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4061. Transitions of Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/transitions-care.html
      Transitions of Care AHRQ's tools and research to ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse events, drug-related errors, and other problems.  Tools TeamSTEPPS  Module on Communication Toolkit to Engage High-Risk P…

4062. Subcommittee Member: Mai Pham | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/pcortf-snac/pham.html
      November 01, 2022 - Subcommittee Member: Mai Pham Mai Pham, M.D., M.P.H. President Institute for Exceptional Care Mai Pham, M.D., M.P.H., is president of the Institute for Exceptional Care, a nonprofit organization dedicated to transforming healthcare for people with intellectual and developmental disabilities. Dr. Pham is a…

4063. Overcome Common Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/index.html
      April 01, 2022 - Overcome Common Challenges This section helps teams discover actionable strategies to overcome four common challenges in making changes to patient safety culture. Tools are shown in various formats and located on several pages of the toolkit to flexibly support users in addressing their question. Making It Work…

4064. Appendix B. Technical Expert Panel Members (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendix_b.pdf
      June 02, 2025 - Appendix B. Technical Expert Panel Members Appendix B. Technical Expert Panel Members The Technical Expert Panel (TEP) for the hotline project provided multi-stakeholder expertise on relevant dimensions of the project, including patient safety, reporting systems, patient and consumer perspectives, and survey meth…

4065. 2. Developing and Running a State-Based Extension Program To Support QI in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 2. Developing and Running a State-Based Extension Program To Support QI in Primary Care Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary C…

4066. Presentation: Auditing Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
      December 01, 2017 - system Laterality errors Delays, incorrect instruments, or supplies Safety issues Followup Met with clinic

4067. Qualitative Methods Used in AHRQ-Funded Primary Care Research - Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/qual-methods-pcr-080323.pptx
      January 01, 2025 - Qualitative Methods Used in AHRQ-Funded Primary Care Research - Slide Presentation National Center for Excellence in Primary Care Research Presents Qualitative Methods Used in AHRQ-Funded Primary Care Research August 3, 2023 Presented by: Anna Steeves-Reece, PhD, MPH Neera Goyal, MD Ellen Lipstein, MD, MPH Moder…

4068. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
      April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program 291 Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan Abstract Patient safety is a critical dimension of program …

4069. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - The Role of Patient Safety in the Device Purchasing Process 341 The Role of Patient Safety in the Device Purchasing Process Todd R. Johnson, Jiajie Zhang, Vimla L. Patel, Alla Keselman, Xiaozhou Tang, Juliana J. Brixey, Danielle Paige, James P. Turley Abstract To examine how patient safety considerations a…

4070. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
      January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…

4071. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

4072. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic.

4073. 43-Pathway-Worksheet (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
      June 01, 2023 - your hospital endocrinologists, anesthesiologists, perioperative nurses, and preoperative evaluation clinic

4074. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma Section 1. Basic Measure Information 1.A. Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for…

4075. Impoving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
      April 01, 2019 - Impoving Diagnosis Improving Diagnosis Diagnostic error is a significant and under-recognized threat to patient safety. ■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately 4 million. ■ Fifty-five percent of patients said diagnostic errors were a chief conce…

4076. The SHARE Approach: Using the Teach-Back Technique (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-teachback-guide.pdf
      October 09, 2024 - The SHARE Approach: Using the Teach-Back Technique The SHARE Approach: Using the Teach-Back Technique The purpose of this tool is to supplement and reinforce information presented in the SHARE Approach Module 3. The teach-back technique supports effective clinician-patient communication by asking patients to …

4077. ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/index.html
      December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Da…

4078. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
      October 01, 2015 - A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania Principal Investigator: Robert A. Gabbay, MD, PhD Institution: Pennsylvania State University Hershey Medical Center AHRQ Grant Number: R18 HS019150 Number and Type of Practices This project included 25 adult pri…

4079. 153-Cusp-Tip-Sheet-Engaging-Staff (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Engaging Unit Personnel in MRSA Prevention ICU & Non-ICU Purpose Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program (CUSP) work. However, to be successful, CUSP team members and leaders must actively raise awareness, motivate, engage…

4080. Environmental Scan - Dissemination and Implementation of Nonsurgical Urinary Incontinence (UI) Treatment for Women in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-environmental-scan-brief.pdf
      January 01, 2023 - Environmental Scan - Dissemination and Implementation of Nonsurgical Urinary Incontinence (UI) Treatment for Women in Primary Care UPDATED ENVIRONMENTAL SCAN: Dissemination and Implementation of Nonsurgical Urinary Incontinence (UI) Treatment for Women in Primary Care Background Studies in the United States …