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1861. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events VI. Summary and Conclusions Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety…

1862. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. Hospital Practice Insights: Challenges and Solutions Previous Page   Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Cha…

1863. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - Imbedding Research in Practice to Improve Medication Safety Imbedding Research in Practice to Improve Medication Safety Marsha A. Raebel, PharmD; Elizabeth A. Chester, PharmD; David W. Brand, MSPH; David J. Magid, MD, MPH Abstract Objective: The objective of this project was to improve medication saf…

1864. CHCANYS Participation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
      August 01, 2017 - CHCANYS Participation Guide HealthyHearts NYC Primary Care Partnerships Advancing Heart Health Initiative CHCANYS Participation Guide [Insert Health Center Name] This research was supported by grant number 1R18HS023922-01 from the Agency for Healthcare Research and Quality (AHRQ). The contents of this p…

1865. Final Report: Improving Drug Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
      January 01, 2024 - Final Report: Improving Drug Safety Final Report: Improving Drug Safety PI: David Magid, MD, MPH Co-PI: Marsha Raebel, PharmD Project Manager: David Brand, MSPH Project Staff: Bates, David, MD Chester, Elizabeth, PharmD Glasgow, Russell, PhD Nelson, Kent, PharmD Palen, Ted, MD, PhD Platt, Richard, MD, MSc…

1866. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …

1867. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - Presentation: Building Your SSI Prevention Bundle Building Your SSI Prevention Bundle AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. 1 Learning Objectives After this se…

1868. 5. Impacts of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
      June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …

1869. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
      June 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules Health Services and Primary Care Research Study: Comprehensive Report This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results: D…

1870. 5. Improving Data Collection across the Health Care System | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection across the Health Care System Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers …

1871. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…

1872. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

1873. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…

1874. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
      May 01, 2014 - Additionally, lack of insurance coverage for these services was seen as a barrier. 7 Table 1

1875. Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
      November 30, 2010 - Since transportation can be a barrier for many elderly patients, attempts are made to schedule enrollment

1876. Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
      January 01, 2024 - physicians completed this questionnaire online; for study physicians who found the online format a barrier

1877. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - been defined to include (1) inserting intravascular device in the subclavian vein; (2) using maximum barrier

1878. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
      January 01, 2004 - as ordered  Offers liquids each time in room  Keeps skin clean and reapplies protective skin barrier … Barrier cream applied if moisture issues identified h. … Barrier cream applied if moisture issues identified i.

1879. Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
      April 01, 2024 - Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services Prepared for Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Prepared by RTI I…

1880. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue Alarm Fatigue 13-1 13. Alarm Fatigue Authors: Meghan Woo, Sc.D., and Olivia Bacon Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM Introduction Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm desensitiz…