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3381. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
      January 01, 2024 - The Agency for Healthcare Research and Quality did not contribute to the study design, data collection … The Fallon Clinic is the healthcare provider organization participating in this study. … Conflicting Info from Healthcare System (probability reduced by 25%) o. … No Access to Patient (probability reduced by 75%) b. … Qual Saf Health Care. Feb 2006;15(1):23-31. 4. Sellors J, Kaczorowski J, Sellors C, et al.

3382. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
      January 08, 2008 - The Institute of Medicine (IOM) has identified safety as a property of a health care system rather than … of the major challenges in creating a safer health care system.1 There are many definitions for … and applied to health care. … the health care setting. … performance.10 These five steps have been adapted to the health care environment and suggest a developmental

3383. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
      February 01, 2017 - protocols when clinically indicated, understand the benefits of using HOB elevation techniques, and access … Slide 7: SAT & SBT Specific VAP Prevention Guidelines Say: The Society for Healthcare Epidemiology … for a patient to be comfortable. … For patients who are not responsive to verbal stimuli, the SAT trial checks for contraindications to … Slide 22: Intensive Care Unit (ICU) Barriers to SATs Ask: What are some of the barriers to SATs

3384. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
      September 01, 2015 - Jim Battles is the Project Officer for the Agency for Healthcare Research and Quality, or AHRQ, Safety … To access the closed captioning, please click on the icon called Closed Captioning that is at the bottom … mark button at the bottom of the screen to access the Help Guide. … We also have additional resources available for you to access under the Resources icon. … Brown, Slide 35 And we are a state-of-the-art physician-owned outpatient healthcare facility.

3385. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
      April 01, 2022 - However, teams can struggle to bring these concepts to life. … and technical needs to get to zero infections. … The key to using either of these tools is to utilize them to identify and address defects. … CLABSI Learn From Defects Tool Worksheet: CAUTI APIC HAI Calculator Tools This section provides access … to the Association for Professionals in Infection Control and Epidemiology (APIC) healthcare-associated

3386. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - of pharmaceuticals.1–3 Health care professionals are encouraged to report medication errors and adverse … USP was contracted to develop the MEDMARX Multi-Facility Module, which enables health care networks … to all military medication errors reports, and enables numerous health care systems to be organized … care system. … Although the military health care system is similar in many respects to other large health systems,

3387. Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
      June 01, 2020 - measure quality and safety of healthcare are anchored foremost to the measures specifically required … The current lack of incentives and models to measure diagnostic safety can make it difficult to get started … strategies become better defined, diagnostic safety will no longer remain sidelined in the landscape of healthcare … use the data already available to them to begin to detect, understand, and learn from diagnostic errors … sources for a typical healthcare organization equipped with an EHR and moderate resources for quality

3388. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/start.html
      July 01, 2018 - The Agency for Healthcare Research and Quality provides tips for facilitating the quality improvement … outpatient medical office providers and staff and asks for opinions about the culture of patient safety and healthcare … quality-patient-safety/patientsafetyculture/medical-office/index.html Clinician & Group Consumer Assessment of Healthcare … This survey assesses patients’ experiences with healthcare providers and staff in doctors’ offices. … i Institute for Healthcare Improvement. How To Improve.

3389. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
      June 02, 2025 - by Engaging Patients and Families The Agency for Healthcare Research and Quality, or AHRQ, funded … AHRQ is a Federal agency whose mission is to produce evidence to make health care safer, higher quality … A Warm Handoff Plus is a handoff that is conducted in person, between two members of the health care … In healthcare, this typically means that one member of the healthcare team introduces another team member … between the healthcare team and to offer additional context as needed.

3390. Warm Handoff Plus (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
      June 02, 2025 - AHRQ is a Federal agency whose mission is to produce evidence to make health care safer, higher quality … Presentation Notes A Warm Handoff Plus is a handoff that is conducted in person, between two members of the health … care team, in front of the patient (and family if present). … In healthcare, this typically means that one member of the healthcare team introduces another team member … between the healthcare team and to offer additional context as needed.

3391. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
      May 01, 2017 - facilitate safety in high-complexity, high-risk, and high-reliability professions Health care errors … Safety 36 References Agency for Healthcare Quality and Research’s Patient Safety Network. … Int J Qual Health Care. 2008 Feb;20(1):22-30. PMID: 18073269. … Improving Health Care Response to Obstetric Hemorrhage (California Maternal Quality Care Collaborative … Improving Health Care Response to Obstetric Hemorrhage, Version 2.0: A California Toolkit to Transform

3392. Strategies for Improving Patient Experience with Ambulatory Care: Reminder Systems for Immunizations and Preventive Services (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/cahps-strategy-6-r.pdf
      April 14, 2017 - , disrupt the patient-provider relationship, and add to health care costs. … Increases to immunization rates ranged from 5 to 20 percent in intervention groups compared to control … implementing physician reminder systems, the health care organization should address the following … Computer-generated reminders delivered on paper to healthcare professionals: effects on professional … practice and health care outcomes.

3393. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
      March 01, 2004 - the health care system,2 proposing quality enhancement initiatives to coordinate quality-related efforts … quality and patient safety concerns in health care and to advance critical health care quality initiatives … or impact health care quality. … care systems, and public policy decisions aimed at providing adequate nursing care to meet patient … care system.

3394. Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
      September 01, 2018 - Pediatric patients with asthma are seen across the health care spectrum. … Children with asthma enrolled in Medicaid pose an important challenge to the health care system. … by race, ethnicity, socioeconomic status, and special health care needs. … Special Health Care Needs The data obtained for this study do not include indicators of special health … Report to Congress. Improving the identification of health care disparities in Medicaid and CHIP.

3395. Importance of MRSA and SSI Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
      April 01, 2025 - Health care-associated infections: a meta-analysis of costs and financial impact on the US health care … system. … system. … Health care-associated infections: a meta-analysis of costs and financial impact on the US health care … system.

3396. Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
      January 01, 2024 - thank the Agency for Healthcare Research and Quality (AHRQ) for their support of this project. … In fact, fatigue is such a concern in healthcare that The Joint Commission—a U.S. … When the Guardian Healthcare Professionals Network published an article about the dangers of healthcare … smart recorder that supports real-time data access and control via a wireless connection. … This database was password protected and kept in a secure location with restricted access.

3397. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
      April 24, 2018 - It can also help health care consumers identify the providers whose care appears to be consistent with … To support health care organizations in collecting patients’ comments in a systematic and structured … conducting research to determine how best to adapt this item set to other health care settings. … health care providers. … The feedback can be shared with health care providers, but it will be important to acknowledge that

3398. Improving Care for People with Multiple Chronic Conditions: Making An Impact (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-rubenstein.pdf
      November 17, 2020 - RAND Corporation and UCLA Schools of Medicine and Public Health 11/17/2020 No Conflicts of Interest to … improvement approaches that • Have potential for population-level impacts • Can be readily adopted within healthcare … the right patient, but to the right condition at the right time • Are accessible to the full high-risk … do better than usual continuity primary care, interventions need to 1. … Use stepped, integrated, or coordinated care models to link with key resources • To learn from intervention

3399. 163-Central-Line-Rounds-Form (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
      October 01, 2024 - for MRSA Prevention Central Line Rounds Tool Communication among and between the multidisciplinary healthcare … In addition to daily goal sheets, a central line rounding tool can assist the team in addressing the … Contextual barriers to communication between physicians and nurses about appropriate catheter use. … Persistent barriers to timely catheter removal identified from clinical observations and interviews. … Interventions to reduce unnecessary central venous catheter use to prevent central-line-associated bloodstream

3400. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - The VHA provides two examples of the use of aggregate data to study health care quality and safety concerns … by recording infections associated with a single health care provider. … Department of Veterans Affairs, Tennessee Valley Healthcare System, GRECC, Nashville (HJM, RSD). … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices.