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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients
Using Six Sigma® Methodology to Improve
Handoff Communication in High-Risk Patients
Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD;
Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL;
Karen S. Frush, MD…
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology
Improving Medication Management Practices and
Care Transitions through Technology
Penny H. Feldman, Ph.D. – Principal Investigator
Liliana E. Pezzin, Ph.D. – Co-Investigator
Timothy R. Peng, Ph.D. – Co-Inv…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
September 01, 2023 - AHRQ Comparative Health
System Performance Initiative
Publications
Updated September 2023
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Comparative Health System Performance Initiative Publications 1
Comparative Health System Performance Initiative
Publications
Journal Articles
Agniel D, Haviland A, Shekelle P, Sc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - Presentation: Program Overview
Program Overview
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
Overview ‹#›
AHRQ Safety Program for Surgery – Onboarding
SAY:
You have embarked on a unique journey.
1
Never doubt that a small group of thoughtful, committed citizens ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
January 01, 2015 - Appendix F. Interventions
Guide to Improving Patient Safety in Primary Care Settings b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home
79
Seamless Care: Safe Patient Transitions
from Hospital to Home
Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios,
Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson
Abstract
Background: “Seamless care” is a smooth a…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
August 01, 2012 - NCINQ Measure Submission: Tobacco Use and Help with Quitting Among Adolescents
Attachment A: CHIPRA Pediatric Quality Measures Program (PQMP) Candidate
Measure Submission Form (CPCF)
Italics indicate instructions for how to complete a specific field. << >> indicates the name of a text field in the
online version o…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiih.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes
On-Time Pressure Ulcer Healing Facilitator Training
Overview of On-Time
Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Facilitator Training
This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher.
Slide…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sli…
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www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
January 01, 2024 - Final Progress Report: Measuring Mistrust in Healthcare
Grant Title: Measuring Mistrust in Healthcare
Principal Investigator: Thomas A. LaVeist, Ph.D.
Professor of Health Policy and Management
Organization: Johns Hopkins Bloomberg School of Public
Health
Inclusive Dates of Project: 7/1/2002 - 12/31/2003
Federal…
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www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
FINAL PROGRESS REPORT
1. TITLE, TEAM, DATES
Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
Urmimala Sarkar, M.D., M.P.H.
Dean Schillinger, M.D.
Margaret Handley, Ph.D., M.P.H.
Ned…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Results
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Datab…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care
New Models of Primary Care
Workforce and Financing
Case
Example Stanford Coordinated Care1
New Models of Primary Care Workforce
and Financing
Case Example #1: Stanford Coordinated Care
Prepared for:
Agen…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
July 01, 2019 - Case Example #1: Stanford Coordinated Care
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, M…
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www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration
Title of Project: State of the Science on Safe Medication Administration
Principal Investigator and Team Members:
Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN
Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …