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4141. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
      January 01, 2024 - Final Progress Report: Quality of bag mask ventilation in critically ill children Grant Number: R03HS026939 Title: Quality of bag mask ventilation in critically ill children Principal Investigator: Akira Nishisaki, MD, MSCE Co-Investigators: Vinay Nadkarni, MD, MS. Justine Shults, PhD Alexis Topji…

4142. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors References Previous Page   Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduction Elic…

4143. Spreading the Model to Partner States | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
      October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Spreading the Model to Partner States Previous Page Next Page Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Met…

4144. Strategies for Improving Patient Experience with Ambulatory Care: Tools to Help Patients Communicate Their Needs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-h.pdf
      July 07, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Tools to Help Patients Communicate Their Needs The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.H. Tools to Help Pati…

4145. Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
      October 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.N. Price Transparency Visit the AHRQ Website f…

4146. Strategies for Improving Patient Experience with Ambulatory Care: Shared Decision-Making (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
      July 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Shared Decision-Making The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.I. Shared Decision-Making Visit the AHRQ We…

4147. Section 5: Marketing and Stakeholder Outreach | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/pubcomguide/pcguide5.html
      July 01, 2025 - Publishing and Communications Guidelines Section 5: Marketing and Stakeholder Outreach Previous Page Next Page Table of Contents Publishing and Communications Guidelines Section 1: Product Development Audio and Video Products Appendix 1-A. Release Forms Appendix 1-B. Trademarks Appendix 1-…

4148. 129-Ss-Blank-Lfd (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…

4149. Health Equity | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Health Equity Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research A…

4150. Spreading the Model to Partner States | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-impact/spreading-model.html
      February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Spreading the Model to Partner States Previous Page Next Page Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Met…

4151. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
      January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Title Page EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Principal Investigator: Danielle M. McCarthy, MD, MS Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…

4152. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…

4153. Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
      January 01, 2024 - conversation [58, 66 69], medical [11, 30, 37, 46, 70-73], legal [74-77], and mass media questioning [78-85] document

4154. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - Processing technology to detect adverse events by scanning dictated reports and documents in a large document

4155. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential u…

4156. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - Then, using ASME process mapping standards, each step in the process was reviewed and modeled to document

4157. SOPS™ 101 Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
      June 01, 2020 - sops/index.html 7 The tool includes an action plan template that your organization can use to document

4158. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - the legal issues around discovery; and the considerable assistance of Lisa Klein in preparing this document

4159. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT; Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…

4160. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document … • Debrief to support self-reflection and behavior change without blaming.47 • Document and evaluate