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2921. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…

2922. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
      January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Principal Investigator: Hardeep Singh Team Members: Andrew J. Zimolzak, MD, MMSc1, D…

2923. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
      January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices Prepared for: Agency for Healthcare Research and Qual…

2924. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

2925. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

2926. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care SAY: Welcome to this presentation titled “Improving Antibiotic Use Is a Patie…

2927. Indwelling Urinary Catheter Indications
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
      April 01, 2022 - Indwelling Urinary Catheter Indications Indwelling Urinary Catheter Indications Avoiding Placement and Determining Appropriateness AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI …

2928. Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
      November 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Behavior Changes …

2929. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-4-statins.pdf
      October 01, 2024 - Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older 1 Data Innovations Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older Rh…

2930. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
      July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…

2931. H3 Baseline Practice Survey Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-part1-mw.pdf
      June 02, 2025 - H3 Baseline Practice Survey Part 1 H3 Practice Survey, Part 1 1 H3 Baseline Practice Survey Part 1 Survey Introduction: We appreciate your taking the time to complete this H3 baseline survey. We have split the survey into Part 1 and Part 2, which can be completed together or at separate times. We anti…

2932. Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
      January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Steven Ornst…

2933. Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/chetty-report.pdf
      January 01, 2024 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge Final Progress Report Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge Principal Investigator and Team Members: Veerappa K. Chetty, PhD Organization: Boston M…

2934. Program Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
      July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II Toolkit JHU & AHRQ for AIM SCRIPT Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads SPPC‐II…

2935. Program Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
      July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II Toolkit JHU & AHRQ for AIM SCRIPT Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads SPPC‐II…

2936. SOPS Medical Office Survey, Version: 1.0 Language: English (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
      March 01, 2023 - SOPS Medical Office Survey, Version: 1.0 Language: English SOPS® Medical Office Survey Version: 1.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and an…

2937. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
      January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4p Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although children are typi…

2938. Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
      September 01, 2012 - Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit Evaluation and Research on Antimicrobial Stewardship’s Effect on Clostridium difficile (ERASE C. difficile) Project Toolkit for Reduction of Clostridium difficile Through Antimicrobial…

2939. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
      January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 The National Quality Forum National Annual Policy Conference 2006 Principal Investigator: Robyn Y. Nishimi, PhD Team Members: D. Feeney, L. Gorban, J. Lewis, M. Stegun, L. Thompson 09/30/06 – 09/29/07 Federal Project Offi…

2940. Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
      January 01, 2025 - Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI Final Report Triage and Allocation Model for Primary PCI After STEMI Principal Investigator: Thomas W. Concannon, PhD, MA Team Members: 1. Jason Nelson, MPH (Research Assistant) 2. Harry P. Selker, MD, MSPH (Primary Mento…