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  1. www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
    February 23, 2008 - Department of Veterans Affairs Emergency Airway Management Initiative Department of Veterans Affairs Emergency Airway Management Initiative Erik J. Stalhandske, MPP, MHSA; Michael J. Bishop, MD; James P. Bagian, MD, PE Abstract Over the last 2 years, the U.S. Department of Veterans Affairs (VA) undertook a …
  3. 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…
  4. www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
    November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…
  5. www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
    July 01, 2021 - Meeting Minutes, July 2018 National Advisory Council Minutes from the July 18, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 16, 2018, Meeting Summary Director's Welcome and Update Update on AHRQ Data…
  6. Highlight03 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
    September 08, 2015 - The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). Funded by the Children’s Health I…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
    January 01, 2016 - Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels Prepared for the Agency for Healthcare Research and Quality by L&M Policy Research, LLC with guidance from the Pediatric Quality Measure Program (PQMP)…
  8. www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
    January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2007, National Conference On Health Care Journalism Principal Investigator: Leonard J. Bruzzese Organization: Center for Excellenc…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
    November 01, 2021 - SOPS Workplace Safety Pilot Study Report Pilot Study Results From the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Workplace Safety Supplemental Items for Hospitals Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857…
  10. www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
    January 01, 2024 - Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety AHRQ TEAM TRAINING GRANT FINAL PROGRESS REPORT Project Title: Evaluating the Impact of Simulated Team Training on Patient Safety Principal Investigator: Daniel J. Scott Team Members: Rajiv Gala (Co-Investigator) John Fore…
  11. www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
    January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality Forum Fall Policy Conference 2008 Principal Investigator: Dwight McNeil Team Members: S. Callahan, L. Gorban, D. McNeill, and B. Yelin 9/30/08-9/29/09 Federal Project Official: Karen Ho Supported by: Agen…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Blood Culture Practices and Stewardship ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Blood Culture Practices and Stewardship SAY: Welcome to this presentation about blood culture practices and stewardship. This presentation will help ensure that units ha…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
    April 01, 2022 - Quality Improvement in Action Facilitator Guide CUSP Module: Quality Improvement in Action Facilitator Guide Slide Number and Image This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
  14. www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
    January 01, 2024 - Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients FINAL REPORT Title: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients Principal Investigators: Matthew B. Weinger, MD, MS, & Daniel Josep…
  15. www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
    January 01, 2025 - Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections TITLE PAGE Project Title: National Claims-Based Quality Measures for Surgical Site Infections Principal Investigator: Richard Platt, MD, MSc, Professor and Chair, Department of Population Medicine, Executive Director, Harv…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs Katherine J. Jones, PT, PhD; Anne Skinner, RHIA; Liyan Xu, MS; Junfeng Sun, PhD; Keith Mueller, PhD A…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
    April 01, 2015 - At this time, there is no central repository for ASCs to submit data for comparative purposes.
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
    April 30, 2025 - Improving Patient Safety by Engaging Patients and Families AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Engaging Patients and Families Overview Research has shown that involving patients, as well as their families and caregivers, in the planning, delivery, and evaluation of their heal…
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
    February 06, 2012 - Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) Attachment A: CHIPRA Pediatric Quality Measures Progra…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
    February 22, 2014 - For example, coaches may design contests that allow staff to submit descriptions of how a tool or strategy

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