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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model
RISK AND RECOVERY IN COMPLEX ENVIRONMENTS:
LABOR AND DELIVERY AS A MODEL
Final Progress Report
Grant Award: 1 UC1 HS014376-01
June 30, 2006
Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 1: Introduction (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. E…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process
Primary Care
Practice Facilitation
Curriculum
Module 6: An Overview of the Facilitation Process
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work
Systems-Based Practice: Improving the Safety
and Quality of Patient Care by Recognizing
and Improving the Systems in Which We Work
Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
March 01, 2020 - Chapter-3 - Sepsis Recognition
Sepsis Recognition 3-1
3. Sepsis Recognition
Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S.
Introduction
Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years,
and accounts for more hospital admissions and spending than…
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors
Improving Patient Safety by Reducing Medication Errors
Brian Strom, MD, MPH, Principal Investigator:
Director, Administrative Core; Director, Data Collection Core
Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - J Pain Symptom Manag 2002; 23(2):114‐20.
Hassell KL.
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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/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief
PATIENT
SAFETY
e
Issue Brief 17
Cognitive Load Theory and Its
Impact on Diagnostic Accuracy
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e
Issue Brief 17
Cognitive Load Theory and Its Impact
on Diagnostic Accuracy
Prepared for:
Agency for…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Outpatient-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Medicaid Outpatient File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Medicaid Outpatient File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
December 01, 2017 - Guide for Safe Transitions to New Appointments
Guide for Safe
Transitions to
New Appointments
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and
do not necessarily represent the views of AHRQ. No statement in this report should be con…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
What Are the 4 Es?
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation of patient safety interventions. This framework integrates well with the Comprehensive Unit-…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
April 01, 2025 - Implementation Guide: MRSA and SSI Prevention
AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Implementation Guide:
MRSA and SSI Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Introduction
Setting up or improving a methicillin-resistant Stap…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan
Page 1 of 15
Healthcare Safety Competencies Affinity Group
Environmental Scan, Resources, and Strategies version 4.7.2025
Table of Contents
Background ...............................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis
265
Implementation of an Evidence-based
Protocol for Surgical Infection Prophylaxis
John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto,
Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci
Abstract
Objective:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process
Designing the Built Environment for A
Culture and System of Patient Safety –
A Conceptual, New Design Process
Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH
Abstract
There is growi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training 1
On-Time Falls
Prevention:
Reports
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Training
Slide 1: Introduction to Falls Pr…