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5521. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
      January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

5522. Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/huck-report.pdf
      January 01, 2024 - Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results Rural Healthcare Quality Network (RHQN) – Agency for Healthcare Research and Quality Grant FINAL REPORT BACKGROUND Purpose of the Study The purpose of the study was to examine clinician’s attitudes and p…

5523. SOPS Diagnostic Safety Pilot Study Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
      April 01, 2021 - SOPS Diagnostic Safety Pilot Study Report Pilot Study Results From the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockvil…

5524. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety Rapid Response Systems Rapid Response for Perinatal Safety—Rapid Response Systems Purpose of the tool: This tool describes the key perinatal saf…

5525. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Obstetric Hemorrhage Labor and Delivery Unit Safety—Obstetric Hemorrhage Purpose of the tool: This tool describes the key perinatal safety elements related t…

5526. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
      November 01, 2019 - Making Effective Behavior Changes Around Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use 1AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care S…

5527. Using Data To Drive Change and Improve Patient Safety Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
      April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes CUSP Module: Using Data To Drive Change and Improve Patient Safety Facilitator Guide Slide Number and Image This module, “Using Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality, or A…

5528. Prescribers-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Communicating Infectious Concerns With Antibiotic Prescribers Long-Term Care Slide Title and Commentary Slide Number and Slide Communicating Infectious Concerns With Antibiotic Prescribers Long-Term Care SAY: Welcome to the presentation titled “Communicati…

5529. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…

5530. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 3: Selecting and Targeting Populations for a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Plannin…

5531. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/methods.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Methods Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Enviro…

5532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49615/psn-pdf
      December 01, 2010 - The Forgotten Turn December 1, 2010 Barbour S. The Forgotten Turn. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/forgotten-turn Case Objectives Describe the six stages of pressure ulceration per the National Pressure Ulcer Advisory Panel. List risk factors for the development of pressure ulcers in hospita…

5533. Editorial Team | PSNet
      psnet.ahrq.gov/Information/Editor
      May 23, 2025 - Browse Author Resources Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…

5534. PSO Program - Common Terms and Acronyms (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
      October 01, 2022 - PSO Program - Common Terms and Acronyms Page 1 of 6 PSO PROGRAM: COMMON TERMS AND ACRONYMS [Note: Terms used in the Patient Safety Act or Rule are summarized here solely for convenience and may be defined in the statute or rule. You should always rely on the actual definition when making any determination. The …

5535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33784/psn-pdf
      April 01, 2015 - In Conversation With… David Urbach, MD, MSc April 1, 2015 In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation at the University…

5536. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 7. Layering Interventions and Moving Toward Excellence Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. A…

5537. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
      November 16, 2022 - Annual Perspective Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022  View more articles from the same authors. Citation Text: Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. P…

5538. Bad Writing, Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
      March 01, 2015 - SPOTLIGHT CASE Bad Writing, Wrong Medication Citation Text: Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3…

5539. Develop Your Own? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/develop/index.html
      June 01, 2020 - Develop Your Own? The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Existing measurement sets assess a limited number of factors. There may be health conditions, health services, or specific population subgroups of great interest for which esta…

5540. Improving Technology Innovation in Medicaid Programs – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r13hs028546-kennedy-final-report-2022.pdf
      January 01, 2022 - Improving Technology Innovation in Medicaid Programs – Final Report FINAL PROGRESS REPORT “Improving Technology Innovation in Medicaid Programs” Susan Kennedy, MPP, MSW, Senior Director AcademyHealth August 3, 2021-August 2, 2022 Sheena Patel, Federal Project Officer Agency for Healthcare Research and Qualit…