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5121. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
      August 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Introduction Overview …

5122. Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
      January 01, 2024 - Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) AHRQ GRANT FINAL PROGRESS REPORT TEMPLATE Title Page Title of Project: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) Principal Investigator and Team Members: - Principal Investigator: Thomas S. Va…

5123. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program …

5124. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
      June 01, 2021 - About the CAHPS Patient Narratives Elicitation Protocol June 2021 Administering the CAHPS® Clinician & Group Narrative Item Set Introduction ......................................................................................................... 1 Placing the Narrative Items in the Survey ......................…

5125. 001-Ss-Antimicrobial-Prophylaxis-1-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis: Part 1 Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Antimicrobial Prophylaxis: Part 1 SAY: Hello. Welcome to this presentation on antim…

5126. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
      June 01, 2025 - Comparison Tables for Making Healthcare Safer Reports The tables below compare all editions of the Agency for Healthcare Research and Quality’s Making Health Care Safer report . The first edition , published in 2001, was developed following the 1999 publication of To Err is Human: Building a Safer Health Sys…

5127. About the CAHPS® Health Literacy Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
      October 01, 2015 - About the CAHPS® Health Literacy Item Set for Hospitals CAHPS® Adult Hospital Survey: Supplemental Items About the CAHPS Health Literacy Item Set for Hospitals Document No. 911 10/01/2015 About the CAHPS® Health Literacy Item Set for Hospitals Introduction...............................................…

5128. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
      June 03, 2008 - Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Jamie N. Deis, MD; Keegan M. Smith, MD; Michael D. Warren, MD; Patricia G. Throop, BSN, CPHQ; Gerald B. Hickson, MD; …

5129. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
      March 01, 2021 - Summary of Patient Safety Research Opportunities AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…

5130. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
      January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare October Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…

5131. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - Assessing workload in surgical settings among OR team members: Variations among specialties in robotic-assisted

5132. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
      October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems New Models of Primary Care Workforce and Financing Case Example Cherokee Health Systems 7 New Models of Primary Care Workforce and Financing Case Example #7: Cherokee Health Systems …

5133. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
      January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients 173 Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients Joseph G. Weaver, Judy Enders McManus, Tammy Leung, Rhonda B. Mangione, Heidi R. Snow, Staci…

5134. 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…

5135. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…

5136. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…

5137. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…

5138. Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
      May 01, 2025 - Key components of person-centered care planning include: (1) holistically assessing a person’s physical

5139. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
      January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions 1 Final report-2011/11/29 (limited to 20 pages) AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…

5140. Facilitator Guide: Overview of the Improvement Model (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
      December 01, 2017 - Facilitator Guide: Overview of the Improvement Model Program Overview – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Project Overview SAY: You have embarked on a unique journey. Slide 1 Mead Quotation SAY: Margaret Mead was a popular and sometimes controversial cultural an…