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3661. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …

3662. Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
      July 01, 2018 - Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma 1 Primary Care Connection Prior to Emergency Department Visits for Children with Identifiable Asthma Section 1. Basic Measure Information 1.A. Measure Name CAPQuaM Asthma III: Primary Care Connection Prior to E…

3663. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
      May 07, 2008 - Slide 1 Treating Tobacco Use and Dependence 2008 UPDATE U.S. Public Health Service Clinical Practice Guideline The following is a summary of the 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and dependence which was released May 7, 2008. PHS 2008 PHS Clinical Practice Guideline Update: T…

3664. Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
      January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department Title Page Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department PI: Elizabeth Schoenfeld, MD, MS Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…

3665. Case Example #3: Fairview Health Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
      July 01, 2019 - Case Example #3: Fairview Health Services 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…

3666. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …

3667. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes Slide 1: Patient and Family Engagement in the Surgical Environment Module Say: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…

3668. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
      February 01, 2017 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Say: This module introduces and provides evidence for the lung protective…

3669. 0129Table8 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
      January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…

3670. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape Primary Care Practice Facilitation …

3671. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

3672. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
      April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

3673. SimCare: A Model for Studying Physician Decisionmaking Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
      January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity 179 SimCare: A Model for Studying Physician Decisionmaking Activity Pradyumna Dutta, George R. Biltz, Paul E. Johnson, JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan, Patrick J. O’Connor Abstract A major factor that contributes to th…

3674. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/references.html
      May 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…

3675. Timely Temperatures for All Low Birth Weight Neonates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-116-fullreport.pdf
      November 01, 2016 - Timely Temperatures for All Low Birth Weight Neonates Timely Temperatures for All Low Birth Weight Neonates Section 1. Basic Measure Information 1.A. Measure Name Timely Temperatures for All Low Birth Weight Neonates 1.B. Measure Number 0116 1.C. Measure Description Please provide a non-technical descri…

3676. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates TITLE PAGE Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates Principal Investigator: Daniel Joseph France, PhD, MPH Team Members: Key Pe…

3677. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
      March 11, 2022 - Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes PATIENT SAFETY e This page intentionally left blank. e Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes Prepared for: Agency for Healthcare…

3678. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…

3679. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
      November 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.…

3680. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - The work of the project will continue through HealthPact and the new CRP Certification process for collaborating