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1921. Central Venous Catheter Indications and Alternatives Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
      April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Alternatives Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Program for in…

1922. Final Progress Report: ED Staffing and Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
      January 01, 2024 - Final Progress Report: ED Staffing and Patient Outcomes ED Staffing and Patient Outcomes Final Report Nina A. Bickell, MD, MPH, Principal Investigator Team Members: Rebecca Anderson, MPH, Project Manager Carol Barsky, MD, Co-Investigator Mary Rojas, PhD, Co-Investigator Department of Health Policy Moun…

1923. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
      January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study Principal Investigator: Gershon, RRM Safety in the Home Healthcare Sector: A pilot study (Final Report) Safety in the Home Healthcare Sector: A Pilot Study Final Report September 30, 2010 Grant Number: R03 HS018284-01 Project Period: 10…

1924. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
      January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Final Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Principal Investigator: Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon) Team Members: Judy L. Smetzer, RN, BSN,…

1925. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care SAY: Thank you for joining us. This…

1926. 0129References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
      October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …

1927. Optimizing Environmental Cleaning (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
      October 01, 2024 - Optimizing Environmental Cleaning AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Optimizing Environmental Cleaning SAY: Welcome to this presentation on optimizing environmental cleaning and incorporating effective environme…

1928. Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
      October 01, 2018 - Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians 1 Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians Section 1. Basic Measure Information 1.…

1929. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
      October 27, 2014 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate Page 1 of 26 Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Summary Preliminary estimates for 2013 show a further 9 percent decline in the rate of hospital-acqu…

1930. Nursingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
      June 02, 2025 - SAY: The Role of the Nurse Manager module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module explains the responsibilities of the nurse manager, leadership and management roles of the nurse manager, key business and…

1931. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety Risk Models to Improve Long-term Care Medication Safety Principal Investigator: Grant Higginson, MD, MPH Team Members: Sharon Conrow Comden, Margaret Murphy Carley, Megan Hornby, Linda Kirschbaum, David Marx, Misti Hale, Joel Young, Lyn…

1932. How are CHIPRA quality demonstration States improving perinatal care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
      May 01, 2015 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 Authors: Ellen Albritton and Dana Petersen Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demonstration Grant Program In Feb…

1933. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported 1 Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported 1.B. Measu…

1934. Final Progress Report: Cultural Competency and African Women’s Health Services (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
      January 01, 2024 - Final Progress Report: Cultural Competency and African Women’s Health Services Title (revised): Cultural Competency and African Women’s Health Services Original title: Cultural Competency and Maternal Health in African Women Principal Investigator: Jennifer Carroll, MD, MPH Team Members: Ronald Epstein, MD; Kevin …

1935. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

1936. 025-Assessing-Evc-Webinar-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Assessing Environmental Cleaning Effectiveness ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Assessing Environmental Cleaning Effectiveness SAY: Welcome to this presentation on Assessing Environmental Cleaning (EVC) Effectiveness and incorporating effective…

1937. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Optimizing Environmental Cleaning Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgic…

1938. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World Stephen M. Borowitz, MD, Linda A. Waggoner-Fountain, MD, Ellen J. Bass, PhD, and Justin M. DeVoge, MS Abstract Background: Sign-out is a …

1939. 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…

1940. Introduction and Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
      June 01, 2018 - Introduction and Methods National Healthcare Quality and Disparities Report This document describes the contents of the National Healthcare Quality and Disparities Report and the methods used to compile and analyze data. Contents Acknowledgments Introduction and Methods     Background on …