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  1. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/05-pfe-planning-60-seconds.pdf
    August 01, 2021 - 60 Seconds To Improve Diagnostic Safety Planning Worksheet Toolkit for Engaging Patients To Improve Diagnostic Safety AHRQ Publication No. 21-0047-4-EF August 2021 60 Seconds To Improve Diagnostic Safety Planning Worksheet When planning your implementation, be sure to have the following materials available s…
  2. www.ahrq.gov/data/apcd/envscan/findings.html
    July 01, 2022 - collection is done by observation, rather than self-report, by administrators and health care providers not trained …  if they are not in a mandatory reporting State, because very few clinicians or administrators are trained
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
    July 28, 2016 - Social workers are trained to understand the comprehensive landscape of social services in a community … includes a Medical Treatment Centers Director, Program Director, Clinical Supervisor, nurses, and trained
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  5. www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
    January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research Principal Investigator: Hripcsak, George Progress Report Close-Out Documentation Title: Mining complex clinical data for patient safety research Principal Investigator and Senior Team Members: George Hripcsak, MD, MS (PI) Caro…
  6. www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
    January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients FINAL PROGRESS REPORT 1. TITLE, TEAM, DATES Interactive HIT to promote ambulatory safety among vulnerable diabetes patients Urmimala Sarkar, M.D., M.P.H. Dean Schillinger, M.D. Margaret Handley, Ph.D., M.P.H. Ned…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
    July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work 279 Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
    March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…
  10. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix D. Falls Engineer Instructions Previous Page   Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…
  12. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action References Previous Page   Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introduction ED-to-Hosp…
  13. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 2. Evidence of Disparities among Ethnicity Groups Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Intro…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
    April 01, 2022 - Quality Improvement in Action Facilitator Guide CUSP Module: Quality Improvement in Action Facilitator Guide Slide Number and Image This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
  15. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
    October 01, 2014 - Treating Tobacco Use and Dependence Quick Reference Guide for Clinicians This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…
  16. www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions FINAL REPORT Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions Principal Investigator: J.B. Jones, PhD, MBA Mark J. Selna (original Principal Investigator) Team Members: Mark Selna, MD …
  17. www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
    January 01, 2025 - Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism Short-term Clinical Deterioration After Acute Pulmonary Embolism Anthony J. Weekes, MD, MSc (Principal Investigator), Jason T. Nomura, MD, Dasia Esener, MD, Jeremy S. Boyd, MD, Patrick M. Ockerse, MD, Stephen Leech, MD, H. J…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Peter E. Rivard, PhD; Cindy L. Christiansen, PhD; Shibei Zhao, MPH; Anne Elixhauser, PhD; Amy K. Rosen, PhD Abstract Objective: W…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…

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