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1461. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
      January 01, 2024 - Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) Medications at Transitions and Clinical Handoffs (MATCH) Principal Investigator: Gary A. Noskin, MD David Baker, MD Gerard Castro, MPH Andrew Chang, JD, MPH Joseph Feinglass, PhD Kristine Gleason, RPh David Liebovitz, MD David Liss, B…

1462. Surgical Complication Prevention Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
      December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…

1463. 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 …

1464. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
      July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…

1465. 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…

1466. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…

1467. Module 2. Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 2. Communicating Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicati…

1468. III. Intervention Steps and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit3.html
      April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention III. Intervention Steps and Tools Previous Page Next Page Table of Contents Tracking and Improving Screening for Colorectal Cancer Intervention I. Introduction II. Background III. Intervention Steps and Tools IV. References …

1469. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 3. Falls Prevention Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Cond…

1470. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…

1471. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
      September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis 1 PATIENT SAFETY e Issue Brief 9 Improved Diagnostic Accuracy Through Probability-Based Diagnosis This page intentionally left blank. e Issue Brief 9 Improved Diagnostic Accuracy…

1472. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
      February 01, 2020 - Section 3: Are You Ready To Improve? July 2015 Contents 3.A. Cultivating and Supporting QI Leaders 3.B. Organizing for Quality Improvement 3.C. Training Staff in QI Concepts and Techniques 3.D. Paying Attention to Customer Service 3.E. Recognizing and Rewarding Success References Download Se…

1473. Issue Brief: Simulation To Improve Patient Safety: Getting Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
      July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started Issue Brief Simulation To Improve Patient Safety: Getting Started e PATIENT SAFETY This page intentionally left blank. e Issue Brief Simulation To Improve Patient Safety: Getting Started Prepared for: Agency for Healthcare Research …

1474. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
      March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System 149 Development and Implementation of The University of Texas Close Call Reporting System Sharon K. Martin, Jason M. Etchegaray, Debora Simmons, W. Thomas Belt, Kelly Clark Abstract This report describes the development…

1475. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
      January 01, 2001 - Development of a Screening Tool for Safe Wheelchair Seating 127 Development of a Screening Tool for Safe Wheelchair Seating Deborah Gavin-Dreschnack, Lawrence Schonfeld, Audrey Nelson, Stephen Luther Abstract Objectives: Most elderly nursing home residents who need wheelchairs are not being assessed i…

1476. 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…

1477. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
      April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…

1478. Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
      March 14, 2008 - Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Peter M. Layde, MD, MSc; Linda N. Meurer…

1479. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
      January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD Abstract In October 2003, the Quality and Safety Research…

1480. An Organizational Guide to Building Health Services Research Capacity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
      October 01, 2011 - An Organizational Guide to Building Health Services Research Capacity Contract Final Report An Organizational Guide to Building Health Services Research Capacity Contract Final Report An Organizational Guide to Building Health Services Research Capacity Prepared for: Agency for Healthcare Rese…