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4101. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

4102. Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
      August 03, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief 2 Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Prepa…

4103. THE MEDICAL HOME INDEX: (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
      June 02, 2025 - THE MEDICAL HOME INDEX: Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation of the CHIPRA Quality Demonstration Grant Program. The Medical Home Index: Revised Short Form: Pediatric Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families The …

4104. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Learning From Defects in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…

4105. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events Weingart, 1 K08 HS11644 Partnering with Patients to Find Adverse Events Saul N. Weingart, MD, PhD VP for Patient Safety Dana-Farber Cancer Institute, and Associate Professor of Medicine Harvard Medical School 44 Binney St. Boston, MA 02…

4106. Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
      July 01, 2012 - Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Prepared for: Agency for Healthcare Research and Quality Rockville, MD 20850 Contract No. …

4107. Section 1, FECC Survey—Telephone Interview Version (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-phone-interview.pdf
      June 02, 2025 - Section 1, FECC Survey—Telephone Interview Version Version 10.1.2015 FAMILY EXPERIENCES WITH COORDINATION OF CARE SURVEY TELEPHONE INTERVIEW VERSION LABEL VALUE TEXT INSTRUCTIONS 1. Your child’s main provider is the doctor, physician assistant, nurse or other health care provider who knows the most abou…

4108. Communication Strategies to Promote Resident Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
      September 01, 2016 - Communication Strategies to Promote Resident Safety Communication Strategies To Promote Resident Safety AHRQ Pub. No. 16-0003-13-EF September 2016 AHRQ Safety Program for Long-Term Care: CAUTI 1 Objectives After participating in the session, attendees will be able to— Identify possible barriers to effective com…

4109. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013.html
      January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References Summary …

4110. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
      January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook 1 Table of Contents Introduction .................................................................................................…

4111. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 4. Defining Language Need and Categories for Collection Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1.…

4112. 124-Cusp-Science-Safety-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI The Science of Safety: Principles in Practice Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this prese…

4113. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
      August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis This page intentionally left blank. e Issue Brief Telediagnosis for Acute Care: Implications …

4114. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
      October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action References Previous Page   Table of Contents Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the Context of Rurality Three Areas To Immediately Advance…

4115. 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…

4116. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
      January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record 1  FINAL REPORT  Title:  Developing an HIV‐Specific Prevention Index Using the Electronic Medical Record  Principal Investigator: Richard T. Meenan, PhD, MPH, MBA, Center for Health Research ‐ Kaiser Permanente, …

4117. Guide-Infection-Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
      March 01, 2017 - ACKNOWLEDGMENTS Content leads for the preparation of this document were as follows: Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC Infection Preventionist Lutheran Home/Lutheran Life Communities Arlington Heights, IL Steven J. Schweon, R.N., M.P.H., M.S.N., CIC, HEM, FSHEA Infection Prevention Cons…

4118. Final Progress Report A Randomized Trial of Home Self-Efficacy Enhancement (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
      January 01, 2024 - Final Progress Report A Randomized Trial of Home Self-Efficacy Enhancement 1 Title of Project: A Randomized Trial of Home Self-Efficacy Enhancement Principal Investigator: Anthony Jerant, MD Team Members: Peter Franks, MD; Kate Lorig, RN, DrPH; Monique Moore-Hill, MA; Rahman Azari, PhD; J. Paul Leigh, PhD; Marth…

4119. Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
      January 01, 2024 - Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards Refinements in Evaluating Minimum Surgery Volume Standards PI: Amresh D. Hanchate, PhD, Boston University School of Medicine Co-Investigators: Arlene S. Ash, PhD, Boston University School of Medicine Therese Stukel, PhD, Ins…

4120. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
      June 01, 2019 - Action Planning for the SOPS Surveys Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Action Planning for the SOPS Surveys January 17, 2019 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westa…