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4101. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office 101 Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, James D. Bramble, Wendy Taylor, Kevin G. Moores Abst…

4102. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
      December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Electronic Reports On-Time Nutrition Risk Reports There are two Nutritional Risk Reports: medium-risk and high-risk resident reports. Table 1: Sample On-Time Nutrition Risk Report: High Risk Resident Room Number Decre…

4103. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
      May 07, 2008 - Slide 1 Treating Tobacco Use and Dependence 2008 UPDATE U.S. Public Health Service Clinical Practice Guideline The following is a summary of the 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and dependence which was released May 7, 2008. PHS 2008 PHS Clinical Practice Guideline Update: T…

4104. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.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 …

4105. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
      January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative 63 Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris, L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …

4106. Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
      January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Principal Investigator: David J. Taber, PharmD, MS, BCPS Professor Medical University of South Carolina Department of Surgery 96 J…

4107. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …

4108. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Act…

4109. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
      January 01, 2017 - Presentation: Program Overview Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-54-EF January 2017 LTVV Intro, Evidence, Implementation ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning…

4110. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

4111. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
      January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative 63 Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris, L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …

4112. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
      January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children 213 Methodological Challenges in Describing Medication Dosing Errors in Children Heather McPhillips, Christopher Stille, David Smith, John Pearson, John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis Abstract Alth…

4113. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
      January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? 371 Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? John D. Banja Abstract Medical malpractice insurance policies customarily contain a “cooperation” clause requiring ins…

4114. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
      January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…

4115. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
      October 27, 2014 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate Page 1 of 26 Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Summary Preliminary estimates for 2013 show a further 9 percent decline in the rate of hospital-acqu…

4116. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…

4117. Preventing-Cauti-Engaging-Clinicians-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
      May 14, 2013 - Paul Tedrick American Hospital Association - Chicago May 14, 2013 11:00AM Central Time Operator: This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14, 2013 scheduled for 11AM Central Time. Ladies and gentlemen, thank you for your patience in holding. We now have our speakers i…

4118. Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.html
      December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013) Webinar Transcript Paul Tedrick American Hospital Association - Chicago May 14, 2013 11:00AM Central Time Operator: This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14…

4119. Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
      June 02, 2025 - Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Transcript release date 5/24/11 www.talkingquality.ahrq.gov Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality Moderator: Lise Rybowski, Consultant, Talking…

4120. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
      January 01, 2020 - SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript October 2019 https://www.ahrq.gov/sops/index.html 1 Introducing the New SOPS Hospital Survey 2.0 October 30, 2019 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AH…