid-cycle improvement
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www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
January 01, 2020 - measures themselves, the
measure inventory demonstrates that APCDs are potentially powerful new tools for monitoring … This situation
can occur due to carve-outs, multiple coverage for one individual, duplicate claims, … With ongoing efforts, APCDs remain the most comprehensive source of data for monitoring
population health … Priority Topics No link available
Center for Medicare &
Medicaid Innovation
Priority Measures for Monitoring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - Monitoring the redesign. … Diagnose the situation.
3. Formulate the work design.
4. Consider the wider context.
5.
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers
Risk Assessment of Pediatric Emergency Transfers
Final Report
AHRQ P20 HS17125-01
Project Period: 09.31.07 – 02.28.09
Principal Investigator: Jane L. Holl, MD, MPH
Northwestern University Institute for Healthcare Studies
Co- Investigators: D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - The five-step medication use process model
(prescribing, documenting, dispensing, administering, and monitoring … dose is missed; includes assessing ability to adhere, allergy
info, meds from other physicians
2 Monitoring … Many offices admitted that
representative management of the drug samples and subsequent monitoring by
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-fullreport.pdf
July 01, 2019 - This situation is of pressing concern, given the association between obesity in children
and a broad
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease
1
Appropriate Emergency Department Pain Assessment
for Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Pain Assessment for Children with Sickle Cell D…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
February 01, 2018 - Appropriate Emergency Department Fever Management for Children With Sickle Cell Disease
1
Appropriate Emergency Department Fever
Management for Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Fever Management for Children with Sickle Cel…
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www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
January 01, 2024 - who are more aware of risks and can more easily determine if that risk pertains to their own
health situation … impairment, can become overwhelmed when faced with poorly
designed aisles of confusing OTC choices.25 This situation
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - those
typical of the patient’s age) 1.04 (0.82, 1.32) 0.74 1.08 (0.89, 1.30) 0.44
16
OR patient's situation
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - things we’re studying . . . are context-dependent; we actually don’t expect them to work the same in one situation … address barriers to access, including telehealth and other strategies such as virtual visits and remote monitoring
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities
Final Report
1. Title Page
Principal Investigator: Ellen Taylor
Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer
healthcare facilitie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - This situation led aviation safety reporting system (ASRS) investigators to
develop a four-step analysis