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4201. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
      June 02, 2025 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training 1 On-Time Falls Prevention: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Slide 1: Introduction to Falls Pr…

4202. Using Root Cause Analysis to Improve Quality and Performance | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
      February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes  (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…

4203. Final Progress Report: ESDP in Community Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
      January 01, 2024 - American Indian/ Alaskan Native 5(2.3) 3 (2.0) 1 (2.3) 1 (3.2) Other 5(2.3) 1 (0.7) 2 (4.7) 2 (6.5) Education

4204. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
      January 01, 2024 - Discharge education improves clinical outcomes in patients with chronic heart failure.

4205. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - the level of the unit 4 – Availability of implementation and management tools (such as staff education

4206. 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 - exclusively utilize VHA services tend to be minority veterans, those with lower incomes or lower levels of education

4207. White Paper - Redefining Primary Care for the 21st Century (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
      January 01, 2020 - preferences, and expressed needs; coordination and integration of care; information, communication, and education

4208. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
      March 01, 2014 - counseling style, generally seen as more patient- centered than the conventional didactic style of health education … In 2008, the “American Journal of Preventive Medicine” published a study on the DEPLOY (Diabetes Education

4209. Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdf
      January 01, 2024 - Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR A. Title Page Title of Project: Quality Improvement and Practice-Based Research in Neurology Using the EMR Principal Investigator and Team Members: University of Florida: Demetrius M. Maraganore, MD (principal investi…

4210. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
      May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures Hospital Language Services: Quality Improvement and Performance Measures Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN; Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA Abstract For a growing segment…

4211. Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kleinman2-report.pdf
      January 01, 2025 - Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis Title Page Title: Improving Implementation and QI Research with Regression Risk Analysis Principal Investigator: Lawrence C. Kleinman, MD, MPH Key Team Members: Edward C. Norton, PhD Jason Wang, PhD Kasey Coyne Morgen …

4212. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
      January 01, 2024 - Final Progress Report: Blood Product Transfusion & Safe Practices Blood Product Transfusion & Safe Practices Final Progress Report Principal Investigator: Loreen A. Herwaldt, MD Team Members: Lee Carmen, BS Linda K. Chase, RN, MA, CNAA Comried, Lynn A., BSN, MA Susan K. Dane, BA Deborah Green Charles M. Hel…

4213. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
      January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication FINAL REPORT Putting a Face on Hospital Medical Errors: Communication Project funded by: Agency for Healthcare Research and Quality Grant No. 1R03HS016122-01 September 29, 2005-September 30, 2006 Federal Project Officer: Elizabeth D…

4214. A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
      March 01, 2004 - A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics 213 A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics Valerie J. Riege Abstract Historically, pharmacists have been safety consultants for patients with minor illnesses and have assisted…

4215. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
      January 01, 2017 - Presentation: Program Overview Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-54-EF January 2017 LTVV Intro, Evidence, Implementation ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning…

4216. Timely Antibiotics for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
      April 02, 2018 - Timely Antibiotics for Children With Severe Sepsis or Septic Shock 1 Timely Antibiotics for Children with Severe Sepsis or Septic Shock Section 1. Basic Measure Information 1.A. Measure Name Timely Antibiotics for Children with Severe Sepsis or Septic Shock 1.B. Measure Number 0230 1.C. Measure Descript…

4217. Timely Blood Culture for Children With Sepsis Syndrome (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
      February 01, 2018 - Timely Blood Culture for Children With Sepsis Syndrome 1 Timely Blood Culture for Children with Sepsis Syndrome Section 1. Basic Measure Information 1.A. Measure Name Timely Blood Culture for Children with Sepsis Syndrome 1.B. Measure Number 0229 1.C. Measure Description Please provide a non-technical …

4218. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…

4219. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - Estimated Total Funding: $1,199,014 Uses an electronic medication history to develop tailored patient education

4220. Final Progress Report: Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
      January 01, 2025 - ethnicity, primary payer, and proportion of census tract residents age ≥25 years with at least high school education