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1341. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201809.html
      January 01, 2019 - AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low Search All Impact Case Studies January 2019 Chicago’s NorthShore University Health System was on a mission to maintain low rates of catheter-associated urinary tract infections (CAUTI). Then NorthShore infection preventionist Mona …

1342. Development of the CAHPS Health Information Technology Item Set | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/Development-HIT-Item-Set.html
      July 01, 2022 - Development of the CAHPS Health Information Technology Item Set Nearly all health care providers have incorporated various forms of health IT into their practices. The pace of change has been driven in large part by pressure from public and private purchasers to adopt technologies that promise to improve the qu…

1343. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Slide 2: On-Time Pressure Ulcer…

1344. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
      October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time Slide 2: On-Time Fall…

1345. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…

1346. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
      December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use Slide Presentation Slide 1 Leveraging Cultural Change to Reduce Urinary Catheter Use Linda Greene, RN,MPS,CIC Manager Infection Prevention Highland Hospital Jennifer Tuttle, RN, MSNEd Adult Critical Care Unit Tucson Medical Center Images:…

1347. On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide—Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/impguide.pdf
      June 02, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide—Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 1 Implementation of the Prevention Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Traini…

1348. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
      January 01, 2024 - Final Progress Report: Safety Culture Research: Ways to improve existing methods Safety Culture Research: Ways to improve existing methods (R13HS023062) PI: Jason M. Etchegaray, PhD Other Significant Contributor: Eric Thomas, MD, MPH The University of Texas Health Science Center at Houston 04/05/2014-03/31/2015 J…

1349. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title of Project Creating Safe Ambulatory Care: The Path to Resilience Principal Investigator Christopher Nemeth, PhD Team Members James Walter, MD Robert Wears, MD, MS Richard Cook, MD Organization The University of Ch…

1350. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
      January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers Adaptation and pilot implementation of a validated, electronic real-time clinical decision support tool for the care of pne…

1351. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…

1352. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhacrate2013.html
      November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…

1353. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
      September 03, 2014 - PowerPoint Presentation Culture of Safety in Hemodialysis Facilities An Adaptation of “Introduction to Comprehensive Unit-based Safety Program (CUSP)” for Dialysis Facilities 1 Objectives Discuss the elements of a comprehensive, unit-based approach to safety (CUSP) and its impact on improving patient care Review t…

1354. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
      January 01, 2024 - Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS AHRQ Grant Final Progress Report 12/2018 Title of Project: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue (Push Electronic Relay for Smart Alerts f…

1355. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
      October 01, 2019 - Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid 1 Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid Section 1. Basic Measure Information 1.A. Measure Name Reporting of CAHPS Data Regarding Availability of Specialist Care for …

1356. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript January 2020 https://www.ahrq.gov/sops/index.html 1 Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…

1357. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/mythbustingwebcast.pdf
      October 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement October 2013  Webcast Speakers Linda Sparks, Manager of Service Excellence and Interim Director of Process Improvement, Dean Clinic Rick Evans, Senior Director of…

1358. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
      January 01, 2024 - Though heuristics are often correct, they are also prone to error.

1359. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of 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-Shah_99.pdf
      March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine …

1360. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - The navigator suggests interventions and correct products based on the combined factors from the Braden … There was a notable increase in correct answers after the training: The pretest average score on Tool