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1861. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

1862. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - The Use of Surgical Simulators to Reduce Errors 165 The Use of Surgical Simulators to Reduce Errors Marvin P. Fried, Richard Satava, Suzanne Weghorst, Anthony Gallagher, Clarence Sasaki, Douglas Ross, Mika Sinanan, Hernando Cuellar, Jose I. Uribe, Michael Zeltsan, Harman Arora Abstract The training of…

1863. Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities May 13, 2014 Download accessible version of slides (PDF, 1.1 MB) Introducing Nine Levers to Support the Aims and Priorities [Slide 1] Ann Gordon: Welcome to today's event featuring t…

1864. Appendix C. Detailed Descriptions of Agency Research Portfolios | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
      July 01, 2021 - Appendix C. Detailed Descriptions of Agency Research Portfolios Health Services and Primary Care Research Study: Comprehensive Report Below we describe in more detail the individual HSR and PCR portfolios of the federal operating divisions in-scope of the study, including both extramural research (i.e., grant…

1865. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…

1866. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation SAY: This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…

1867. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Appendix: State Overviews (continued) Previous Page   Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engagi…

1868. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - Clinical, operational, and financial data collected are used to monitor and evaluate BPHC programs and to analyze … The contractor uses algorithms to analyze the abstracted data to identify patient exposure to the processes

1869. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - Clinical, operational, and financial data collected are used to monitor and evaluate BPHC programs and to analyze … The contractor uses algorithms to analyze the abstracted data to identify patient exposure to the processes

1870. ADAPT to Adult-Focused Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
      September 01, 2011 - Introduction This document explains how to administer, analyze, and calculate scores from the ADolescent

1871. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
      August 01, 2024 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events.

1872. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
      September 01, 2015 - Through use of the Learn From Defects tool, it provides a way to help analyze and reduce the risk of

1873. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
      January 01, 2025 - changes and academic detailing significantly decreased errors in these practices but continued to analyze

1874. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
      February 01, 2018 - specifications" is defined as all information that any potential measure implementer will need to use and analyze

1875. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
      September 01, 2015 - Through use of the Learn From Defects tool, it provides a way to help analyze and reduce the risk of

1876. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - specifications" is defined as all information that any potential measure implementer will need to use and analyze

1877. 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 - specifications" is defined as all information that any potential measure implementer will need to use and analyze

1878. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
      April 01, 2018 - specifications" is defined as all information that any potential measure implementer will need to use and analyze

1879. Puh-Erepguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
      February 10, 2014 - Report; Trigger Summary Report; and Intervention History for Nutrition Risk Report 3 may be used to analyze

1880. Appropriate Emergency Department Fever Management for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
      February 01, 2018 - specifications" is defined as all information that any potential measure implementer will need to use and analyze