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4121. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
      April 27, 2022 - issue in the United States.51 While acknowledging the disagreement among thought leaders, NASEM has effectively

4122. 2022 National Healthcare Quality and Disparities Report Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-intro.pdf
      December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Introduction e 2022 National Healthcare Quality and Disparities Report Introduction This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2022 National Heal…

4123. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
      March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD; John Brehm, MD; David Lomely, BA. Abstract Prevention of patient falls i…

4124. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/research/grants-2022.html
      August 01, 2025 - Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures in the diagnostic process, which may include the establishment of Research Centers of Diagnostic Excellence to develop systems, measures, and new tech…

4125. Final Progress Report: Emergency Physician Workload (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
      January 01, 2024 - Final Progress Report: Emergency Physician Workload Emergency Physician Workload Grant Award Number: R03-HS024801 Principal Investigator: Kathryn M. Kellogg, MD, MPH Team: Allan Fong, MS Raj Ratwani, PhD Rollin J. Fairbanks, MD, MS Amy Will Tracy Kim Organization: MedStar Health MedStar Institute for Inno…

4126. Importance of MRSA and SSI Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
      April 01, 2025 - Importance of MRSA and SSI Prevention Importance of MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services I…

4127. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Executive Summary Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…

4128. A Breakthrough Approach to Improving CAHPS Communication Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
      January 01, 2012 - A Breakthrough Approach to Improving CAHPS Communication Performance A Breakthrough Approach to Improving CAHPS Communication Performance April 2012  Podcast Speaker Wendy Leebov, Ed.D., CEO, Leebov Golde & Associates Moderator Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group …

4129. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
      November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-00…

4130. Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory T…

4131. Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
      March 01, 2017 - Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The frequently asked questions (FAQs) are intended to support facilities in the implementation of catheter-associated urinary tract infections (CAUTI) and other healthcare-…

4132. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
      April 01, 2022 - Engage the Team and Applying CUSP in the ICU Setting Slides CUSP Module: Engaging the Team and Applying CUSP in the ICU Setting Facilitator Guide Slide Number and Image This module, titled “Engaging the Team and Applying CUSP in the ICU Setting” is part of the Agency for Healthcare Research and Quality, or AHRQ…

4133. Using Data To Drive Change and Improve Patient Safety Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
      April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes CUSP Module: Using Data To Drive Change and Improve Patient Safety Facilitator Guide Slide Number and Image This module, “Using Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality, or A…

4134. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
      March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix F. CAUTI Prevention in Long-Term Care Frequently Asked Questions The frequently asked questions (FAQs) are intended to support facilities in the implementation of cathe…

4135. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
      August 01, 2022 - Module 8: Organizational Learning and Sustainability AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CANDO…

4136. Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
      October 01, 2015 - Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators AHRQPediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool A.2 Slide 1 Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators What is t…

4137. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cvd.html
      June 01, 2018 - Chartbook on Health Care for Blacks Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases Previous Page Next Page Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population …

4138. Addressing Unhealthy Alcohol Use: Resources From AHRQ | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/954.html
      April 01, 2025 - Addressing Unhealthy Alcohol Use: Resources From AHRQ Issue Number 954 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 22, 2025 AHRQ Stats: Average Annual Spending on Adult Opioid Prescriptions Between 2021 and 2022, average annual total outpatient pres…

4139. 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…

4140. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
      April 01, 2025 - PowerPoint Presentation Decolonization Implementation Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implemen…