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3181. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/25649-O'%20Leary-draft-1.pdf
      March 16, 2023 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) Principal Investigator Kevin J. O’Leary, MD, MS – Northwestern Uni…

3182. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
      January 01, 2024 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) Principal Investigator Kevin J. O’Leary, MD, MS – Northwestern Uni…

3183. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
      January 01, 2020 - Claims data do not have details included in electronic health record (EHR) data, including laboratory

3184. 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 - The recently “upgraded” electronic health record (EHR) system is frozen.

3185. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
      January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions 1 Final report-2011/11/29 (limited to 20 pages) AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…

3186. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/notes.html
      December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …

3187. 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 - Examples include computerized order entry (because it requires an electronic health record), having

3188. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
      October 01, 2024 - Decolonization was not being documented in the electronic health records (EHR).

3189. Summary Background Report on 2013 Retirement of Measures from the Child Core Set (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
      January 01, 2013 - preliminary score) 3.e.ii Federal program(s) using the measure CMS Adult Medicaid Core Set; CMS Electronic … Health Record Incentive Program for Eligible Professionals; Physician Quality Reporting System; proposed … Some members noted that data collection may be burdensome unless an electronic health record is adopted

3190. Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
      May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide AHRQ Safety Program for Ambulatory Surgery AHRQ Safety Program for Ambulatory Surgery Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide AHRQ Publication No. 16(17)-0019-3-EF May 2017 …

3191. TeamSTEPPS 2.0 Module 5: Situation Monitoring
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
      February 06, 2006 - TeamSTEPPS 2.0 Module 5: Situation Monitoring Module 5: Situation Monitoring Online Master Trainer Course Welcome to the Welcome to module five of the TeamSTEPPS 2.0 online master trainer course, Situation Monitoring. This is Dr. Brigetta Craft, and I will be guiding you through this module. Situation monito…

3192. Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
      July 07, 2023 - As new data streams come online and are integrated into the electronic health record (EHR), we will

3193. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - Department of Veterans Affairs Emergency Airway Management Initiative Department of Veterans Affairs Emergency Airway Management Initiative Erik J. Stalhandske, MPP, MHSA; Michael J. Bishop, MD; James P. Bagian, MD, PE Abstract Over the last 2 years, the U.S. Department of Veterans Affairs (VA) undertook a …

3194. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/vtguide/guide6.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…

3195. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

3196. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

3197. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication Errors Principal Investigator: Grant T. Savage, PhD (University of Missouri) Team Members: Jonathon R.B. Halbesleben, PhD (U…

3198. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
      January 01, 2019 - The types of HIT devices most often reported were Electronic health record (EHR) or component of EHR … health record (EHR) or component of EHR, accounting for more than one-third (41 / 122; 33.6%) of No … HIT-RELATED DEVICE Incidents involving three types of HIT devices were associated with harm: Electronic … health record (EHR) or component of EHR*, Automated dispensing system*, and Other type of HIT device … health record (EHR) or component of EHR Human interface device (e.g., keyboard, mouse, touchscreen

3199. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 3. Description of Methods Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter…

3200. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-parti.pdf
      January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I PATIENT SAFETY NURSING HOME SURVEY ON PATIENT SAFETY CULTURE 2019 User Database Report The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Hea…