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  1. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
    November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? Evaluation Highlight No. 5 Author: Leslie Foster Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstration …
  2. www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
    July 01, 2021 - Summary Health Services and Primary Care Research Study: Comprehensive Report Background On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act 2018, became law, Congress directed and authorized the Agency for Healthcare Research and Quality (AHRQ) to contract with an independent entity for …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
    February 01, 2015 - Slide 1 Breaking Down Barriers to Aseptic Catheter Insertion Milisa Manojlovich, PhD, RN, CCRN Associate Professor University of Michigan School of Nursing Stacy Martin, RN, BSN, CIC Manager, Infection Prevention Moffitt Cancer Center Stephanie Carraway, MPH candidate Infection Prevention Specialist Moffitt Cancer C…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
    November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …
  7. www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics 1. TITLE PAGE Reducing Diagnostic Errors in Primary Care Pediatrics Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, Hardeep Singh, MD, MPH, MPH, Moonseong Heo, PhD, Jason S. Adelman, MD, MS, Heathe…
  8. www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
    January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD, MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis Advi…
  9. www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
    January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…
  10. www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
    April 01, 2013 - Physician Engagement (Transcript) September 13, 2011 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instructions will be given i…
  11. www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
    April 01, 2013 - Using the Opportunity Estimator (Transcript) July 20, 2010 Operator: Good day, ladies and gentlemen, and welcome to the CUSP supplemental conference call. At this time, our participants are on a listen-only mode. Later, we'll conduct a question-and-answer session and instructions will be given at that time. …
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
    July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation Situation Monitoring Obstetric Hemorrhage Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation moni…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage SPPC‐II Toolkit                                                                                     Hospital AIM Team Leads SPPC II Situation Monitoring Obstetric Hemorrhage Module 4 of 8 ‐ SCRIPT Welcome to Module 4 of the Safety Program for Perinatal Ca…
  14. www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - Model-building Sample The modeling teams comprised two trained ST-PRA facilitators, one or two research
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Slide 1: Introduction to Preventable Hospital and ED Visits Reports …
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
    February 04, 2022 - TeamSTEPPS for Improving Diagnosis Participant Workbook TeamSTEPPS® for Diagnosis Improvement Participant Workbook Participant Workbook This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 Module 1: Introducti…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
    January 01, 2014 - At the same time, a trained chart abstracter performed manual chart reviews on the same patients’ charts
  18. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 3. Care Coordination Measurement Framework 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 Chapter …
  19. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? 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. What are th…
  20. www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
    February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…

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