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4341. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - surgical, and diagnostic services, thereby serving as an effective means for reliable, nationwide communication

4342. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
      October 01, 2015 - Reminders are especially useful at the time of transition of care when nurse-to-nurse communication can

4343. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
      March 01, 2004 - Throughout the project, participants have received ongoing communication and support through annual … 33 The nurse support provided in this project relied primarily on telephone support and electronic communication

4344. 6 Tk1 T2-Talking With Residents Family Members Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
      October 01, 2016 - Tool 2. Talking With Residents’ Family Members These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks involved with taking antibiotics. The talking points are designed to: (1) ed…

4345. HHS AHRQ Freedom of Information Annual Report - FY 2010 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/foiafy10.html
      November 01, 2020 - HHS AHRQ Freedom of Information Annual Report - FY 2010 Freedom of Information Act Annual Report for Fiscal Year 2010. Annual report on Freedom of Information Act (FOIA) requests and activities by the Department of Health & Human Services (HHS) Agency for Health Care Policy and Research (AHRQ). I. Basic Inf…

4346. Section 2, Table 1, Technical Specifications and Scoring for Caregiver Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-table-1-tech-specs.pdf
      June 02, 2025 - Section 2, Table 1, Technical Specifications and Scoring for Caregiver Survey Indicator ID Table 1: Detailed Measure Specifications and Scoring for FECC Caregiver Survey Indicators All are on 0-100 scale, where higher is better. Survey response items should be coded to reflect that. For dicho…

4347. Transcript: How To Increase Ownership and Engagement at Multiple Levels To Prevent Infections in ICUs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/ownership-engagement-transcript.pdf
      April 01, 2022 - Transcript: How To Increase Ownership and Engagement at Multiple Levels To Prevent Infections in ICUs AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Transcript How To Increase Ownership and Engagement at Multiple Levels To Prevent Infections in ICUs Host: Kate Schmidgall I…

4348. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
      January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD Workplace Safety Supplemental Item Set for the SOPS Nursing Home Survey Naomi Yount, PhD Senior Study Director Westat 31 Workplace Safety Supplemental Item Set • Designed as a supplemental item set that can be added towa…

4349. Affinity-Details-Emerging-Strategies-Cr (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
      January 01, 2021 - EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1 AFFINITY GROUP DETAILS AT-A-GLANCE Title Emerging Strategies for Supporting CR Patients between Onsite Visits August 13, 2020 Purpose • To provide an opportunity for peer-to-peer sharing related to how CR programs are suppor…

4350. Post Award Grants Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grant-mgmt/index.html
      June 01, 2025 - Post Award Grants Management Standard terms and conditions, payment, changes to award, DGM staff contacts Sign up: Grants Review Process Email updates Contents Standard Terms and Conditions Grant Payment Reporting Requirements Requests for Change(s) to Award Noncompeting Continuation Funding Inspector Gene…

4351. Transforming Hospitals: Designing for Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
      January 01, 2020 - Transforming Hospitals: Designing for Safety and Quality 1 Background The 1999 Institute of Medicine’s landmark report, To Err is Human: Building a Safer Health System, exposed the tremendous costs, both in human and financial terms, of medical errors in the U.S. health care system.1 Two studies cited in the rep…

4352. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/022-ss-mrsa-surveillance.pptx
      April 01, 2025 - PowerPoint Presentation AHRQ Safety Program for MRSA Prevention: Targeting SSI MRSA Surveillance 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 | Surgical Services MRSA Surveillance 1 Educational …

4353. Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/summary.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Summary Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Preface …

4354. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
      January 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare November Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “…

4355. Children With Disabilities Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
      January 01, 2020 - Questions vary by age and include items about seeing, hearing, walking, self-care, communication, comprehension … disability experts and subspecialist were instructed to consider impairment in four main domains: Mobility, Communication … Unmet need, cost burden, and communication problems in SCHIP by special health care needs status. … Obstacles to communication in children with cri du chat syndrome.

4356. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

4357. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
      December 01, 2017 - Your communication processes should be familiar and functional under normal conditions, but also work … Multiple care areas (ICU and OR) along with multiple care teams required clear communication, yet it

4358. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
      January 01, 2024 - Although this prior research identified barriers to checklist compliance (e.g., poor team communication … Understanding digital checklist use through team communication.

4359. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
      January 01, 2020 - Importance: Primary care providers and patients who have established clear communication and trusting … The effect of patient-provider communication on medication adherence in hypertensive Black patients:

4360. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
      January 01, 2024 - In primary care, medical errors relate primarily to communication problems, diagnostic tests, and medications … Furthermore, short outpatient visits with high efficiency are associated with poor communication and