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3001. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - including reporters’ perceptions of the severity and extent of risk that the event poses, reporting culture … punishment, and liability concerns.49 Equally compelling is the notion that reporting could reflect the culture … This further supports the importance of local unit culture and individual attitudes in determining reporting

3002. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - The Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture … Creating this new culture of bedside shift report for nurses was a process and a challenging one at … Culture change through patient engagement. Nursing 2010 Oct;40(10):50–2.

3003. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
      December 01, 2017 - Don’t Clinicians Follow the Guidelines SAY: The driving force behind the TRiP methodology is the core belief … inexpensive yet effective ways to show staff what their leaders value and, ultimately, improve safety culture

3004. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - Say: The driving force behind the TRiP methodology is the core belief that clinicians want to do the … inexpensive yet effective ways to show staff what their leaders value and, ultimately, improve safety culture

3005. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - models—because they display and quantify the complex relationships between system elements, organizational culture

3006. Executive Summary: Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/gathering-stakeholder-input-summary.pdf
      January 01, 2024 - They suggested that care teams incorporate patient preferences, culture, and values into all aspects

3007. Primary Care Practice Facilitation Curriculum Module 25: The Patient-Centered Medical Home: Principles and Recognition Processes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-25-pcmh-principles.pdf
      September 01, 2015 - PCMH provides care that is relationship based and tailored to best meet each patient’s needs, values, culture

3008. Documentation and Coding for Patient Safety Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
      March 15, 2016 - successfully used a variety of structures for their CDI program, depending on their specific needs and cultures … X PDI 10 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis … PSI 13 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis of

3009. Transforming Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
      December 01, 2017 - Medicine's report, a number of successful initiatives have been launched to help hospitals change their cultures

3010. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
      January 01, 2024 - medication risk management efforts focus on preventing errors by improving systems and creating safety cultures

3011. Computer-Based Training Modules: Basin Bed Bathing with CHG
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pptx
      March 01, 2022 - positive methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) cultures

3012. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - Sample Intake Note (page 2 of 2)   Labs Obtained Electrolytes Cardiac workup CBC Blood cultures Other … UTI Sepsis/Fever/ Infection Dehydration Infection             IV fluids given         1 1 Blood cultures

3013. Mental Health Quality Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-9.html
      November 01, 2017 - Mental Health Quality Measures Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Overview Experience of Care and Health Outcomes Survey (ECHO™) National Inventory of Mental Health Quality Mea…

3014. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pptx
      October 01, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics October 2015 This presentation contains notes. Select View, then Notes page to read them. 1 Goals of the…

3015. Spotlight on New Mexico | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/statesummaries/nm-spotlight.html
      July 01, 2015 - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned, and outcomes from New Mexico's experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPR…

3016. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
      March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1 The Five Principles of Effective Primary Care-Based Care Coordination fo…

3017. Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
      May 01, 2016 - Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Developer: Pediatric Mea…

3018. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Preventing Device-Associated Infections Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…

3019. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections References Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patie…

3020. PCIP Provider Qualitative Interview Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-staff-ny.pdf
      June 02, 2025 - PCIP Provider Qualitative Interview Guide …