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4741. North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
      October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety Search All Impact Case Studies January 2010 The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…

4742. AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
      October 01, 2014 - AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals Search All Impact Case Studies January 2012 Alliant/GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, used AHRQ's patient safety culture surveys and team training tools in tandem to help nursing homes an…

4743. Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
      October 01, 2014 - Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality Search All Impact Case Studies August 2008 A tool developed by AHRQ provided both a benchmark and a measure of progress for a major quality improvement initiative at Evanston Northwestern Healthcare (ENH). The tool—the Hospital …

4744. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
      October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…

4745. Sustainability and the Premortem Tool: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
      December 01, 2017 - Sustainability and the Premortem Tool: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustainability and the Premortem Tool Slide 2: Learning Objectives After this session, you will be able to– List benefits of a premortem exercise from…

4746. Content-Specific Versus Process-Focused Checklists | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
      September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Content-Specific Versus Process-Focused Checklists Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Sp…

4747. Introducing the CAHPS Outpatient Mental Health Survey Webcast - CLOSING (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/06-outpt-mhs-webcast-closing.pdf
      June 02, 2025 - Introducing the CAHPS Outpatient Mental Health Survey Webcast - CLOSING x ? Q&A ? 40 CAHPS Updates 41 • Sign up for email updates Questions or Comments?  E-mail: cahps1@westat.com  Phone: 1-800-492-9261 Website: www.ahrq.gov/cahps/ 42 mailto:cahps1@westat.com http://www.ahrq.gov/cahps/ 43 THANK …

4748. Preface | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/preface.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Preface Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Res…

4749. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil.html
      August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Initial Approach Summary of Surve…

4750. Diagnostic Terminology: Challenges and Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
      April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Diagnostic Terminology: Challenges and Opportunities Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Impro…

4751. Morning Briefing and Shadowing (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
      April 01, 2013 - Teams are alert to developing situations, and the best teams are able to talk out loud and be appropriately

4752. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
      February 08, 2008 - Engineering Engineering refers to the most mechanical aspects of developing orders, including items

4753. Static Teach-back Interactive Module (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
      January 01, 2013 - Static Teach-back Interactive Module Teach-back 1. Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician- Patient Communication 1 Teach-back Interactive Module 2. AHRQ Sponsored by the Agency for Healthcare Research and Quality (AHRQ), this tea…

4754. The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
      September 01, 2022 - The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia Ambulatory Care Slide Title and Commentary Slide Number and Slide The “Usually Antibiotics” Diagnoses: Commun…

4755. Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
      January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation Grant Number: U18 HS16634-01 Grant Period: 9-30-2006 to 10-1-2008 No-cost extension: 10-1-2008 to 9-30-2009 Reporting Period: Close-Out Report Title of Project: Improving Resuscitation Team Response to Inpatient Cri…

4756. Final Progress Report: Patient Safety in Hospice Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
      January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care AHRQ Grant Final Progress Report Title of Project: Patient Safety in Hospice Care Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University of Cincinnati Department of Family and Community Medicine Team Members: • Nancy Elder, MD, Ass…

4757. 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, …

4758. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
      December 01, 2004 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges 51 Patient Safety Research in Medical Group Practices: Measurement and Data Challenges Amy R. Wilson, Bryan E. Dowd, John E. Kralewski Abstract This paper attempts to identify and discuss some of the major challenges to co…

4759. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
      January 01, 2017 - References Summary Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …

4760. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home Project Title: Enhancing the Safety of Warfarin in the Nursing Home Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD, MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…