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4081. National Evaluation Center for AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/healthcare-extension-services/evaluation-center.html
      February 01, 2025 - National Evaluation Center for AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Improvement Applications have closed and are being reviewed for those hoping to establish a National Evaluation Center to evaluate AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Impr…

4082. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - Improving Healthcare Safety by Enhancing Care Coordination AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Care Coordination Overview Care coordination is defined as the process of organizing patient care activities and sharing information among all individuals concerned wi…

4083. Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
      September 26, 2023 - Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2) 15:39 Tuesday, September 26, 2023 1 Weighted Summary Statistics: PUF Medicare Outpatient File Variable Variable Label Count of Non-missing Values (Unweighted) Count of Missing Values (Unweighted) Minimum Maximum Mean Standard Deviation …

4084. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
      January 01, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II Surveys on Patient Safety Culture® (SOPS®) Medical Office Survey: 2024 User Database Report Part II: Appendix A – Results by Medical Office Characteristics Appendix B – Results by Respondent Characteristics Prepa…

4085. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - Advancing Patient Safety A Decade of Evidence, Design, and Implementation After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…

4086. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
      January 01, 2024 - Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Carl A. Sirio, MD Principal Investigator Team Members: Robert Weber, RPh, MS, Co-Investigator Wishwa Kapoor, MD, Co-Investigator Mark Roberts, MD, MRP, Co-…

4087. Preventablehospitalandedvisits-Implmatl (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
      June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nurs…

4088. Advancing Patient Safety Through Diagnostic Excellence (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
      August 01, 2025 - Advancing Patient Safety Through Diagnostic Excellence Advancing Patient Safety Through Diagnostic Excellence NATIONAL WEBINAR SERIES September 17, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website • Please use the ‘Chat’ function to engage with us thro…

4089. Meeting Minutes, November 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
      August 01, 2017 - Meeting Minutes, November 2016 National Advisory Council Minutes from the November 2, 2016 meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 22, 2016, Summary Report Director's Update The Learning Health Care Sy…

4090. Can We Talk? Priorities for Patient Care Differed Among Health Care Providers (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
      January 01, 2003 - Can We Talk? Priorities for Patient Care Differed Among Health Care Providers 5 Can We Talk? Priorities for Patient Care Differed Among Health Care Providers Bradley Evanoff, Patricia Potter, Laurie Wolf, Deborah Grayson, Clay Dunagan, Stuart Boxerman Abstract Objective: Poor communication and collabora…

4091. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…

4092. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
      March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Amy J.H. Kind, MD; Maureen A. Smith, MD, MPH, PhD Abstract Objectives: The Joint Commission mandates that six c…

4093. Functional Specifications for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
      December 01, 2017 - Functional Specifications for Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Prevention These functional specifications will cover the following: General Information Report Specifications Specifications for Each Pressure Ulcer Healing Report 1.0. General Information 1.1. Bac…

4094. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking Learning From Defects Through Sensemaking AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program For Surgery – Implementation This module focuses on the process of Learning from Defects throug…

4095. Self-Assessment Worksheet for Pressure Ulcer (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
      June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Prevention 1 On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet i…

4096. Partnering With Patients To Improve Quality, Safety, and the Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-1.pdf
      May 01, 2016 - Partnering With Patients To Improve Quality, Safety, and the Patient Experience Case Study Problem Addressed True patient-centered care requires providers and practices to forge strong partnerships with patients and families to improve the quality, safety, and experience of health care along the care continuum.1,…

4097. A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
      January 01, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative Issue Brief The Agency for Healthcare Research and Quality and the Coordinating Center of the Comparative Health System Performance Initiative held a workshop September 29, 2016, to share learning a…

4098. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
      July 01, 2023 - Section 2: Explanation of Key Team Leadership Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of team structure, leadership, and leadership tools. If you teach this content or want additional insights into how the material can b…

4099. Antibiotic Stewardship Program Development: Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
      November 01, 2019 - Antibiotic Stewardship Program Development: Part 1 AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Antibiotic Stewardship Program Development: Part 1 Acute Care Slide Title and Commentary Slide Number and Slide Antibiotic Stewardship Pr…

4100. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
      March 01, 2017 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures The Culture of Culturing— The Importance of Knowing When To Order Urine Cultures AHRQ Pub. No. 16(17)-0003-16-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on The Culture of C…