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3941. Final Progress Report: Improving Safety and Quality with Outpatient Order Entry (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
      January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry Grant Final Report Grant ID: 5R01HS015226-03 Improving Safety and Quality with Outpatient Order Entry Inclusive dates: 09/03/04 - 08/31/08 Principal Investigator: Tejal K. Gandhi, MD, MPH Team members: Eric G. Poon, MD, MPH Thomas D.…

3942. Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
      July 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Assemble the Team and Engage Leadership for Perinatal Safety Say: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care addresses tea…

3943. Assemble-Team-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety Assemble the Team and Engage Leadership for Perinatal Safety SAY: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care addresses team composition within the labor and delivery…

3944. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
      February 01, 2019 - SOPS™ ASC Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Ambulatory Surgery Center SOPS: What You Need to Know January 10, 2019 – Webcast Transcript Speakers: Joann Sorra, Ph.D. Associate Director and SOPS Project Director User Network for the AHRQ S…

3945. 5. Impacts of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
      June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …

3946. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
      January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…

3947. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
      October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Technical Interventions To Prevent CAUTI Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Ove…

3948. Meeting Minutes, November 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
      March 01, 2021 - Meeting Minutes, November 2020 Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. ( Virtual Meeting ) Contents Summary Call to Order and Approval of July 14, 2020, Meeting Summary Overview and Recent AHRQ Accomplishments AHRQ …

3949. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
      April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium 411 Lessons in Safety Climate and Safety Practices from a California Hospital Consortium Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert, David M. Gaba, Kathryn M. McDonald, Laurence C. Baker Abstract…

3950. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

3951. A Clinical Assessment Program to Evaluate the Safety of Patient Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
      January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care 57 A Clinical Assessment Program to Evaluate the Safety of Patient Care Richard J. Snow, Martin S. Levine, Dwain L. Harper, Sharon L. McGill, George Thomas, Joseph P. McNerney Abstract The American Osteopathic Association’s Clinical Asses…

3952. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Do…

3953. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams The Nature, Characteristics and Patterns of Perinatal Critical Events Teams William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD; Kristi Miller, RN, MS; Reinhard Priester, JD Abstract The Institute …

3954. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
      January 01, 2024 - includes model process for obtaining written consent and authorization, sample easy-to-read consent documents … healthcare services. 163 Workarounds including duplicated or freestyle documentation, scanning of paper documents

3955. 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/overviewmaterialspacket_1.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet 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…

3956. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
      December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) Webinar Transcript July National Content Call July 8, 2014 11:00AM CT Operator: This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse …

3957. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
      July 08, 2014 - Paul Tedrick July National Content Call July 8, 2014 11:00AM CT Operator: This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse me, everyone. We now have our speakers in conference. Please note the participation on this call is by express wri…

3958. 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/overviewmaterialspacket.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five sample reports are provided here. The reports are: • High-Risk Transfer Report (a medium-risk rep…

3959. Presentation: Implementing Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
      December 01, 2017 - Presentation: Implementing Your SSI Prevention Bundle Implementing Your Surgical Site Infection Prevention Bundle AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation This module is about implementing your surgical site infe…

3960. Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
      January 01, 2024 - Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Sit…