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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - recommended further research with clearly defined outcomes.2 A 2019 Cochrane systematic review that targeted
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
    September 03, 2014 - PowerPoint Presentation Clinical Care of the Hemodialysis Patient 1 Objectives Summarize key reasons clinical care is important in vascular access infection (VAI) prevention Identify five occasions in which hand hygiene is critical Explain practices that all staff members can follow during site access in order to…
  3. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
    January 01, 2025 - Subcommittee of the National Advisory Council: Informing the National Action Alliance to Advance Patient and Workforce Safety Final Report: December 19, 2023 Submitted by: Lucy A. Savitz, Ph.D., MBA on behalf of the AHRQ Subcommittee Subcommittee of the AHRQ National Advisory Cou…
  4. www.ahrq.gov/patient-safety/reports/hotline/design2.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events II. Hotline Design and Development Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sample-notification-letters.pdf
    April 07, 2017 - Sample Notification Letters CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions Sample Notification Letters and Emails for the CAHPS Child Hospital Survey Document No. 961 Updated 4/7/2017 Sample Notification Letters and Emails for the CAHPS® Child Hospital Survey This document cont…
  6. www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
    April 01, 2018 - Chartbook on Effective Treatment HIV and AIDS Previous Page Next Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS Mental Hea…
  7. www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
    January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety PI: Guise, J-M FINAL GRANT REPORT Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety Grant Award #: 5U18HS015800-02 Grantee Institution: Oregon Health & Science University…
  8. www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
    January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003 THE NATIONAL QUALITY FORUM ANNUAL MEETING 2003 PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E. POWER, M. STEGUN, L. THOMPSON 9/20/2003 – 9/19/2004 FEDERAL PROJECT OFFICE…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
    May 01, 2017 - Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Publication No. 17-0003-2-EF May 2017 SAY: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care a…
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
    June 27, 2024 - Research on Person-Centered Care National Center for Excellence in Primary Care Research Presents Research on Person-Centered Care June 27, 2024 Presented by: Ian Hargraves, PhD Alex Krist, MD, MPH Zsolt Nagykáldi, PhD Moderated by: Maya Gerstein, DrPH 1 NCEPCR Webinar Series The views expressed in th…
  11. www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix A. Teleconferences with AHRQ & CDC Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1.…
  12. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 3. Description of Methods Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter…
  13. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 4, Emerging Trends in Care Coordination Measurement Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework …
  14. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
    December 31, 2022 - Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation Building, Implementing & Troubleshooting an Automatic Referral for Cardiac Rehabilitation 1 This presentation is designed to help you understand the steps required for designing, testing, implementing, and troubleshootin…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
    March 15, 2004 - A Study of Adverse Occurrences and Major Functional Impairment Following Surgery 275 A Study of Adverse Occurrences and Major Functional Impairment Following Surgery Mary Rojas, Alan Silver, Christine Llewellyn, Lenora Rances Abstract Objective: The authors sought to ascertain whether adverse occurrences (AOs…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
    December 01, 2004 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges 51 Patient Safety Research in Medical Group Practices: Measurement and Data Challenges Amy R. Wilson, Bryan E. Dowd, John E. Kralewski Abstract This paper attempts to identify and discuss some of the major challenges to co…
  17. www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
    June 01, 2018 - Introduction and Methods National Healthcare Quality and Disparities Report This document describes the contents of the National Healthcare Quality and Disparities Report and the methods used to compile and analyze data. Contents Acknowledgments Introduction and Methods     Background on …
  18. 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…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …

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