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1221. AHRQ Safety Program for Surgery: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
      December 01, 2017 - To capture the cultural changes that occurred from baseline to followup, two-tailed paired samples t-

1222. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - Final Progress Report: Consumer-Led Workshop To Advance Patient Safety Report to the Agency for Healthcare Research & Quality from the Consumer-Led Workshop to Advance Patient Safety1 (October 16-18, 2003, Houston, TX) Prepared on Behalf of Workshop Participants by Jonathan Peck, Institute for Alternative Futu…

1223. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
      March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This guide is a practical resource designe…

1224. Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
      January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention Labor and Delivery Nurse Staffing: A Patient Safety Intervention Team members: Barbara L. Wilson, PhD, RN Principal Investigator (PI) Associate Professor University of Utah College of Nursing Barbara.wilson@nurs.utah.edu R…

1225. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
      January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…

1226. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
      December 31, 2015 - CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Manage…

1227. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations 1 Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations Principal Investigator: Victoria J. Fraser, MD Co-Principal Inv…

1228. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential u…

1229. Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results August 19, 2014 Download accessible version of slides (PDF, 2.4 MB) National Quality Strategy Webinar: Using the Nine Levers to Achieve Results [Slide 1] Ann Gordon:  Good afternoon everyone. We want to…

1230. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
      April 24, 2018 - About the CAHPS Patient Narratives Elicitation Protocol CAHPS® Clinician & Group Survey and Instructions About the CAHPS Patient Narrative Elicitation Protocol Document No. 2315 Updated April 24, 2018 About the CAHPS® Patient Narrative Elicitation Protocol Introduction .................................…

1231. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…

1232. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
      May 05, 2008 - From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety Diane Valade, MS; A.B. Orlik; Ruth Mohr, RN, MPH, PhD; Vicky Debold, RN, PhD; …

1233. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
      March 28, 2008 - Using Data Mining to Predict Errors in Chronic Disease Care Using Data Mining to Predict Errors in Chronic Disease Care Ryan M. McCabe; Gediminas Adomavicius, PhD; Paul E. Johnson, PhD; Gregory Ramsey; Emily Rund; William A. Rush, PhD; Patrick J. O’Connor, MD, MPH; JoAnn Sperl-Hillen, MD Abstract Develop…

1234. Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
      May 01, 2024 - We also used the XLeap virtual meeting platform during the TEP meeting to capture written responses … provide informational and communication support such as life expectancy estimates and scripts and (2) capture

1235. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - 2018 National Healthcare Quality and Disparities Report Data Sources 2018 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …

1236. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Data Sources 2019 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …

1237. Compendium of U.S. Health Systems, 2023, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
      January 01, 2023 - In addition, we rely on the relationships identified by the OneKey data, which may not capture all relationships … In addition, we rely on the relationships identified by the OneKey data, which may not capture all relationships

1238. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
      January 01, 2024 - These have been in the form of both analysis of patients’ complaints192,196,197 and methods to capture … Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture

1239. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - Rehab Director: The report gives us additional information to capture high-risk residents who may need

1240. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - Also included were photographs of the OTC medication (front, back, and top to capture all product labeling