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www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
January 01, 2024 - Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System
1
An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System
Principal Investigator: Tanya Lord
Roger Luckmann, MPH, MD, Thesis Advisor
Terry Field, DSc, Chair of Committee
Robe…
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript)
October 18, 2011
Operator: The following is a recording for Paul Tedrick with the American Hospital Association, Chicago, supplemental call on Tuesday, October 18, 2011, beginning at 1 p.m. Central time. Excuse me, every…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events
437
Financial and Demographic Influences on
Medicare Patient Safety Events
Didem Bernard, William E. Encinosa
Abstract
Background: The hospital market is stratified between the “have” and the “have
not” hospitals. Whether financial dis…
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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 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities
395
Using Probabilistic Risk Assessment
to Model Medication System Failures
in Long-term Care Facilities
Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale
Abstract
Objectives: State agenc…
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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-Hougland_26.pdf
October 01, 2011 - develop a comprehensive system of AE codes and then examine the
performance of these codes against the reference … standard of chart review.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
January 01, 2015 - Introducing the CAHPS Child Hospital Survey_Transcript
Introducing the CAHPS Child Hospital Survey
January 2015 Webcast
Speakers
Mark Schuster, MD, PhD, Boston Children’s Hospital, Harvard Medical School, Boston
Barbara Burke, MA, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago
Sandra Schul…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Pressure Ulcer
Healing Reports
Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Pressure Ulcer Healing
Facilitator Training Instructor Guide
Slide 1: Introduction to Pressure Ulcer Healing
Reports
SAY:
In this sess…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - All PSOs who submitted data to the PSOPPC met minimum
standards for inclusion of core data elements
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - Decision Aids for Socially Disadvantaged Populations: Update from the International
Patient Decision Aid Standards … Addressing Health Literacy in Patient Decision Aids:
An Update from the International Patient Decision Aid Standards
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - .
� Adaptability: “Being aware of the inhibitors and facilitators of rationality; pursuing the
standards
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
January 01, 2020 - The second pertains to
missing data elements, issues with data completeness and accuracy, and data standardization … • Lack of standardization of measure concepts and specifications.
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www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
January 01, 2025 - Effect of an intervention standardization
system on pediatric dosing and equipment size determination
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Calamaro called for standardization among large data sets.
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www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
January 01, 2025 - Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests
1
Title Page
Final Progress Report
Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients,
Referrals, and Tests
Principal Investigators
Sar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
January 01, 2012 - on a few defects at a time
Hand hygiene
Hand offs and transitions in care
Patient identification
Standardization
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - 1
TAKEheart Data Implementation Guide – Module 4
Preparing and Understanding Your Data to Support Systems Change
Table of Contents
This document is hyperlinked to facilitate ease of access to the information contained inside.
Press “ctrl” and click on the links below to access the desired section. Clicking o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…