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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Understand the Science of Safety
Facilitator Notes
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
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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-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/consolidation-ownership-slides.pdf
April 03, 2025 - The Impact of Consolidation and Ownership on Primary Care - Slide Presentation
National Center for Excellence in Primary Care
Research
National Center for Excellence in Primary Care Research
Presents
The Impact of Consolidation and Ownership on Primary Care
April 3, 2025
Presented by:
Amelia Bond, PhD
E. Ma…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Asymptomatic Bacteriuria and Urinary Tract
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
February 28, 2022 - PowerPoint Presentation
Implementing TeamSTEPPS
Introduction
Reflecting on Day 1
Day 2 Preview
Patient safety is threatened by poor communication and teamwork.
TeamSTEPPS provides tools and a framework to improve both.
Questions or reflections on day 1.
2
2
Preparing for Day 2
Day 2 Preview
Day 1:
Int…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_cg_cahps_chartbook.pdf
January 01, 2018 - 2018 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
CAHPS Clinician & Group Survey Database
2018 Chartbook
This document is in the public domain and may be used and reprinted without permission in the United States
for noncommercial purposes, unless materials are clearly noted as copyri…
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www.ahrq.gov/data/apcd/backgroundrpt/data.html
April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Data Evaluation of All-Payer Claims Databases
Previous Page Next Page
Table of Contents
Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using…
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www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
December 01, 2021 - Meeting Minutes, July 2021
Virtual Meeting
Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of March 18, 2021, Meeting Summary
Recent AHRQ Accomplishments
AHRQ Budget Opportuniti…
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www.ahrq.gov/news/events/nac/2022-07-nac/nacmtg072122-minutes.html
December 01, 2022 - Meeting Minutes, July 2022
Virtual Meeting
Minutes from the July 21, 2022, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of May 12, 2021, Meeting Summary
AHRQ Director’s Highlights
Discussion of Healthcare Q…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22458-Rosenman-report.pdf
October 01, 2018 - Final Report: Translating simulation-based team leadership training into patient-level outcomes
Title of Project: Translating simulation-based team leadership training into patient-level outcomes
Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol,
G; Arbabi, S; Chao, GT
O…
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www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes
Title of Project: Translating simulation-based team leadership training into patient-level outcomes
Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol,
G; Arbabi, S; Chao, GT
O…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
Overview
According to the Joint Commission, in 2022, failures in communication, teamwork, a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
January 01, 2017 - Data Measures Guide
AHRQ Safety Program for
Mechanically Ventilated Patients
Data Measures Guide
AHRQ Pub. No. 16(17)-0018-6-EF
January 2017
Data Measures Guide
Introduction ....................................................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report
Neonatal Intensive Care All-Condition Readmissions
Without Gestational Age
Section 1. Basic Measure Information
1.A. Measure Name
Neonatal Intensive Care All-Condition Readmissions Without Gestational Age
1.B. Measure Number…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Chartbook on Women's Health Care: Slide Presentation
2014 National Healthcare Quality & Disparities Report
Contents
Introduction
Summary Tables
Access to Health Care
Patient Safety
Person-and Family-Centered Care
Communication and Care Coordination
Effective Treatment of Leading Causes of Morbid…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/gallagher-report.pdf
August 01, 2014 - patients who have undergone general (bariatric, nonelective appendectomy,
colon), vascular, or spine surgeries
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www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
January 01, 2024 - patients who have undergone general (bariatric, nonelective appendectomy,
colon), vascular, or spine surgeries