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4461. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Despite these limitations, this study is among the first primary care studies to document the potential

4462. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - service recovery (i.e., the process of trying to make right what the patient thinks is wrong), and they document

4463. Issue Brief: Simulation To Improve Patient Safety: Getting Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
      July 01, 2024 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document

4464. Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 (pdf file)
      www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
      November 01, 2008 - The findings and conclusions in this document are those of the author(s), who are responsible for its … ii This document is in the public domain and may be used and reprinted without permission except those … surgery rarely describe the specific supplementation regimens employed; however, some case reports document

4465. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
      November 01, 2017 - The opinions expressed in this document are those of the authors and do not reflect the official position … This document is in the public domain and may be used and reprinted without special permission. … and control biases. 6) Data extraction & conversion: Extract cost and mortality estimates, and document

4466. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
      July 01, 2024 - The ACC asked PFs to document each visit within 24 hours using a Time Tracker log (date, time, contact

4467. Chapter-3 - Sepsis Recognition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
      March 01, 2020 - Chapter-3 - Sepsis Recognition Sepsis Recognition 3-1 3. Sepsis Recognition Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S. Introduction Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years, and accounts for more hospital admissions and spending than…

4468. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
      November 01, 2017 - The opinions expressed in this document are those of the authors and do not reflect the official position … This document is in the public domain and may be used and reprinted without special permission. … and control biases. 6) Data extraction & conversion: Extract cost and mortality estimates, and document

4469. Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
      December 01, 2016 - Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting QUALITY OF CARE Primary Care Physicians’ Experiences With and Attitudes Toward Pediatric Quality Reporting Joseph S. Zickafoose, MD, MS; Henry T. Ireys, PhD; Adam Swinburn, MPP; Lisa A. Simpson, MB, BCh, MPH From the Mathema…

4470. Reviewing the Landscape of All-Payer Claims Databases | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/backgroundrpt/review.html
      July 01, 2022 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Reviewing the Landscape of All-Payer Claims Databases Previous Page Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparen…

4471. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=3
      December 20, 2012 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…

4472. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

4473. Final Progress Report: Changes in Hospital Care Organization and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
      January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes 1. TITLE PAGE Title: Changes in Hospital Care Organization and Outcomes Principal Investigator: Ann Kutney-Lee Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo Abraham (co-mentors) Organization: University…

4474. Mod01-Grand-Rounds-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
      April 01, 2016 - Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process aims to change that. Slide 1 Say: To get started, let’s watch this video. Video: Do Less…

4475. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

4476. Tool 11: Community Resource Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
      June 02, 2025 - Tool 11: Community Resource Guide Tool 11: community resource guide Purpose Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu…

4477. Grand Rounds Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
      August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…

4478. Cardiovascular Disease | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
      June 01, 2018 - Chartbook on Effective Treatment Cardiovascular Disease Previous Page Next Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS …

4479. Building Your SSI Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
      December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Building Your SSI Prevention Bundle Say: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. Slide 2: Learning Objectives Say: After reviewing this mod…

4480. Facilitator Guide: Building Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
      December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Building Your Surgical Site Infection Prevention Bundle SAY: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. Slide 1 Learning Objectives SA…