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9421. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
      June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD June 1, 2005  Also Read an Essay Citation Text: In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…

9422. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH September 1, 2007  Also Read an Essay Citation Text: In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007.In Conversation with...Atul Gawande, MD, MA, MPH. PSNet [internet]. Rockville (MD): Agency…

9423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848124/psn-pdf
      April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-ab…

9424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865373/psn-pdf
      March 27, 2024 - In Conversation with...Patrick Tighe about Artificial Intelligence March 27, 2024 Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence . PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence Editor's note: Patrick Tighe, MD, MS…

9425. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-failure-rescue-protocol-amendment.pdf
      September 19, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review 1 Protocol for an Evidence-based Practice Center Rapid Review Project Title: Making Healthcare Safer IV: Failure to Rescue - Rapid Response Systems Publication Date: September 7, 2023 Amendment D…

9426. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
      January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery 1. Title Page Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH Organization University of Chicago Dates of the Project 07/01/2018 - 04/30…

9427. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

9428. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports Note: This part of the training primarily consists of exercises …

9429. Tool 1: Readmission Data Analysis and Interpretation (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
      June 02, 2025 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…

9430. How are CHIPRA quality demonstration States improving perinatal care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
      May 01, 2015 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 Authors: Ellen Albritton and Dana Petersen Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demonstration Grant Program In Feb…

9431. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
      January 01, 2024 - Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Carl A. Sirio, MD Principal Investigator Team Members: Robert Weber, RPh, MS, Co-Investigator Wishwa Kapoor, MD, Co-Investigator Mark Roberts, MD, MRP, Co-…

9432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848110/psn-pdf
      April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. April 26, 2023 Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes Disclosure of Relevant Financial R…

9433. Preventablehospitalandedvisits-Implmatl (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
      June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nurs…

9434. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

9435. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients FINAL REPORT Agency for Healthcare Research and Quality Title of Project: Enhancing The Disclosure Of Medical Errors To Patients Principal Investigator and Team Members: Thomas H. Gallagher, MD Carolyn Prouty, DVM Mary Lucas Organizati…

9436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/con…

9437. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …

9438. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…

9439. Learn From Defects Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
      December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…

9440. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …