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3481. Module-5-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
      December 31, 2022 - Building and Implementing a Successful Automatic Cardiac Rehab Referral System Module 5 A my M i l l e r, M D, P h D Ka t hy L e e B i s h o p , P T, D P T TAKEheart Training and Technical Assistance Components 2 PURPOSE Training sessions guided by the Million Hearts®/AACVPR Cardiac Rehabilitation …

3482. Module 3: Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
      May 01, 2017 - Module 3: Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 3: Problem Solving and Escalation Problem Solving and Escalation – Standards Component Kit Contents 1. What Are Problem Solving and Escalation? 2 2. What Is a Problem and What Is a Solution? 2 3. Wher…

3483. How to Use This Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
      July 01, 2018 - How to Use This Toolkit Public Health Emergency Preparedness Reopening a closed ("shuttered") hospital to expand surge capacity in an emergency requires significant planning. This Toolkit is a step-by-step guide to assist staff responsible for management, legal, facility, staffing, security, materials managem…

3484. 130-Ss-Swiss-Cheese-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects: Applying the “Swiss cheese model” of System Failure Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects: Applying the “Swiss C…

3485. Variation in Health System Characteristics Across States, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief3-variation-in-health-system-characteristics-across-states-2016.pdf
      January 01, 2016 - Variation in Health System Characteristics Across States, 2016 1 Variation in Health System Characteristics Across States, 2016 By the end of 2016, there were 626 health systems* in the United States. Number of health systems with hospitals located in each State 4 to 7 systems 9 to 15 systems 16 to 22 system…

3486. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
      August 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025 Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare April 18, 2025, 10 AM–Noon 1 Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriation…

3487. References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
      November 24, 2020 - References Toolkit for Engaging Patients To Improve Diagnostic Safety References Implementation Roadmap 1. Practice Facilitation Handbook. Content last reviewed May 2018. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/ncepcr/tools/pf-handbook/ index.html. Toolkit Infographic 1. …

3488. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
      December 01, 2017 - He provided over a case in the 60s in Ohio where a theater owner was fined and convicted of showing obscene … Have a peer come by and say, "Yeah, in this case we can use the daily waste." Something like that.

3489. Sustaining-Change-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
      April 14, 2015 - He provided over a case in the 60s in Ohio where a theater owner was fined and convicted of showing obscene … Have a peer come by and say, "Yeah, in this case we can use the daily waste." Something like that.

3490. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - In the case of warfarin therapy management for nursing home residents, an important root cause is poor … indicator variables for pharmacy service, quality of care, administrative, and any other deficiency]) and case-mix

3491. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - operationally as “active knowledge systems which use two or more items of patient data to generate case-specific … computerized decision support system, or the need to interact more directly with physicians; and, in the case

3492. AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
      March 01, 2025 - recommend including contact information for the main nursing home POC in all survey materials in case … Include a few extra surveys in case some staff misplace theirs. … Add a few extra surveys in case some staff misplace theirs.

3493. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
      October 01, 2019 - In neither case is there any requirement or suggestion to include the Item Set for CCC or the individual … identified by the National Quality Forum (specifically “ambiguous measure specifications” and “small case … Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care, primary care case management

3494. Redtoolkitforms (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.docx
      September 01, 2012 - MEDICAL TEAM ______ Attending: Pager # Pager # Pager # Case Manager: Pager # Language … : Y N DE Time: (Record time spent on patient’s case) Date: ______ DE: ____ Total: ______ … can’t tell you the number, say, Let me give you the phone number for your primary care doctor just in case

3495. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - event investigation and analysis is that while adjusting individual performance may appear to resolve a case

3496. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - An Opportunity Estimator uses data from the total number central-line days, percentage of case fatalities

3497. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool Primary Care Practice Facilitation Curriculum Module 16: Academic Detailing as a Quality Improvement Tool Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

3498. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives 161 Prescribing Safety in Ambulatory Care: Physician Perspectives Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung, Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson, Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…

3499. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

3500. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - You can use these data to make a case for initiating a quality improvement effort and monitoring progress