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1901. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
      April 23, 2008 - reevaluation of fall risk 55 57 Inclusive of sitters/safety attendants 70 75 Inclusive of a clear definition

1902. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - time to achieve the goal of “institutionalizing” the critical patient safety content, the operational definition

1903. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - Self-reported race is by definition the “gold standard” in race identification and is preferable to

1904. Medical Team Training Programs 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/Baker.pdf
      February 01, 2005 - We believe that developing a core, agreed-upon list that conforms to Parry’s definition of competency

1905. Pillars of a Smart, Safe Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
      April 07, 2008 - Although many applications exist within this definition, Maryland’s smart image team is working toward

1906. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…

1907. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
      June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…

1908. Examples of Urinary Incontinence-Focused Patient Participant Newsletters (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
      November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters ``` Examples of Urinary Incontinence-Focused Newsletters Examples of Urinary Incontinence-Focused Patient Pa…

1909. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
      January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model RISK AND RECOVERY IN COMPLEX ENVIRONMENTS: LABOR AND DELIVERY AS A MODEL Final Progress Report Grant Award: 1 UC1 HS014376-01 June 30, 2006 Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…

1910. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

1911. Strategy 1: Working with Patients & Families as Advisors (Tool 9) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
      March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Patient and Family Advisor Orientation Manual Strategy 1: Working with Patients & Families as Advisors (Tool 9) [Type text] [Type text] [Type text] Strategy 1: Working With Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagem…

1912. 2024 Network of Patient Safety Databases Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
      January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events 2024 NETWORK OF PATIENT SAFETY DATABASES CHARTBOOK: MEDICATION AND OTHER SUBSTANCE EVENTS U.S. DEPARTMENT OF …

1913. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - Safe Practices for Better Health Care 23 Safe Practices for Better Health Care Kenneth W. Kizer, Laura N. Blum Abstract Modern health care is highly complex, high risk, and error prone. Not surprisingly, health care errors and consequent adverse events are a leading cause of death and injury, even though wel…

1914. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - Challenges to Real-Time Decision Support in Health Care Challenges to Real-Time Decision Support in Health Care Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care); Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD; Colin F. Mackenzie, MBChB, FRCA, FCCM Abstract This …

1915. Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 (pdf file)
      www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
      November 01, 2008 - Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 Evidence Report/Technology Assessment Number 169 Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy Prepared for: Agency for Healthcare Research…

1916. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
      January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019 Network of Patient Safety Databases Chartbook, 2019 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2019. Rockvi…

1917. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - seen by their assigned primary care doctors, but the goal was later raised to 100 percent when the definition … Selection of value streams and definition of value stream goals and metrics are defined at the Value

1918. Functional Specifications for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
      December 01, 2017 - Functional Specifications for Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Prevention These functional specifications will cover the following: General Information Report Specifications Specifications for Each Pressure Ulcer Healing Report 1.0. General Information 1.1. Bac…

1919. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit Final Progress Report 1. TITLE PAGE Grant Number: 5R13HS021824-03 FAIN: R13HS021824 Principal Investigator: Anjali Joseph Project Title: Developing and disseminating a Patient Safety Risk Assessment (PSRA) toolkit …

1920. Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
      December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) Webinar Transcript AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesd…