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5641. Resources by Safety Topic | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/type-harm.html
      April 01, 2025 - Resources by Safety Topic Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…

5642. AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 with HIT and V&E Supplemental Items for the SOPS Hospital Survey Survey Data File Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-hitve_datafilespec.pdf
      September 16, 2019 - AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 with HIT and V&E Supplemental Items for the SOPS Hospital Survey Survey Data File Specifications RH2.0 – HITVE – 0919 Last updated September 16, 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital…

5643. Protocol - Use of Cardiac Resynchronization Therapy: A Systematic Review Update (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/crt-update_protocol.pdf
      January 10, 2019 - Protocol - Use of Cardiac Resynchronization Therapy: A Systematic Review Update 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Use of Cardiac Resynchronization Therapy: A Systematic Review Update Project ID: CRDT0818 January 10, 2019 I. Background and Objectives…

5644. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
      March 18, 2014 - TeamSTEPPS Speciality Scenarios, Labor & Delivery TeamSTEPPS 2.0 Specialty Scenarios - 103 Specialty Scenarios L&D Specialty Scenarios - 104 TeamSTEPPS 2.0 Specialty Scenarios L&D Scenario 85 Appropriate for: L&D Setting: Hospital Sue Jones a 28-year-old G1 P0 at term is undergoing an…

5645. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
      March 01, 2014 - TeamSTEPPS® Instructor Manual: Specialty Scenarios L&D Specialty scenario for this guide. Contents Scenario 85 Scenario 86 Scenario 87 Scenario 88 Scenario 89 Scenario 90 Scenario 91 Scenario 92 Scenario 93 Scenario 94 Scenario 95 Scenario 96 Scenario 97 Scenario 98 Scenario 99 Scenario 100 Scenario 101…

5646. 2017Actioniiiprojectsummaries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2017actioniiiprojectsummaries.pdf
      December 31, 2018 - ACTION III 2017 Project Summaries Topic Award Cost Page Number Making Health Care Safer III (Patient Safety Practices Evidence Summary) Abt $1,428,295 2 Perinatal Safety Project With HRSA: AHRQ Safety Program in Perinatal Care (SPPC)-II Project Johns Hopkins University $353,221 6 Pediatric Qua…

5647. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
      January 01, 2024 - CRP Certification: Promoting Accountability and Learning After Adverse Events FINAL PROGRESS REPORT 1. Title Page Title of Project: CRP Certification: Promoting Accountability and Learning After Adverse Events Principal Investigator and Team Members: Thomas H. Gallagher, MD, Principal Investigator Karen Brigham…

5648. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …

5649. 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 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

5650. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
      July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN; Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…

5651. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …

5652. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…

5653. Mutual Support: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - Mutual Support: Severe Hypertension Hospital AIM Team Leads SPPC‐II Mutual Support Severe Hypertension Module 5 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the different facets of mutual support and strategies for supporting each. 1 …

5654. Mutual Support: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
      July 01, 2023 - Mutual Support: Severe Hypertension - PowerPoint Presentation Mutual Support Severe Hypertension Module 5 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutual …

5655. CAHPS Survey Administration: What We Know and Potential Research Questions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
      October 01, 2017 - CAHPS Survey Administration: What We Know and Potential Research Questions CAHPS Survey Administration: What We Know and Potential Research Questions October 2017 The content of this document may be used and reprinted without permission except for the following: Federal Government logos, items noted …

5656. Mod6-Care-For-Caregiver-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/mod6-care-for-caregiver-guide.pdf
      April 01, 2016 - Purpose: To guide an organization in developing and implementing a Care for the Caregiver program. Who should use this tool? The Care for the Caregiver Program Lead How to use this tool: Use this guide as a checklist to ensure the needed elements for implementation of a Care for the Caregiver program. There are six …

5657. AHRQ Comparative Health System Performance Initiative: Annual Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
      September 29, 2016 - AHRQ Comparative Health System Performance Initiative: Annual Workshop AHRQ Comparative Health System Performance Initiative Annual Workshop Presentation at AHRQ Headquarters Rockville, Maryland September 29, 2016 Mathematica Policy Research 22 Agenda for the Day • Welcome (9:00–9:20) • CoE updates and pr…

5658. AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
      January 01, 2016 - AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference Findings from the CHIPRA Quality Demonstration Grant Program Slide 1 AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference Findings from the CHIPRA Quality Demonstration Grant Program Septem…

5659. PowerPoint Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
      January 24, 2025 - PowerPoint Presentation AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference Findings from the CHIPRA Quality Demonstration Grant Program September 17, 2015 Teleconference Instructions Please make sure your computer is linked to your phone:  A box should appear on …

5660. Section 5, Tables 8 and 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
      January 01, 2013 - Section 5, Tables 8 and 9 …