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3341. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - problems, or problems related to components of healthcare delivery systems, such as technology, workflow, culture … anywhere in a healthcare delivery system; they represent interactions between clinicians, patients, culture

3342. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Debrief after events to support patients, families, and staff Debrief regularly to establish a culture … Regular debrief sessions after such events help to establish and sustain a culture of continuous learning

3343. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - clinician’s ability to provide an accurate and timely diagnosis.68 Typical ageist stereotypes may include beliefs … In addition, healthcare systems need to develop a nonpunitive culture that encourages active surveillance

3344. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - By intent, this list of serious reportable events is relatively short, based on the belief that a short … Moreover, using reports to perpetuate a culture of blame will assuredly discourage reporting.12 Consumers

3345. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
      September 01, 2017 -   Infection             IV fluids given         1 1 Blood cultures

3346. Search FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/faq/index.html
      January 01, 2019 - are often positively associated with best practice clinical processes, better hospital patient safety culture

3347. Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

3348. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slides.ppt
      August 01, 2009 - Communicate belief in patient’s ability to quit. Communicate caring and concern. … Culture Interventions should be culturally appropriate to make them relevant and acceptable to the patient … Clinicians should remain sensitive to individual differences and spiritual and health beliefs that may

3349. Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-os-linkage-techdoc-rev.pdf
      January 01, 2022 - Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Outpatient Site Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. De…

3350. Attention Deficit Hyperactivity Disorder Performance Measurement Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
      February 01, 2012 - Attention Deficit Hyperactivity Disorder Performance Measurement Set Attention Deficit Hyperactivity Disorder Performance Measurement Set Supported by AHRQ/CHIPRA-PQMP Proposed by the ADHD Expert Work Group (listed in Appendix A) In collaboration with the Pediatric Meas…

3351. Measure 1, Section 2, Attachment 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
      February 01, 2012 - Measure 1, Section 2, Attachment 1 Attention Deficit Hyperactivity Disorder Performance Measurement Set Supported by AHRQ/CHIPRA-PQMP Proposed by the ADHD Expert Work Group (listed in Appendix A) In collaboration with the Pediatric Measurement Center of Excellence (PM…

3352. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - patients who are hospitalized more than once in a 6-month period helps identify their perceptions and beliefs … resources issues, information management issues, environmental management issues, leadership issues – culture

3353. Case Example #2: The Health Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
      July 01, 2019 - threshold: 13% 151–200% of poverty threshold: 6% Unknown/not reported poverty threshold: 65% Cultural … backgrounds range from Scottish, Irish, and French backgrounds to Native Americans residing in Vermont

3354. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
      January 01, 2025 - Error Through Improvement of Laboratory Test Utilization Day 1 Sessions • Keynote Presentation: It’s a Culture

3355. 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 - In light of the complexity, culture, and incentives of hospitals, it is also possible that the confidential

3356. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - continuity between the critical care and non-ICU inpatient areas, and strengthened multidisciplinary team culture

3357. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
      April 06, 2008 - This methodology helps enhance the culture of safety and provides a real-time understanding of system

3358. Highlight03 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
      September 08, 2015 - We’re changing that culture and identifying and flagging.

3359. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
      October 01, 2016 - Studies have shown that a positive culture obtained solely because of a change in urine appearance will

3360. Chapter 3: Defining Categorization Needs for Race and Ethnicity Data (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3b.html
      May 01, 2018 - available for clinical decisions patient preferences such as language, religion, spiritual practices, and culture