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3721. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - Safety culture probably remains a problem without resolution, in which case the investigation should

3722. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - success with AHRQ WebM&M,3 the Web-based safety journal that first combined anonymous reporting with case-based

3723. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
      September 01, 2017 - Managed Care Case Manager 1 0 0   Total         6 Slide 35: Calculation

3724. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/cahps-database-2017-hp-chartbook_0.pdf
      January 01, 2017 - other reports because of the inclusion or exclusion of certain beneficiary groups and/or the use of case-mix

3725. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
      January 01, 2024 - For analysis, each admission was considered an independent analytic case.

3726. SOPS Workplace Safety Pilot Study Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
      November 01, 2021 - Lab 233 3% Pharmacy 264 4% Radiology, Imaging 240 3% Respiratory Therapy 51 1% Social Services, Case

3727. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
      January 01, 2017 - Injury6 LTVV significantly reduced development of lung injury For every 11 patients who received LTVV, 1 case

3728. Analyzing Short-Term Acute Care Hospitals’ Financial Measures Across Key Characteristics, 2016-2019 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-3-financial-measures.pdf
      March 01, 2024 - Can indicate motivation and ability to obtain favorable pricing and case- mix and to manage costs.

3729. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/cahps-database-2017-hp-chartbook.pdf
      January 01, 2017 - other reports because of the inclusion or exclusion of certain beneficiary groups and/or the use of case-mix

3730. Eliminating CLABSI, A National Patient Safety Imperative: A Progress Report on the National 'On the CUSP: Stop BSI' Project, Neonatal CLABSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
      October 01, 2012 - The investment case for preventing NICU-associated infections.

3731. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Lab 241 3% Pharmacy 216 2% Radiology, Imaging 422 5% Respiratory Therapy 99 1% Social Services, Case

3732. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - Suite, PACU/Post Op, Peri Op 239 6% Clinical Services Respiratory Therapy 37 1% Social Services, Case

3733. Final Progress Report: Development of a toolkit for dissemination and implementation of the OR crisis checklists (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
      January 01, 2024 - Emergency and abnormal checklist design factors influencing flight crew response: A case study. … Building theories from case study research. Academy of Management Review, 14(4), 532-550.

3734. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - Institutions need tools that will assist them in balancing throughput, case complexity, and safety. … Publications: 0 (5 AHRQ Impact Case Studies) Veerappa Chetty Boston Medical Center Boston, Massachusetts

3735. Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
      January 01, 2024 - Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs Factors Associated with Quality of Care Delivered to Children in US EDs PI: James P. Marcin, MD Co-Investigators: Madan Dharmar, MBBS, PhD; Patrick Romano, MD; Nathan Kuppermann, MD, MPH Organization: Regents of the Uni…

3736. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
      January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles Patient Safety Organizations: A Summary of 2014 Profiles The safety of patients in health care settings remains a national priority and an important challenge. The Patient Safety Organization (PSO) program, which was authorized by the Patient Safety and Qu…

3737. How the CHIPRA quality demonstration elevated children on State health policy agendas | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
      October 01, 2013 - How the CHIPRA quality demonstration elevated children on State health policy agendas Evaluation Highlight No. 4 Authors: Nicole Cafarella Lallemand, Elizabeth Richardson, Kelly Devers, and Lisa Simpson Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes …

3738. Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
      January 12, 2021 - Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems Advancing Understanding of Health Care Delivery Using the Compendium of U.S. Health Systems January 12, 2021 Presenters Genna Cohen Mathematica Michael Furukawa Agency for Healthcare Research and Quality David J…

3739. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/guide.html
      January 01, 2020 - Guide: Purpose and Use of CLABSI Tools Purpose of the Tools These tools are designed to support your efforts to implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI) in your unit. When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the…

3740. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy References Previous Page   Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay Between Cognitive Load and Diag…