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1801. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 4. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…

1802. Chapter-2 - Failure-To-Rescue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
      March 01, 2020 - Chapter-2 - Failure-To-Rescue Failure To Rescue 2-1 2. Failure To Rescue Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A. Introduction Background Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient experiencing complications from a disease p…

1803. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
      January 01, 2024 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization PI Name: Aaron S. Kesselheim, M.D., J.D., M.P.H. Application ID: 5K08HS018465-05 Proposal Title: Off-label prescribing: Comparative evidence, regulation, and utilization Title: Off-label prescribing: Comparative evidence…

1804. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…

1805. Final Progress Report: Cardio-HIT Phase II (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
      January 01, 2024 - Final Progress Report: Cardio-HIT Phase II Final Progress Report Cardio-HIT Phase II Principal Investigator Karen S. Kmetik, PhD Vice President, Performance Improvement American Medical Association, Chicago, IL Co-Principal Investigator Michael O’Toole, MD Cardiologist and Chief Information Officer Midw…

1806. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
      February 01, 2018 - Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department 1 Protocol for Identifying and Treating Children with Sepsis Syndrome in the Emergency Department Section 1. Basic Measure Information 1.A. Measure Name Protocol for Identifying and Treating Children with Sepsis Syn…

1807. Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
      May 01, 2024 - Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening Prepared for Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Prepared by …

1808. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
      December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache 1.B. Measure Num…

1809. 130-Ss-Swiss-Cheese-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects: Applying the “Swiss cheese model” of System Failure Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects: Applying the “Swiss C…

1810. Dimick, Justin | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsum29.html
      October 01, 2014 - Dimick, Justin Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Michigan Grant Title: Composite Measures of Surgical Performance Grant Number: K08 HS017765 D…

1811. Mitchell, Suzanne | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummitc.html
      October 01, 2014 - Mitchell, Suzanne Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Boston Medical Center Grant Title: Shared Decision Making in Diverse, Disadvantaged Populations; Addressing H…

1812. Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/simulation.html
      Simulation AHRQ has funded simulation research as part of its patient safety mission for more than 2 decades. AHRQ is the lead federal agency investing in research to identify the best ways to use simulation in healthcare. AHRQ-funded research using simulation has expanded knowledge about how to u…

1813. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/table-1.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 1: Critical Thinking Process to Identify and Clarify Discrepancies Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconcilia…

1814. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/table-3.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 3: Critical Thinking Process to Identify and Clarify Discrepancies Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconcilia…

1815. What is Self-Management Support? | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/self-mgmt/what.html
      February 01, 2016 - What is Self-Management Support? Self-Management Support Successful self-management support programs involve implementing changes at multiple levels: Patient-clinician interactions. Office environment changes. Health system, policy, and environmental supports. 1 In clinical settings, self-manageme…

1816. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/table-3.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 3: Critical Thinking Process to Identify and Clarify Discrepancies Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconcilia…

1817. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/table-1.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 1: Critical Thinking Process to Identify and Clarify Discrepancies Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconcilia…

1818. Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
      January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness Title of Project: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness Principal Investigator and Team Members: Principal Investigator: Brian Pickering, MB,…

1819. Final Progress Report: Implementing Best Practices in Palliative Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
      January 01, 2024 - Final Progress Report: Implementing Best Practices in Palliative Care Title:  Implementing Best Practices in Palliative Care Funding Agency:  Agency for Healthcare Research and Quality Kimberly S. Johnson, MD, MHS (Principal Investigator)  Duke University School of Medicine Jean Kutner, MD, MPH  University of Colo…

1820. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - been developed to improve warfarin management, including use of dosing algorithms, anticoagulation clinics