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401. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
     December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship Slide Presentation Slide 1 Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality …

402. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
     June 16, 2016 - : CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) (Ammenwerth, et al., 2008). … : CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) (Ammenwerth, et al., 2008). … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review

403. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
     January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick J. Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. O’Connor MD MPH, Principal Investigator Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …

404. ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
     April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD Jennifer Bannon RN BSN MSHI Table of Contents Objectives Cardiovascular Disease Cardiovascular Disease (2) ABCS-Aspirin when appropriate Anatomy of a Performance Measure Measure Exce…

405. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-slides.pptx
     January 01, 2017 - Presentation: Program Overview Measure Descriptions for Daily Early Mobility AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-49-EF January 2017 Early Mobility Measures ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, you …

406. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/Dec-2024-IAWG-roster.pdf
     January 01, 2024 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare *List current as of December 2, 2024 Name Agency/Department Title Craig A. Umscheid, M.D., M.S. AHRQ Director, Center for Quality Improv…

407. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
     May 20, 2016 - http://www.who.int/surgery/publications/Postoperativecare.pdf • Anticoagulant Toolkit: Reducing Adverse … Drug Events, Institute for Healthcare Improvement http://www.ihi.org/knowledge/Pages/Tools/AnticoagulantToolkitReducingADEs.aspx

408. Meeting Minutes, July 24, 2015 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
     December 01, 2015 - Mary Fermazin, M.D., M.P.A., stated the importance of diagnostic accuracy and of collecting data on adverse … drug events.

409. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 4: Event Reporting, Event Investigation and Analysis Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. 1 Objectives Define the key elements …

410. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
     January 01, 2025 - Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational

411. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - Patient Safety Awareness Week 2020 Patient Safety Awareness Week is an annual health observance sponsored by the Institute for Healthcare Improvement (IHI). As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety among health professionals, patients, and fami…

412. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - The effect of computerized physician order entry on medication errors and adverse drug events in pediatric

413. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…

414. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

415. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-6.html
     July 01, 2022 - The third measure identifies adverse drug events (ADEs) from unreconciled medication on admission.

416. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
     July 01, 2022 - The third measure identifies adverse drug events (ADEs) from unreconciled medication on admission.

417. The Integration of Hospitalists into U.S. Academic Medical Centers
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
     March 07, 2014 - The Integration of Hospitalists into U.S. Academic Medical Centers Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship 1 CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality Promotion Scott Flanders, MD Professor of Med…

418. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
     January 01, 2024 - Cedar Rapids has a high proportion of elderly patients who are at particularly high risk for adverse … drug events (ADEs). … Adverse drug events (ADEs) were evaluated in both hospitals, and it was found that approximately 25% … • Decrease adverse drug events (ADEs) in the elderly by establishing consistent medication reconciliation

419. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
     June 02, 2025 - within a month of discharge, of which ¾ could be prevented • Common complications post-discharge are adverse … drug events, hospital-acquired infections, and procedural complications • Many complications can

420. Preventing CAUTI: Focus on Culturing Stewardship | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section7.html
     May 01, 2023 - Resident Physicians as Champions in Preventing Device-Associated Infections Preventing CAUTI: Focus on Culturing Stewardship Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices…