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2241. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
      January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model RISK AND RECOVERY IN COMPLEX ENVIRONMENTS: LABOR AND DELIVERY AS A MODEL Final Progress Report Grant Award: 1 UC1 HS014376-01 June 30, 2006 Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…

2242. Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
      January 01, 2016 - Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels Prepared for the Agency for Healthcare Research and Quality by L&M Policy Research, LLC with guidance from the Pediatric Quality Measure Program (PQMP)…

2243. Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

2244. Meeting Minutes, July 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
      July 01, 2021 - Meeting Minutes, July 2018 National Advisory Council Minutes from the July 18, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 16, 2018, Meeting Summary Director's Welcome and Update Update on AHRQ Data…

2245. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

2246. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading cause of injuries…

2247. “Safeware”: Safety-Critical Computing and Health Care Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
      May 27, 2008 - “Safeware”: Safety-Critical Computing and Health Care Information Technology “Safeware”: Safety-Critical Computing and Health Care Information Technology Robert L. Wears, MD, MS; Nancy G. Leveson, PhD Abstract Information technology (IT) is highly promoted as a mechanism for advancing safety in health care.…

2248. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training Facilitator Training Instructor Guide Slide 1: Introduction to Preventable Hospital and ED Visits Reports Say: In this session we will introduce you to the Preventable Hospital and ED Visits el…

2249. 6. Research Gaps and Prioritization of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
      June 01, 2020 - 6. Research Gaps and Prioritization of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report One of the study’s key research questions focuses on identifying research gaps—understudied or underfunded areas in HSR and PCR that, if addressed, would move the fields fo…

2250. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
      January 01, 2017 - Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Publication No. 16(17)-001…

2251. Final Report: GestureClean: A Touchless Interaction Language for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
      January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room Title Page Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room Principal Investigator: • Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University. Co-Investigators: • Richar…

2252. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
      April 01, 2008 - Guide for Developing a Community-Based Patient Safety Advisory Council Guide for Developing a Community-Based Patient Safety Advisory Council AHRQ Mission: To improve the quality, safety, efficiency, and effectiveness of health care for all Americans. AHRQ is the lead Federal agency charged with supporting resear…

2253. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - Other features include enhanced functionality, convenience, and Final Report: Improving Medication Safety

2254. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
      January 01, 2023 - prevention actions, contributing factors to events, and location of events to provide readers an enhanced

2255. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - to if the other group members are not forthcoming), but the group learns more and partnership is enhanced

2256. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
      March 01, 2020 - Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Prepared by: Michael Hochman, M.D., M.P.H. 1 Angel Bourgoin, Ph.D.2 Sonali Saluj…

2257. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - The process should continue to be enhanced and the pilot testing expanded as appropriate.

2258. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
      July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis 265 Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto, Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci Abstract Objective:…

2259. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
      June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 PATIENT SAFETY e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …

2260. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events ORIGINAL ARTICLE Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events Andrea Bradford, PhD,*† U…