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1641. Nursing Home Workplace Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
      January 01, 2023 - Nursing Home Workplace Safety Resource List Improving Workplace Safety in Nursing Homes: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set Purpose This document includes references to websites and other publicly available resources nursing homes can use to improve workplace safety fo…

1642. 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 .................................................…

1643. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

1644. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

1645. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
      July 01, 2004 - Speaking Plainly: Communicating the Patient’s Role in Health Care Safety 139 Speaking Plainly: Communicating the Patient’s Role in Health Care Safety David J. Miranda, Paula K. Zeller, Rosemary Lee, Christopher P. Koepke, Howard E. Holland, Farah Englert, Elaine K. Swift Abstract The development and tes…

1646. 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…

1647. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
      April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

1648. 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…

1649. The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
      January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD Abstract Objective: We report on the first in-home test of “Buddy…

1650. Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
      March 01, 2022 - In these patients, decolonization with CHG decreased all-cause bacteremia by 32 percent and MRSA-positive

1651. Attachments 5.1 through 5.5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
      June 25, 2014 - with treatment Improved attention to instruction; improved compliance 0.61 with classroom rules; decreased … By contrast, psychotherapy decreased from 40% of pediatric visits to 25%.

1652. Recent Insights into CAHPS Survey Modes and Response Rates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
      January 01, 2020 - Recent Insights into CAHPS Survey Modes and Response Rates  Recent Insights into CAHPS Survey Modes and Response Rates November 2019 Webcast Speakers Caren Ginsberg, Ph.D., CPXP, CAHPS and SOPS Programs, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, …

1653. Putoolssect7 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
      February 16, 2011 - Section 7. Tools and Resources 0A: Introductory Executive Summary for Stakeholders 1A: Clinical Staff Attitudes Towards Pressure Ulcer Prevention 1B: Stakeholder Analysis 1C: Leadership Support Assessment 1D: Business Case Form 1E: Resource Needs Assessment 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C…

1654. Case 6. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 6. Horizon Hospital—Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Centra…

1655. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
      July 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action PATIENT SAFETY e Issue Brief 22 re ostic Safety in Older Adults Issue Brief 24 Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action PATIENT SAFETY e This page intentionally left blank. e Issue Brief 24 Diagnostic Excelle…

1656. 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 - in poor communication and coordination, failure to recognize threats to patient safety, and overall decreased

1657. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Standardization of the handoff practice was associated with decreased information omissions, but no

1658. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - Retention rates decreased over time and varied widely across States, with 96.96 percent of Hispanic

1659. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
      April 01, 2019 - It increased over time among those whose asthma symptoms improved and decreased among those whose asthma

1660. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
      July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency 105 Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder, Lisa J. Jaser, Nancy Safer, Paul Davern Abstract The Medicar…