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4561. Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
      January 01, 2024 - Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow Conference Final Report Regional Patient Safety Officer Conference – Learning Together Today and Tomorrow Prepared for: Agency for Healthcare Research and Quality Project Officer: William Freeman, MPH Health Scientist …

4562. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
      January 01, 2021 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital Survey Version: 2.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing dat…

4563. Ventilator-Associated Event Surveillance: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
      February 01, 2017 - Ventilator-Associated Event Surveillance: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Surveillance Slide 2: Learning Objectives After this session, you will be able to— D…

4564. Diagnostic Safety Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
      November 01, 2024 - Diagnostic Safety Research 1 Diagnostic Safety Research at the Agency for Healthcare Research and Quality Diagnostic Error Diagnostic error is a significant and underrecognized threat to patient safety. Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and prevent…

4565. EvidenceNow Executive Summary - Southwest Cooperative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
      November 01, 2017 - EvidenceNow Executive Summary - Southwest Cooperative Southwest Cooperative EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary care pract…

4566. Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
      January 01, 2024 - Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach Project Final Report ( PDF , 336.02 KB) Disclaimer Disclaimer The findings and conclusions in thi…

4567. Using Electronic Data to Improve Care of Patients With Known or Suspected Cancer | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer
      January 01, 2023 - Using Electronic Data to Improve Care of Patients With Known or Suspected Cancer Project Final Report ( PDF , 139 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…

4568. Nursing Home Information Technology (IT): Optimal Medication and Care Delivery | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
      January 01, 2023 - Nursing Home Information Technology (IT): Optimal Medication and Care Delivery Project Final Report ( PDF , 184.99 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily rep…

4569. #06 Developmental Delays ADHD, and Autism (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1512.pdf
      December 01, 2015 - #06 Developmental Delays ADHD, and Autism AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 06: Developmental Delays, ADHD, and Autism Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishe…

4570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33825/psn-pdf
      January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis Annual Perspective 2016 Introduction Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…

4571. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
      June 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case June 2005 Getting to the Root of the Matter Source and Credits This presentation is based on the June 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Scott Flanders, MD; Sa…

4572. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
      March 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case March 2007 Failure to Report Source and Credits This presentation is based on the March 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Patrice L. Spath, BA, RHIT, Brown-Sp…

4573. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
      December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…

4574. Reduction in Hospital-Acquired Complications and Infections (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
      January 01, 2010 - Reduction in Hospital-Acquired Complications and Infections Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality Health IT Reduction in Hospital- Acquired Complications and Infections embolism, can be prevented by following recommendations of the American College of Chest Ph…

4575. #06 Developmental Delays ADHD, and Autism (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1506.pdf
      December 01, 2015 - #06 Developmental Delays ADHD, and Autism AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 06: Developmental Delays, ADHD, and Autism Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaithe…

4576. PREGNANCY, INCLUDING PRETERM BIRTH #12 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - PREGNANCY, INCLUDING PRETERM BIRTH #12 AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 12: Pregnancy, Including Preterm Birth Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road …

4577. Surveillance Report: Masks for Prevention of COVID-19 in Community and Healthcare Settings (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-prevention-covid-surveillance-report.pdf
      July 17, 2020 - Surveillance Report: Masks for Prevention of COVID-19 in Community and Healthcare Settings Surveillance Report: July 17, 2020 Masks for Prevention of COVID-19 in Community and Healthcare Settings: Surveillance Report Background This surveillance report summarizes the search and update for the rapid review and l…

4578. STATISTICAL BRIEF #372: Trends in Anticonvulsants Utilization and Expenditures for the U.S. Civilian Noninstitutionalized Population, 1999 and 2009
      meps.ahrq.gov/data_files/publications/st372/stat372.shtml
      June 01, 2012 - STATISTICAL BRIEF #372: Trends in Anticonvulsants Utilization and Expenditures for the U.S. Civilian Noninstitutionalized Population, 1999 and 2009   Skip to main content An official website of the Department of Health …

4579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49389/psn-pdf
      February 01, 2003 - Procedural Mishap: Learning Curve? February 1, 2003 Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve The Case A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had undesired fert…

4580. Spotlight Case (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
      May 01, 2006 - Spotlight Case Spotlight Case May 2006 Right? Left? Neither! Source and Credits This presentation is based on the May 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…