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3521. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training—Handouts: Preventable Hospital and ED Visits Implementation   Implementation of Preventable Hospital and ED Visits Reports Self-Assessment Scripted Exercise Menu of Implementation…

3522. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
      January 01, 2024 - Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems TITLE PAGE Title of Project: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems Team Members: Principal Investigator: Christopher P. Bonafid…

3523. Synthetic Healthcare Database for Research Description of Data Elements (Codebook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Codebook.pdf
      December 01, 2023 - Synthetic Healthcare Database for Research Description of Data Elements (Codebook) Synthetic Healthcare Database for Research (SyH-DR) A Synthetic Nationally Representative All-Payer Claims Database DESCRIPTION OF DATA ELEMENTS (CODEBOOK) AHRQ Publication No. 24-0019-3-EF December 2023 …

3524. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard TITLE PAGE Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard Princip…

3525. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error AHRQ Grant Final Project Report Title of Project Using Public Deliberation to Define Patient Roles in Reducing Diagnostic Error Principle Investigator Tina Nabatchi, PhD, Associate Professor, Maxwell School of Ci…

3526. Final Progress Report: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
      January 01, 2025 - Final Progress Report: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach Title of Grant: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach Principal Investigator: Lynn Unruh, PhD, RN, LHRM, Department of Health Management & Inf…

3527. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
      January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error Reduction, Technologies, and Human Factors Final Report Pascale Carayon, PI, Tosha B. Wetterneck, co-PI Roger Brown Professor, UW School of Nursing Pascale Carayon Principal investigator; Professor, Department of …

3528. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - Combining Performance Feedback and Evidence-based Educational Resources 237 Combining Performance Feedback and Evidence-based Educational Resources John R. Meurer, Linda N. Meurer, Jean Grube, Karen J. Brasel, Chris McLaughlin, Stephen Hargarten, Peter M. Layde Abstract Objective: This study is intended t…

3529. SOPS™ 101 Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
      June 01, 2020 - SOPS™ 101 Webcast Transcript November 2018 https://www.ahrq.gov/sops/index.html 1 Understanding SOPS Surveys: A Primer for New Users October 23, 2018 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety C…

3530. Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
      September 01, 2012 - To stimulate your thinking, Tool 1M describes potential barriers to implementing an ASP, drawn from … This toolkit describes an individualized approach and tailoring of selected stewardship interventions … Resource 2C describes methods for evaluating antibiotic use. … Resource 2C, Possible Methods for Evaluating Antibiotic Use, describes methods for summarizing and … The following information was collected on visits to several project nonintervention sites and describes

3531. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
      January 08, 2008 - In “Human Error: Models and Management,”7 James Reason describes the attributes 1 of high-reliability … As another example, the “Capability Maturity” model describes five steps or stages to sustainable high … This manuscript describes how the Hospital Survey on Patient Safety Culture was applied as an intervention … Methods The following section describes the data collection and analysis methods used for this review

3532. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
      December 31, 2022 - Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care Getting Started Laying the Groundwork for Implementing Automatic Referral & Effective Care Coordination This presentation is designed to help you understand the steps required for laying the necessary foundati…

3533. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - Patient-Centered Outcomes Research Trust Fund (PCORTF) External Stakeholder Report June 2023 i i Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Trust Fund External Stakeholder Report Prepared for: Agency for Healthcare Research and Quali…

3534. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …

3535. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …

3536. Implementation Coaching | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
      June 01, 2023 - The term “coaching” describes specific actions that include demonstrating, reinforcing, motivating, and

3537. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
      September 01, 2022 - allergy reported for each antibiotic and remove incorrect allergies such as hives if the patient clearly describes

3538. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
      January 01, 2023 - AEs Collected in the QSRS, 2021 to 2023 Table A1 further describes the information within QSRS and

3539. Antibiotic-Targets-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Identifying Targets To Improve Antibiotic Use Long-Term Care Slide Title and Commentary Slide Number and Slide Identifying Targets To Improve Antibiotic Use Long-Term Care SAY: Hello and welcome to the presentation, “Identifying Targets To Improve Antibiotic…

3540. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
      May 01, 2017 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Publication No. 17-0003-18-EF May 2017 SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal mo…