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5941. Prologue—Volume 1—Five Years Later—Are We Any Safer? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
      January 01, 2004 - Prologue—Volume 1—Five Years Later—Are We Any Safer? 1 Prologue Five Years Later—Are We Any Safer? Brent C. James The Institute of Medicine (IOM) released To Err Is Human: Building a Safer Health System,1 its seminal summary of preventable patient injuries suffered within American hospitals, on November 29,…

5942. North Carolina IMPaCT: Catalyzing Primary Care Transformation in Idaho (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-id-success-story.pdf
      April 01, 2015 - North Carolina IMPaCT: Catalyzing Primary Care Transformation in Idaho North Carolina IMPaCT: Catalyzing Primary Care Transformation in Idaho A key goal of AHRQ’s IMPaCT grants is to learn strategies for spreading successful primary care transformation programs from State to State. Each IMPaCT grantee State w…

5943. Health IT for Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
      May 19, 2020 - Health IT for Multiple Chronic Conditions Health IT for Multiple Chronic Conditions Lipika Samal, MD, MPH David Dorr, MD, MS Purpose People with Multiple Chronic Conditions (MCC) are especially prone to harm from lack of coordination and communication. Health Information Technology (HIT) solutions can bring t…

5944. Fuzzy Set Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysetsq-a.html
      July 01, 2013 - Fuzzy Set Analysis Presenters' Responses to Questions The following are written responses by Dr. Marcus Thygeson, Dr. Jodi Holtrop, and Dr. Michael Harrison to questions that were sent in during the webinar but could not be answered within the one-hour time frame. These responses were edited by the Moderator,…

5945. How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
      January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro SOPS ASC Database and Resources 20 Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS Databases 21 Hospital Nursing Home Medical Of…

5946. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
      February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…

5947. Two New Issue Briefs Examine Diagnosis Improvement and Healthcare Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/953.html
      April 01, 2025 - Two New Issue Briefs Examine Diagnosis Improvement and Healthcare Excellence Issue Number 953 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 15, 2025 AHRQ Stats: Trends in Ventilator-Associated Pneumonia by Hospital Type Overall, the rate of ventilator…

5948. Making It Work Tip Sheet: Partnering With Patients and Families To Prevent CLABSI and CAUTI (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
      April 01, 2022 - Making It Work Tip Sheet: Partnering With Patients and Families To Prevent CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Partnering With Patients and Families To Prevent CLABSI and CAUTI This “Making It Work” tip sheet provide…

5949. Frequently Asked Questions About the Use of and Care for Leg Bags in the Long-Term Care Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/leg-bags-faqs.html
      July 01, 2017 - Frequently Asked Questions About the Use of and Care for Leg Bags in the Long-Term Care Setting AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Disclaimer: Answers to the following frequently asked questions (FAQs) are based on consensus of experts from a national project team of clinical facu…

5950. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
      June 01, 2021 - PowerPoint Presentation Improving Teamwork and Communication Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Improving Teamwork 1 Objectives Recognize the importance of seeking input from all team members when making antibiotic prescribing decisions Summarize ho…

5951. Emerging Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/emerging/index.html
      June 01, 2020 - Emerging Measures Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. The increasing demand for and use of quality measurement information generates interest in developing new measures in areas for which none e…

5952. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…

5953. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
      June 01, 2017 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performanc…

5954. Physician Use of Hand-held Computers for Drug Information and Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
      January 01, 2004 - Physician Use of Hand-held Computers for Drug Information and Prescribing 93 Physician Use of Hand-held Computers for Drug Information and Prescribing Kimberly A. Galt, Mark V. Siracuse, Ann M. Rule, Bartholomew E. Clark, Wendy Taylor Abstract The purpose of this study was to develop and pilot-test an ins…

5955. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities 193 Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities George Blike, Joseph Cravero, Steve Andeweg, Jens Jensen, Klaus Christoffersen Abstract Background: Human er…

5956. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
      June 01, 2010 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Compar…

5957. Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
      January 01, 2024 - Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness Title: Exploratory Study Using Queuing Theory to Improve Nurse Staffing Effectiveness Principal Investigator Patricia W. Stone Team Members: Linda Green Haomiao Jia Pam de Cordova Sookyung Hyun Stephanie Goldbe…

5958. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - Mutual Support: Obstetric Hemorrhage SPPC‐II Toolkit                                                               Hospital AIM Team Leads SPPC II Mutual  Support Obstetric  Hemorrhage Module 5 of 8 ‐ SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the diffe…

5959. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Say: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communicat…

5960. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…