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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
    January 01, 2015 - Types and origins of diagnostic error in primary care settings No Yes Moderate Report outlines the
  2. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
    March 01, 2015 - care practices in communities lacking a formal HIE can still benefit from data exchange through these types
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
    March 01, 2004 - Seven States did not provide a standardized AE definition, but specified the types of events that must
  4. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
    January 01, 2020 - National Healthcare Quality and Disparities Report Chartbook on Rural Health Care National Healthcare Quality and Disparities Report CHARTBOOK ON RURAL HEALTH CARE Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This document is in the public domain and may be us…
  5. www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
    February 01, 2015 - Health Care Simulation to Advance Safety: AHRQ Issue Brief Foreword Simulation has long been recognized for the integral role it plays in high- risk industries. Our aerospace, transportation, and power-generation industries have become steadily safer over the years with the aid of simulation. As the Ebola virus di…
  6. www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
    January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department Title Page Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department PI: Elizabeth Schoenfeld, MD, MS Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Blood Culture Practices and Stewardship ICU & Non-ICU AHRQ Safety Program for MRSA Prevention AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Blood Culture Practices and Steward…
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Prevention of CLABSI 1 Educational Objectives Define a central line-…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
    January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients CUSP Guide for Reducing Ventilator- Associated Events in Mechanically Ventilated Patients AHRQ Pub. No. 16(…
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act References Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Da…
  11. www.ahrq.gov/ncepcr/tools/case-studies/fillmore.html
    April 01, 2022 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Training Program Summary: Millard Fillmore College Practice Facilitator Certificate Program Previous Page Next Page Table of Contents Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Overvi…
  12. www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
    January 01, 2024 - Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) Medications at Transitions and Clinical Handoffs (MATCH) Principal Investigator: Gary A. Noskin, MD David Baker, MD Gerard Castro, MPH Andrew Chang, JD, MPH Joseph Feinglass, PhD Kristine Gleason, RPh David Liebovitz, MD David Liss, B…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
    December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdf
    September 01, 2014 - Supplemental Document 2 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 and the Centers for Medicare & Medicaid Services (CMS). No statement in this report should be construed as an official position of…
  15. www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
    February 01, 2017 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Say: This module introduces and provides evidence for the lung protective…
  16. 0129Table8 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
    January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…
  18. Fillmore (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
    August 01, 2014 - c Case Studies of EXEMPLARY PRIMARY CARE PRACTICE FACILITATION TRAINING PROGRAMS Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
  19. www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
    January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration Title: Midcoast Maine Patient Safety and IT Integration Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient Care Team Members: Northeast Health and Partner Organizations Donna Deblois, MS, RN – Executive Dire…
  20. www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
    January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…

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