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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - into two phases, pre patient decline and post patient
decline, to determine whether greater cognitive effort
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Report Development
For this report, the project team has made an effort to synthesize the evidence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - make it difficult to anticipate which information will be received in a hand-off,
leading to wasted effort
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www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
January 01, 2025 - In this effort, we have completed a draft manuscript with recommendations planning for
regional STEMI
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
AHRQ’s Safety Program for Nursing Homes: On-Time …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience
Improving Patient Safety Using ATHENA-Decision
Support System Technology: The Opioid Therapy for
Chronic Pain Experience
Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
December 01, 2017 - Guide for Safe Transitions to New Appointments
Guide for Safe
Transitions to
New Appointments
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and
do not necessarily represent the views of AHRQ. No statement in this report should be con…
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www.ahrq.gov/sites/default/files/2025-02/kerber-report.pdf
January 01, 2025 - Final Progress Report: Solutions for Vertigo presentations in the Emergency Department (SOLVE) Project
Final Progress Report
Title of Project:
Solutions for Vertigo Presentations in the Emergency Department (SOLVE) Project
Principal Investigator:
Kevin A. Kerber, MD
Team Members:
Devin L. Brown, MD
A. Mark Fendric…
-
www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
FINAL PROGRESS REPORT
1. TITLE, TEAM, DATES
Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
Urmimala Sarkar, M.D., M.P.H.
Dean Schillinger, M.D.
Margaret Handley, Ph.D., M.P.H.
Ned…
-
www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
January 01, 2024 - Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department
1. TITLEPAGE
Title: Conference Proceedings: Interventions to Improve Quality in the Crowded
Emergency Department
Co-Principal Investigators:
Jesse M. Pines, MD, MBA, MSCE, George Washington Un…
-
www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
January 01, 2024 - Final Progress Report: Deaf People and Healthcare
Deaf People and Healthcare
PI: Steven Barnett
Primary mentor: Kevin Fiscella
Co-mentors:
Ron Hays
Jonathan Klein
Thomas Pearson
Robert Pollard
University of Rochester
9/30/2006 – 9/29/2012
AHRQ Project Officer: Kay Anderson
This project was supported by gr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Blood Culture Practices and Stewardship
SAY:
Welcome to this presentation about blood culture practices and stewardship.
This presentation will help ensure that units ha…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
What Are the 4 Es?
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation of patient safety interventions. This framework integrates well with the Comprehensive Unit-…
-
www.ahrq.gov/sites/default/files/2024-07/ellenbecker-boylan-report.pdf
January 01, 2024 - Final Progress Report: Job Retention Among Home Healthcare Nurses
Job Retention among Home Healthcare Nurses
Principal Investigator: Carol Hall Ellenbecker
Co-Investigator: Leslie Neal Boylan 2003-2004
Team Members: Linda Samia
Frank Porell
Margaret Cushman
Michael Milburn
Anthony Roman
Brian Clari…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
January 01, 2012 - Slide 1
CLABSI Supplemental Call Series
The Organizational Embrace
of CUSP to Improve Patient Safety
March 20, 2012
*
Objectives
To relate an organization’s approach to implementing CUSP in multiple areas of the hospital to reduce harm beyond CLABSI and CAUTI and to improve the overall culture of safety
To…
-
www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
January 01, 2024 - Final Progress Report: Multi-Method Proactive Risk Assessment
Title: Multi-Method Proactive Risk Assessment
PI and Team:
Wilson D. Pace, MD – Principal Investigator
David R. West, PhD – Co-investigator
Stephen Ringel, MD – Co-investigator
Susan West, RN – Co-investigator
Doug Fernald, MS – Project Manager
Caroline …
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript
Module 1: Overview
Slide 1
“Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tract infectio…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
October 01, 2020 - Coaching Clinical Teams Module: Facilitator Notes
Slide 1: Coaching Clinical Teams Module
Say:
The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching mo…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Coaching Clinical Teams Module
Facilitator Notes
SAY:
The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching module…
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3b.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 3: Defining Categorization Needs for Race and Ethnicity Data (continued)
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
…