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2181. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…

2182. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…

2183. On-Time Falls Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
      November 06, 2017 - On-Time Falls Prevention: Electronic Reports On-Time Falls Prevention: Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: • On-Time Falls High-Risk Report. • Quarterly Summar…

2184. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update August 8, 2013 Download accessible version of slides (PDF, 920 KB) National Quality Strategy: 2013 Annual Progress Report Update [Slide 1] Ann Gordon: Welcome everyone. My name is Ann Gordon and I'll be facilitating…

2185. Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
      November 01, 2016 - Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care May 11, 2015 Download accessible version of slides (PDF, 1.5 MB) The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve…

2186. 2018 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_hpchartbook.pdf
      January 01, 2018 - 2018 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2018 CAHPS Health Plan Survey Database 2018 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care The content of this document may be used and reprinted without permission except for the following: Fe…

2187. 2016 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
      January 01, 2016 - 2016 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2016 CAHPS Clinician & Group Survey Database 2016 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices The content of this document may be used and reprinted without permi…

2188. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
      December 01, 2021 - Detailed Methods for Medical Expenditure Panel Survey 2021 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 …

2189. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
      April 27, 2004 - Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs 185 Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs Dustin D. French, Andrea M. Spehar, Robert R. Campbell, Polly Palacios, Roy W. Coakley, Nicholas Coblio, Heidi Means, Dennis C. Werner, David M. Angaran Abstract Objectives…

2190. 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 - Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources Section 7. Tools and Resources 0A: Introductory Executive Summary for Stakeholders 1A: Clinical Staff Attitudes Towards Pressure Ulcer Prevention 1B: Stakeholder Analysis 1C: Leadership Support Assessment 1D: Business Case…

2191. Treatment Strategies for Patients with Lower Extremity Chronic Venous Disease (LECVD): Disposition of Comments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/lecvd-comments.pdf
      April 01, 2017 - We are uncertain of the calculation performed by the commenter to arrive at the noted percentage. … adequate post-hoc analysis of “power”, though we acknowledge the statistical controversy surrounding the calculation

2192. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
      January 01, 2025 - worksheet tabs— one each for bed demand, PPE consumption, staff availability, input instructions, and calculation

2193. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - oxytocin admixture and dosing, resulting in a 1:1 ratio delivery that eliminated the need for dosing calculation

2194. Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
      January 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide Prepared by the RESET Investigators Version 2.0: September 2019 Funded by …

2195. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults AHRQ Grant Final Progress Report Grant Award Number: R18 HS026624 Project Title: Engineering Safe Care Journeys for Vulnerable Older Adults Grantee Organization: University of Wisconsin – Madison Project Period: September 30, 2018 –…

2196. 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…

2197. Topic Development Process Document (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/contracts/epc-iv/2-topic-development-procedures-manual.docx
      January 25, 2022 - Topic Development Process Document TOPIC DEVELOPMENT Scientific Resource Center Table of Contents I. Nomination is received 1 II. Topic not assigned to SRC 1 III. Topic assigned to SRC 1 A. Initial Assessment 1 B. Selection Criteria 2 C. Beginning a Topic Workup 3 D. If you can contact the nominator 5 E. If you …

2198. Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
      January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Item Set for Hospitals Appendix C: Results by Additional Respondent Characteristics Prepared for: A…

2199. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research Title: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research Principal Investigator: Traci C. Green, Boston Medical Center Dates of Project: April 01, 2015-July …

2200. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
      June 30, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation The Joint Commission Journal on Quality and Patient Safety 2024; 50:95–103 The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation Kisha J. Ali, PhD, MS; C…