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3921. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhac2013-ref.html
      December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms References Previous Page   Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Adverse Drug Events Aspden P, Wolcott J, Bootman JL, et al. P…

3922. Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
      September 02, 2022 - Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Guidelines for Translating SOPS® Surveys - Updated 9/2/2022 1 Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Prepared by Westat 1600 Research Blvd. Rockville, MD 20850 under contract number HHSA 2…

3923. How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
      March 01, 2019 - How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning? Evaluation Highlight No. 1 The National Evaluation of the CHIPRA Quality Demonstration Grant Program Authors: Grace A. Ferry, Henry T. Ireys, Leslie Foster, Kelly J. Devers, and Lauren Smith This…

3924. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change SAY: This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…

3925. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Learning From Defects in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…

3926. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events Weingart, 1 K08 HS11644 Partnering with Patients to Find Adverse Events Saul N. Weingart, MD, PhD VP for Patient Safety Dana-Farber Cancer Institute, and Associate Professor of Medicine Harvard Medical School 44 Binney St. Boston, MA 02…

3927. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety AHRQ Publication No. 17-0003-3-EF May 2017 SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help yo…

3928. Sensemakingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
      June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…

3929. Labor and Delivery Unit Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
      May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

3930. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
      March 01, 2017 - PowerPoint Presentation Clean Equipment and Environment Promotes Safe Resident Care Training Module 2 AHRQ Pub. No. 16(17)-0003-9-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…

3931. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior leader will bridge the gap between senior management and frontline providers, and will help to get a system-level perspective on safety challenge…

3932. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/results.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Results 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 Enviro…

3933. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013.html
      January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References Summary …

3934. 0129References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
      October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …

3935. Program Evaluation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
      July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Program Evaluation Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a Self-Management Suppor…

3936. Finding Sustainable Funding for Primary Care Extension Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
      February 01, 2023 - Finding Sustainable Funding for Primary Care Extension Programs NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH 1 FINDING SUSTAINABLE FUNDING FOR PRIMARY CARE EXTENSION PROGRAMS Finding sustainable funding for primary care extension programs is a challenge. This resource shares information about pote…

3937. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-refs.html
      October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 References Previous Page   Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

3938. Meeting Minutes, July 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
      December 01, 2021 - Meeting Minutes, July 2021 Virtual Meeting Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 18, 2021, Meeting Summary Recent AHRQ Accomplishments AHRQ Budget Opportuniti…

3939. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD Abstract Objective: To explore the feasibility of a novel method for capturi…

3940. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
      August 01, 2021 - Co-producing a Diagnosis Provider Training Slides Toolkit for Engaging Patients and Families To Improve Diagnosis AHRQ Publication No. 21-0047-7-EF August 2021 1 "Just listen to your patient, he is telling you the diagnosis."1 - Sir William Osler This quote from Sir William Osler, who is also commonly referred …