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3341. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - This was a study conducted some Harvard researchers on the 10 best US health care systems. … The IHI also with some of the best health care systems in the US, including Mayo, they also looked at … the British National Healthcare System, and came up with a framework for engaging physicians in quality … care system. … improve health and health care.

3342. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation … to Diverse Populations Tool 5: How To Conduct a Postdischarge Followup Phone Call Patient Outcome … Rockville, MD: Agency for Healthcare Research and Quality; August 2008. … Rockville, MD: Agency for Healthcare Research and Quality; February 2005. … Total Quality Management: the route to improving performance. 2nd ed.

3343. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation … to Diverse Populations Tool 5: How To Conduct a Postdischarge Followup Phone Call Patient Outcome … Rockville, MD: Agency for Healthcare Research and Quality; August 2008. … Rockville, MD: Agency for Healthcare Research and Quality; February 2005. … Total Quality Management: the route to improving performance. 2nd ed.

3344. Health Care Research Training (HCRT) Study Section Members | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/process/study-section/hcrtrst.html
      March 01, 2025 - Health Care Research Training (HCRT) Study Section Members Roster of members of the study section … of Scientific Review Office of Extramural Research, Education, and Priority Populations Agency for Healthcare … of Scientific Review Office of Extramural Research, Education, and Priority Populations Agency for Healthcare … Consultants are required to absent themselves from the room during the review of any application if their … presence would constitute or appear to constitute a conflict of interest.

3345. 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/ExecSummcaseplancustsvce-RAND7607.pdf
      July 01, 2007 - Customer experience ratings provided by the Consumer Assessment of Healthcare Providers and Systems … learn more about the PDSA approach see the Institute for Healthcare Improvement’s public website at … A full-service health care benefits plan founded in the 1980s, serving 500,000 members in the northeastern … Data provided by the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey … reference material online for easy access by service representatives.

3346. It Takes a Team: Preventing Infections in Ambulatory Surgery Centers (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
      May 01, 2017 - • Keep the health care environment clean and safe. • Make daily rounds (walk around) in the health … care environment to assure cleanliness and patient safety. • Report any environmental care problems … Patients with surgical site infections are 2 to 11 times as likely to die as a result.2 Costly Each … between $3.5 million and $1 billion.2 Preventable Surgical site infections are one of the most common healthcare-associated … Health care personnel will clean their hands before and after patient care.

3347. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
      March 01, 2017 - This form is designed to identify contributing factors to and the root cause of a CAUTI that meets the … National Healthcare Safety Network (NHSN) LTC surveillance criteria. … Hold debrief with the team as soon as possible after the CAUTI occurs to exchange information to improve … in the column on the right to identify how this factor could have contributed to the development of … What other steps need do we need to take to improve catheter insertion or care?

3348. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
      January 01, 2024 - PHA brings together the healthcare field with agencies and individuals to ensure quality and safety … These, in turn, have allowed Georgia hospitals to improve patient safety and the quality of healthcare … Sent weekly PHA email bulletins to keep hospital members informed of current trends in the healthcare … Self-assessments for The Joint Commission's Standards in Support of Patient Safety and Medical/Health … Care Error Standards in a hospital setting.

3349. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
      January 01, 2025 - prophylaxis medication is under-prescribed for hospitalized patients.2,5 In AHRQ’s recent “Making Health … Care Safer II” report, “practices to improve prophylaxis for VTE” is included on the list of top 10 … Quality Management in Health Care. 2023 [in press] 8 https://www.ahrq.gov/funding/grant-mgmt/refstyle.html … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices … In: In "Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety

3350. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
      April 01, 2025 - Program for MRSA Prevention: Targeting SSI | Surgical Services Antimicrobial Prophylaxis Part 2 4 Access … Health care use and serious infection prevalence associated with penicillin “allergy” in hospitalized … | 36 Access the Learning From Defects Tool. … Any practice described in this presentation must be applied by healthcare practitioners in accordance … Health care use and serious infection prevalence associated with penicillin “allergy” in hospitalized

3351. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - systems, is used increasingly in healthcare to study complex causality between characteristics of healthcare … To Err is Human: Building a Safer Healthcare System: Institute of Medicine; 1999. 29. … Quality management in health care 2007;16:219-25. PMID: 17627217. 36. … Quality management in health care 1998;6:1-13. PMID: 10339040. 40. … Qual Saf Health Care 2008;17:137-45. PMID: 18385409. 51.

3352. Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
      January 01, 2024 - Dates of Project: 09/30/2017 - 07/31/2023 Federal Project Officer David Rodrick, PhD Agency for Healthcare … Acknowledgment of Agency Support This project was funded under grant number R18HS025353 from the Agency for Healthcare … IISE Transactions on Healthcare Systems Engineering. 2018;8(2):110–116. doi: 10.1080/24725579.2017.1418767 … JBJS Open Access. 2022;7(3):e22.00049. 15. … JBJS Open Access. 2023. 8(3):e23.00031.PMC10489481 24.

3353. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
      December 31, 2015 - PROCESS MEASURE Measure that focuses on a health care process that leads to a certain outcome. … QUALITY (in health care) Health care quality has been defined in several ways. … care delivery settings. … Eisenberg-Testimony on Health Care Quality. … Performance Measurement: Accelerating Improvement (Pathways to Quality Health Care Series).

3354. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - The resultant toolkit provides health care organizations with the means to implement teamwork and communication … care professionals is challenging due to a number of interrelated dynamics: • Health care is complex … contribute to errors in health care and other complex environments, such as aviation.3, 6 Failure to … More than 650 health care providers (representing all health care disciplines) attended presentations … Qual Saf Health Care 2004; 13: 85-90. 4.

3355. Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
      April 10, 2025 - of health care services. … There are factors to consider when developing and adding new measures for clinicians and health care … multiple groups across federal agencies, states, insurers, and health care organizations to foster adoption … coach people to initiate discussions with their health care clinicians or to ask specific questions … PCCP focuses health care delivery resources on what matters to the person and on personalizing their

3356. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - care delivery and patient outcomes. … to the health care system, especially in the hospital. … So, driving and chemical manufacturing are safer than encounters in the health care system. … of us in health care delivery. … care providers that work in our very sophisticated medical health care system these days.

3357. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
      January 01, 2025 - Research Nelson, Lorene M., PhD, Stanford University 09/30/2009 – 09/29/2012 William Baine Agency for Health … Care Research and Quality 5R01HS018413-02 REVISED 5R01HS018413-02 REVISED Tanner CM 2. … We also analyzed cases' healthcare contacts prior to diagnosis with dystonia and compared them to those … For controls, healthcare contacts were assessed prior to an index date determined by matching cases' … Tanner, Goldman, Fross, Klingman) in order to classify each healthcare interaction as related or unrelated

3358. Pediatric All-Condition Readmission Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
      December 31, 2015 - Although some readmissions for these children with special health care needs may be due to unavoidable … Special Health Care Needs The measure cannot be used to evaluate disparities in readmission risk associated … with special health care needs. … care systems. … in adherence to evidence-based clinical practices and in care delivery across health care settings.

3359. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
      July 01, 2013 - Rockville, MD: Agency for Healthcare Research and Quality, February 2013. … Using a logic model to explore how implementation factors related to fidelity relate to fidelity domains … Using a logic model to describe how one implementation factor is related to outcomes. … Allows us to link practices to outcomes. … is related to outcomes.

3360. Communication: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
      July 01, 2023 - Written communication is common in healthcare. … a different provider or healthcare professional … of patient care to a different provider or healthcare professional. … Patients can sometimes provide details that providers may not have access to. 50 Hospital AIM … described the situation as the patient reporting sensations of ripping pain and that he already has access