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2341. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - We also should consider that the required number of refresher training sessions might change,\ when

2342. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
      January 01, 2017 - Tool: SSA Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…

2343. Appendix D, Table D2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix D, Table D2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Devel…

2344. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix C. Site Visit Protocol Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. S…

2345. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
      June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Private Sector Efforts in Value-Based Purchasing and Quality Improvement Previous Page   Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Qu…

2346. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - When assessing an error-detection method, it is also important to consider whether the data collected

2347. Section 2: Explanation and Value of the TeamSTEPPS Curriculum  | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
      July 01, 2023 - As you reflect on these and other patient stories, consider: What avoidable breakdowns in teamwork

2348. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home Principle Investigator: Steven M. Handler, MD, PhD Team Members: Joseph T. Hanlon…

2349. Final Progress Report: Determinants of Intrapartum Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
      January 01, 2024 - Final Progress Report: Determinants of Intrapartum Quality of Care Determinants of Intrapartum Quality of Care Jennifer Bailit MD, MPH David Aron, MD Thomas Love, PhD Case Western Reserve University 9/30/05-9/29/07 Project Officer: Judith Sangl This project was supported by grant number 5 R03 HS014352 from …

2350. 2. Study Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
      June 01, 2020 - 2. Study Methods Health Services and Primary Care Research Study: Comprehensive Report In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…

2351. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
      April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022 RE…

2352. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - Health organizations, providers, investigators, and policymakers should consider the patient experience

2353. Systems Change: Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
      December 01, 2012 - Systems Change: Treating Tobacco Use and Dependence Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…

2354. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
      October 01, 2016 - New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System New Models of Primary Care Workforce and Financing Case Example Henry Ford Health System6 New Models of Primary Care Workforce and Financing Case Example #6: Henry Ford Health System Prepared for:…

2355. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
      July 01, 2019 - Case Example #6: Henry Ford Health System This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD…

2356. 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 - This implies that it is important to consider 2 the actions of the people involved and to analyze

2357. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
      January 01, 2024 - To consider this issue carefully, we must consider a number of several potential problems with this … However, we must also consider the possibility that there is a flaw in the theoretical model that is … Future work is needed to address output formatting and presentation of information to patients and to consider

2358. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Since the cost estimate is based on an estimated mean, a more conservative approach would be to consider

2359. Transcranial Doppler Ultrasonography Screening Among Children With Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
      May 01, 2017 - Additionally, we may consider applying the criteria more broadly to both the inpatient and outpatient

2360. Family Experiences with Coordination of Care (FECC) Measure Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
      March 01, 2018 - there would be health benefits associated with receiving measure-specified care; whether they would consider