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3401. 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-pt3.pptx
      September 19, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 3: Trends in Access and Priorities of the National Quality Strategy National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics 1 2014 QDR Chartbooks 2014 QDR …

3402. ADHD Chronic Care Follow Up (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
      July 01, 2016 - ADHD Chronic Care Follow Up ADHD Chronic Care Follow-up Section 1. Basic Measure Information 1.A. Measure Name ADHD Chronic Care Follow-up 1.B. Measure Number 0145 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. Percenta…

3403. Research on Person-Centered Care
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
      June 27, 2024 - literature Possible to shift focus away from individual behaviors to the purposeful use of method Aim 2 Custom … which you can see in the red box, patients were led through a standard exercise to select or craft a custom

3404. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      April 01, 2025 - The ASCENT Lab developed, piloted, and implemented a needs-driven technical and culture-based solution … Understand and improve workspace design and safety culture to influence anesthesia medication selection … healthcare professionals, physical environments, equipment, supplies, interventions, data, regulations, culture

3405. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - implementation of training and recommendations to leaders would benefit from a clear understanding of culture … opportunity to get information from trainees to understand how the clinical setting and organizational culture

3406. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
      January 01, 2025 - Good practice compliance ranged from a low of 14.1% on sputum culture before first antimicrobial in

3407. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
      March 01, 2004 - By the 24th month, nurse-visited women held fewer beliefs about child-rearing associated with child … abuse and neglect such as lack of empathy, belief in physical punishment, and unrealistic expectations … effectiveness of specific screening methods and interventions could depend on setting, delivery, culture … development (Bayley Scales, Child Behavior Checklist); mothers' report of demographic characteristics, beliefs … By the 24th month, nurse visited women held fewer beliefs about child- rearing associated with child

3408. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - There should be a nonpunitive culture for reporting health care errors that focuses on preventing and

3409. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - Organizational and management factors (financial resources, policy standards and goals, and safety culture

3410. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - environment for this kind of research because, more than other medical specialties, it has adopted a culture … Here, custom review and annotation software, running on a laptop computer, controls three DVD players … At the video review station (Figure 3), custom software allows reviewers to access a case’s database … Because no commercial software met our needs, we had to develop custom applications.

3411. Prevehosp-Reports-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
      November 30, 2013 - Hospital and ED Visits: Reports Labs Obtained  Electrolytes  Cardiac workup  CBC  Blood cultures … Sepsis/ Fever/ Infection Dehydration 22 Infection 23 IV fluids given 1 1 24 Blood cultures

3412. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
      April 01, 2025 - MRSA, absence of surveillance data1,2 Nursing home resident, hemodialysis patient Prior infection or culture

3413. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - developing both the commitment to the Program and the trust necessary to imbed the Program within the KPCO culture

3414. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - This tendency might even be amplified if people work in an organization marked by a culture of blame

3415. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - precisely because they are antithetical to system analysis and design.23, 24 Although this medical culture

3416. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - bring problems to the surface in the context of continuous workflow, level out the workload, develop a culture

3417. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
      February 21, 2016 - individuals with the credentials, demeanor, and communication style that best fit their needs and culture

3418. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
      January 01, 2025 - the work, and • Extensive field work can present barriers to establishing and maintaining a shared culture

3419. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
      February 21, 2016 - individuals with the credentials, demeanor, and communication style that best fit their needs and culture

3420. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
      April 01, 2025 - • Study how design issues (e.g., family zones, decentralized nursing stations) affect hospital culture