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1641. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. An…

1642. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…

1643. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
      June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 Video-Based Simulation: Facilitator Guide Team Leadership Briefs, Huddles, and Debriefs TeamSTEPPS Training Curriculum …

1644. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
      April 05, 2013 - Information to Help Hospitals Get Started Key Takeaways Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety. Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…

1645. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. An…

1646. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals Pilot Study Results From the 2017 AHRQ Surveys on Patient Safety Culture (SOPSTM) Health Information Technology Patient Safety Supplemental Item Set for Hospitals Prepared for: Agency for Healthca…

1647. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…

1648. 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
      November 01, 2017 - 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Medical Office SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 2…

1649. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
      January 01, 2003 - Making a Case for Organizational Change in Patient Safety Initiatives 455 Making a Case for Organizational Change in Patient Safety Initiatives Rangaraj Ramanujam, Donna J. Keyser, Carl A. Sirio Abstract Objectives: Widespread organizational change is indispensable for significantly improved patient safety…

1650. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

1651. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

1652. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals Strategies for Improving Patient Safety in Small Rural Hospitals Judith Tupper, MS, CHES; Andrew Coburn, PhD; Stephenie Loux, MS; Ira Moscovice, PhD; Jill Klingner, PhD; Mary Wakefield, PhD, RN Abstract The Tennessee Rural Hospital Patient …

1653. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…

1654. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - sequence of active failures and latent conditions that are difficult to foresee.1 Documenting and analyzing … team studied the process by flow-charting the key process steps, identifying process weaknesses, and analyzing

1655. Planning a CAHPS Survey Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/index.html
      August 01, 2017 - Planning a CAHPS Survey Project Because CAHPS projects can vary in many regards, this section provides general guidance on project planning and design issues by reviewing the steps involved in getting your project off the ground, from the formation of a project team to the planning of an evaluation. It also off…

1656. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts AHRQ’s Safety Program for Nursing Homes Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Completed Self-Assessment Worksheet …

1657. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training Facilitator Training Instructor Guide Slide 1: Introduction to Preventable Hospital and ED Visits Reports Say: In this session we will introduce you to the Preventable Hospital and ED Visits el…

1658. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
      January 01, 2017 - Presentation: Program Overview Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-31-EF January 2017 TRIP Action Plan ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Obj…

1659. Department of Commerce Agency Uses MEPS for New Scrutiny of Health Care Spending | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201538.html
      January 01, 2016 - Department of Commerce Agency Uses MEPS for New Scrutiny of Health Care Spending Search All Impact Case Studies January 2016 Data from AHRQ's Medical Expenditure Panel Survey (MEPS) are being used by a U.S. Department of Commerce Agency to develop and support a new national statistical measure that detail…

1660. Chien, Alyna | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsum19.html
      October 01, 2014 - Chien, Alyna Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Chicago Grant Title: Do Performance Incentives Improve Healthcare Quality for Vulnerable Populations…