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  1. www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022 RE…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Umbilical Cord Prolapse Labor and Delivery Unit Safety—Umbilical Cord Prolapse Purpose of the tool: This tool describes the key perinatal safety elements …
  3. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
    July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Program: Sustainability ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Program Sustainability SAY: Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sl…
  5. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6m.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 14) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  6. www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
    October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Part Two: Removing the Obstacles to Practice Change (continued) Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduc…
  7. www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
    January 01, 2024 - Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability R03 HS022353-02 Title of Project: An Intervention to Reduce Falls Among Adults with Intellectual Disability Principal Inv…
  8. Module-9-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-9-slides.pdf
    February 24, 2022 - Activating Patients to Engage and Complete Cardiac Rehabilitation Module 9 Simone Bailey-Brown, MD, Kathy Duckett, MSN, RN, Tara Rouse, MA, CPHQ, CPXP, BCPA, and Adam Streb, PA TAKEheart Training and Technical Assistance Components 2 PURPOSE Training sessions guided by the Million Hearts®/AACVPR Cardiac Re…
  9. Module-7-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
    November 18, 2021 - Troubleshooting Your Automatic Referral System Module 7 S h e r r i e K h a d a n g a , M D a n d L a u r a L u i , M S PURPOSE TAKEheart Training and Technical Assistance Co mponents Training sessions guided by the Million Hearts®/AACVPR Ca…
  10. www.ahrq.gov/hai/tools/mvp/modules/sustainability/communication-strategies-fac-guide.html
    February 01, 2017 - Communication Strategies for Sustainability: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Communication Strategies for Sustainability Say: In this slide set, you’ll learn about communication strategies to sustain your safety program work. Slide 2: Learning Object…
  11. www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
    January 01, 2024 - AHRQ Final Progress Report: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU AHRQ Final Progress Report Title: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU PI: Christina Mastrangelo Additional Team Members: Danielle Zerr & Shreyas Limaye Org…
  12. www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
    January 01, 2024 - Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities Final Report Patient Safety: Physician Assistant Responsibilities and Opportunities An educational conference program of the American Academy of Physician Assistants This program was funded by a grant from the Agency fo…
  13. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: The Science of Improving Patient Safety and Identifying Defects Say: The topic of this module is the science of patient safety. The discussion will include the importance of unders…
  14. www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
    February 01, 2024 - Proximity of providers: Co-locating behavioral health and primary care and the prospects for an integrated
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - impact the adoption of interventions; 3) individual level barriers related to cognitive perceptions and behavioral … Using Simulation (Unannounced Standardized Patients) To Assess Team Performance in Responding to Behavioral … anesthetic exposure was associated with statistically significant increases in parent reports of behavioral … publication found that prenatal exposure to general anesthetics is associated with increased externalizing behavioral
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
    January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…
  17. 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 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Hand Hygiene Promotion ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Hand Hygiene Promotion 1 Educational Objectives De…
  19. www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
    January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…
  20. www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
    January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…

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