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  1. 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…
  2. 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…
  3. 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 …
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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.
  11. 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…
  12. 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 This page intentionally left blank. e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy Prepared for: Agency for…
  13. 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 …
  14. 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…
  15. 157-What-Are-4-Es (doc file)

    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-…
  16. 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…
  17. 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 ...............................................................................................…
  18. 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:…
  19. 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…
  20. 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…

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