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4161. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
      January 01, 2024 - blood draw bundle procedural checklist was used to record the number of blood draws performed and to document

4162. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
      December 01, 2017 - Document a number (e.g., 10 patients in the last quarter) to make it real for staff.

4163. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - Document a number (e.g., 10 patients in the last quarter) to make it real for staff.

4164. Attachments 6.1 through 6.9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
      March 01, 2011 - Attachments 6.1 through 6.9 Attachment 6.1 Version 1 of the PMCoE ADHD Follow-up Measure DRAFT Measure #3: Follow-up and Symptom Management (composite) Attention Deficit Hyperactivity Disorder (ADHD) A. DESCRIPTION Percentage of patients aged 4 through 18 years with a diagnosis of Attention Deficit Hyperact…

4165. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
      March 01, 2017 - Staff should be encouraged to listen to, incorporate, and document resident and family preferences in

4166. 1. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1.html
      April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 1. Introduction Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Dispariti…

4167. Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/prevention/stakeholder-report_0824.pdf
      August 01, 2024 - Some of the federal partners reviewed an earlier draft of this document.

4168. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - United States for noncommercial purposes unless materials are clearly noted as copyrighted in the document

4169. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Hand Hygiene in the Perioperative Setting SAY: Welcome to this presentatio…

4170. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
      January 01, 2003 - Making a Case for Organizational Change in Patient Safety Initiatives 455 Making a Case for Organizational Change in Patient Safety Initiatives Rangaraj Ramanujam, Donna J. Keyser, Carl A. Sirio Abstract Objectives: Widespread organizational change is indispensable for significantly improved patient safety…

4171. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - Improving the Value of Patient Safety Reporting Systems Improving the Value of Patient Safety Reporting Systems Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD; Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS; Lisa H. Lubomski, PhD; Albert W. Wu, M…

4172. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - This document is in the public domain and may be used and reprinted without permission. … broad group of stakeholders and experts, discussed by a broader group of conferees, and refined into a document … addition, the report was posted on the Center website where a larger number of unique visitors viewed the document … This study is among the first, to the researchers’ knowledge, to document examples of rework in healthcare

4173. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit Final Progress Report 1. TITLE PAGE Grant Number: 5R13HS021824-03 FAIN: R13HS021824 Principal Investigator: Anjali Joseph Project Title: Developing and disseminating a Patient Safety Risk Assessment (PSRA) toolkit …

4174. 6. Research Gaps and Prioritization of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
      June 01, 2020 - However, other participants noted that the research gap is not simply the need to document disparities

4175. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
      June 01, 2012 - Detecting Change in a Resident’s Condition This document is in the public domain and may be used … Recognizing Change When something about a resident seems to have changed, you should always observe and document

4176. Module 15: Preparing and Presenting Performance Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
      September 01, 2015 - Research and Quality AHRQ Publication No. 15-0060-EF September 2015 http://www.ahrq.gov/ This document … and reprinted without permission except those copyrighted materials that are clearly noted in the document … The findings and conclusions in this document are those of the authors, who are responsible for its

4177. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
      January 01, 2024 - and CERT- affiliated publications describing and illustrating the use of these methods, typically to document … This single-site study is the first to document the compliance of physicians with the ADA guidelines … Without increasing the risk of bleeding, a CDS system requiring clinicians to document VTE risk assessment

4178. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
      January 01, 2024 - An online document management system was developed by project partners at Joint Commission Resources … were provided with all de-identified hospital incident report data that was uploaded to the project’s document … collect various types of information, but when the adverse event reports were uploaded to the project’s document

4179. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
      January 01, 2024 - The first task of the group was to document, using flow diagrams, the current processes of medication

4180. Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/huck-report.pdf
      January 01, 2024 - not consider an individual’s medical history and situation • Guidelines take time and resources to document