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3761. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
      January 01, 2024 - Staff time and estimated labor cost to bathe obese nursing home residents: A case report. … Nursing home quality and financial performance: Is there a business case for quality?

3762. 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 - In the latter case, people are trapped by guilt, anger, Consumer-Led Workshop To Advance Patient Safety … also thinking it’s a good thing that there's compassionate clinicians sitting all around me, just in case … In any case, I think that the entire group seemed to develop considerable connectedness during the meeting

3763. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
      April 01, 2015 - Include the POC’s name, job title, and contact information in all survey materials in case respondents … Include a few extra surveys in case some staff misplace theirs. … Add a few extra surveys in case some staff misplace theirs.

3764. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - In the first case, we added a process step during receipt of the prescription for pharmacists to request … In this case, the errors that would reach patients decreased from 1.83 to 0.600 per 1,000 prescriptions … Integrating internal events in an external probabilistic risk assessment: Tornado PRA case study.

3765. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
      July 01, 2018 - Include the POC’s name, job title, and contact information in all survey materials in case respondents … Include a few extra surveys in case some staff misplace theirs. … Add a few extra surveys in case some staff misplace theirs.

3766. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
      April 01, 2015 - Include the POC’s name, job title, and contact information in all survey materials in case respondents … Include a few extra surveys in case some staff misplace theirs. … Add a few extra surveys in case some staff misplace theirs.

3767. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - This was probably the case, in part, because the pump Final Report: Improving Medication Safety Across … In the case of warfarin management for nursing home residents, an important root cause is poor information

3768. Access to Outpatient Specialty Care for Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
      September 01, 2018 - Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care, primary care case management … While this was not the case in the data used for reliability and validity testing of this measure, it

3769. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - It is important to assure the patient is undergoing an SAT at the same time as the SBT for a best-case … The business case for quality: economic analysis of the Michigan Keystone patient safety program in

3770. ADAPT to Adult-Focused Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
      September 01, 2011 - In the case of a defined population (e.g., a health plan), use the PMCA algorithm to identify eligible

3771. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - Measuring safety culture in healthcare: A case for accurate diagnosis.

3772. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
      January 01, 2014 - national benchmark only, you could see the fine gradation between 20th, 30th, 40th percentile as the case

3773. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
      May 01, 2018 - Fortunately, in the case of this measure, we can present both a systematically developed measure and … As an illustration of our approach, we provide a case example of our decision to exclude two diagnoses … Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care, primary care case management

3774. Accurate ADHD Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-088-fullreport.pdf
      January 05, 2017 - Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care, primary care case management … existence of the condition may be missed, leading to potential social and academic struggle, or the case

3775. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
      January 01, 2022 - By using this strategy and weighting each case to be more representative of the overall national hospital

3776. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - By using this strategy and weighting each case to be more representative of the overall national hospital

3777. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
      January 01, 2022 - By using this strategy and weighting each case to be more representative of the overall national hospital

3778. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - ChartBook On Patient Safety CHARTBOOK ON PATIENT SAFETY National Healthcare Quality and Disparities Report Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov http:www.ahrq.gov This document is in the public domain and may be used and reprinted witho…

3779. Chartbook on Healthy Living: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
      April 01, 2018 - medical emergencies. 33 Efforts are underway to prevent avoidable ED use through strategies such as case … A case and care management program to reduce use of acute care by clients with substance use disorders … Implementation of a nursing home quality improvement project to reduce resident pain: a qualitative case

3780. 6. Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
      May 01, 2018 - track whether a person has"declined" to provide an answer, or the ethnicity is "unknown" (e.g., in the case