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4461. Interim Report of the Subcommittee of the NAC on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
      October 01, 2022 - experience for patients when they seek healthcare, engaging communities and individuals in PCOR, and ensuring

4462. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

4463. Patient as a Team Member in Clinical Care | PSNet
      psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
      March 15, 2025 - The tenets of patient-centered care call for ensuring that clinical decisions are guided by a true partnership

4464. CDS Connect - Maintenance and Update Final Report (Year 6) (pdf file)
      cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
      January 01, 2022 - CDS Connect - Maintenance and Update Final Report (Year 6) CDS Connect Maintenance and Update FINAL REPORT (Year 6 of CDS Connect) Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 75FCMC18D0047 Prepared by: CMS Alliance to Modernize Healthcare …

4465. CDS Connect - Maintenance and Update Final Report (Year 6) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year6-final-report-2022.pdf
      January 01, 2022 - CDS Connect - Maintenance and Update Final Report (Year 6) CDS Connect Maintenance and Update FINAL REPORT (Year 6 of CDS Connect) Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 75FCMC18D0047 Prepared by: CMS Alliance to Modernize Healthcare …

4466. Expanding and Enhancing All Payer Claims Database System Capacity in States | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/confrpt.html
      February 01, 2018 - Expanding and Enhancing All Payer Claims Database System Capacity in States The National Association of Health Data Organizations (NAHDO) and the APCD Council brought together States aggregating health care claims data from payers to transfer knowledge and best practices in all-payer claims database (APCD) coll…

4467. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - SPOTLIGHT CASE Dying in the Hospital With Advanced Dementia Citation Text: Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Ci…

4468. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Review of Self-Assessment Worksheet Say:   Y…

4469. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
      October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Training Guide Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify the overall objectives…

4470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73153/psn-pdf
      April 28, 2021 - Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April 28, 2021 Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough Disclosure of Relev…

4471. 025-Assessing-Evc-Webinar-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Assessing Environmental Cleaning Effectiveness ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Assessing Environmental Cleaning Effectiveness SAY: Welcome to this presentation on Assessing Environmental Cleaning (EVC) Effectiveness and incorporating effective…

4472. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change SAY: This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…

4473. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
      July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Describe the rationale for the use of c…

4474. Section 2: Engaging Stakeholders in a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 2: Engaging Stakeholders in a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Manage…

4475. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 4: Teamwork and Communication Say: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…

4476. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

4477. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
      January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook 1 Table of Contents Introduction .................................................................................................…

4478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

4479. Create Operational System Support Integration | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
      January 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

4480. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
      March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…