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5381. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
      July 08, 2014 - Paul Tedrick July National Content Call July 8, 2014 11:00AM CT Operator: This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse me, everyone. We now have our speakers in conference. Please note the participation on this call is by express wri…

5382. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - What Exactly Is Patient Safety? What Exactly Is Patient Safety? Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD; Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD; Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD Abstract We articulate an intellectual h…

5383. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies John S. Webster, MD, MBA; Heidi B. …

5384. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…

5385. Clinical Inertia and Outpatient Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
      January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …

5386. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
      April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…

5387. Re-Engineered Discharge Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.pdf
      September 01, 2012 - Using clinical judgment, use this conversation to determine if further recommendations, teaching, or

5388. Redtoolkitforms (doc file)
      www.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.docx
      September 01, 2012 - Using clinical judgment, use this conversation to determine if further recommendations, teaching, or

5389. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - Two-sided test with a p value of .05 or less was used to determine statistical significance.

5390. Treating Tobacco Use and Dependence: A Quick Reference Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
      April 01, 2009 - Assess—Determine willingness to make a quit attempt Action Strategies

5391. Communication: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
      July 01, 2023 - Determine what code words to use as an organization; include these in the Readiness materials o Tip

5392. Communication: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
      July 01, 2023 - Determine what code words to use as an organization; include these in the Readiness materials Tip!

5393. Section 5, Figure 1 and Tables 1-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
      January 01, 2011 - preferences and goals PLAN Share Plans Execute Plans •Partnership btw care coordinator and family DO Determine

5394. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
      July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual Appendix C. Operations Manual The Health Care Safety Hotline: Operations Manual Denise D. Quigley, RAND Corporation Shaela Moen, RAND Corporation Robert Giannini, ECRI Institute Lauren Hunter, RAND Corporation Operations Ma…

5395. AHRQ Stats | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/ahrq-stats.html
      January 01, 2025 - AHRQ Stats New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…

5396. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23464-Crystal-draft-1.pdf
      February 13, 2019 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: Improving Medication Safety in Nursing Home Dementia Care Principal Investigator: Stephen Crystal, Ph.D. Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell, Sharon Cook, Shere…

5397. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

5398. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
      January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: Improving Medication Safety in Nursing Home Dementia Care Principal Investigator: Stephen Crystal, Ph.D. Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell, Sharon Cook, Shere…

5399. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children PI: Stuart L. Goldstein, M.D. Team Members David Askenazi M.D., University of Alabama-Birmingham Patrick Brophy, M.D., University of…

5400. Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
      September 01, 2019 - Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript Developing Invitation Messages that Increase CAHPS Survey Response Rates September 2019  Webcast Speakers Caren Ginsberg, PhD, CPXP, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency fo…