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9501. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
      January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki Grant Number: R03 HS21583-01 AHRQ Grant Final Progress Report Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki, MD, MSCE Team Members: Vinay …

9502. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Results Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…

9503. Introduction to the Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …

9504. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix D. Falls Engineer Instructions Previous Page   Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…

9505. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
      June 27, 2023 - Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar National Action Alliance Summer Webinar – Addressing Violence in the Workplace Chat Conversations, June 27, 2023 from Jade Perdue to everyone: 1:51 PM Welcome to the second call of the National Action Alliance Summer Webinar Series …

9506. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool Primary Care Practice Facilitation Curriculum Module 16: Academic Detailing as a Quality Improvement Tool Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

9507. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
      March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery Page 1 of 17 Engineering Safe Practices Affinity Group Strategies to Better Engineer Safety into Healthcare Delivery March 6, 2025 Table of Contents Problem Statement ...............................................................................…

9508. Meeting Minutes, July 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
      November 01, 2019 - Meeting Minutes, July 2019 National Advisory Council Minutes from the July 24, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of April 11, 2019, Meeting Summary AHRQ Accomplishments Budget Update Director's O…

9509. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive …

9510. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
      psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
      December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.…

9511. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - Building Capacity for Patient Safety Regina M. Hoffman, MBA, RN, Cindy Manaoat Van, MHSA, CPPS, Sarah E. Mossburg, RN, PhD | July 31, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Hoffman R, Mossburg S, Van CM. Build…

9512. CDSiC Innovation Center: Quarterly Report (pdf file)
      digital.ahrq.gov/sites/default/files/Innovation%20Center%20Q2%202025%20Progress%20Report_to%20DTP_06.24.25.pdf
      June 30, 2025 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT J u n e 2 0 2 5 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the Universi…

9513. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
      January 01, 2021 - Spotlight Spotlight Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Comm…

9514. Improving Management of Test Results that Return After Hospital Discharge - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/k08hs018539-were-final-report-2014.pdf
      January 01, 2014 - Improving Management of Test Results that Return After Hospital Discharge - Final Report Improving Management of Test Results that Return After Hospital Discharge Principal Investigator Martin C. Were Team Members William  M. Tierney, MD Project Time  Period: September 30, 2009 through  May 31, 2014 Feder…

9515. EHC Protocol: Making Healthcare Safer IV: Engaging Family Caregivers with Structured Communication for Safe Care Transitions (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-protocol.pdf
      August 04, 2023 - EHC Protocol: Making Healthcare Safer IV: Engaging Family Caregivers with Structured Communication for Safe Care Transitions 1 Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Engaging Family Caregivers with Structured Communication for Safe Care Transit…

9516. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
      July 31, 2023 - In Conversation with... Regina Hoffman about Building Capacity for Patient Safety Regina M. Hoffman, MBA, RN, Cindy Manaoat Van, MHSA, CPPS,Sarah E. Mossburg, RN, PhD | July 31, 2023  Also Read the Essay Citation Text: In Conversation with.. Regina Hoffman about…

9517. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-cancer-screening_research-protocol.pdf
      May 18, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: May 18, 2011 Page 1 of 16 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Fecal DNA Testing in Screening for Colorectal Cancer in A…

9518. Executive Summary: Systematic Review_Implementing Recommended Mental Health and Substance Use Screening and Counseling Interventions in Primary Care Settings for Children and Adolescents (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/screening-counseling-interventions-executive-summary.pdf
      April 01, 2025 - Executive Summary: Systematic Review_Implementing Recommended Mental Health and Substance Use Screening and Counseling Interventions in Primary Care Settings for Children and Adolescents Systematic Review Implementing Recommended Mental Health and Substance Use Screening and Counseling Interventions in Prima…

9519. SINC: Synchronized Immunization Notifications - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023582-stockwell-final-report-2019.pdf
      January 01, 2019 - SINC: Synchronized Immunization Notifications - Final Report FINAL REPORT Project Title: SINC: Synchronized Immunization Notifications Principal Investigator: Melissa S. Stockwell Organization: Trustees of Columbia Universi…

9520. Methods Guide for Medical Test Reviews (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-bias_methods.pdf
      July 01, 2012 - Methods Guide for Medical Test Reviews 5-1 Chapter 5 Assessing Risk of Bias as a Domain of Quality in Medical Test Studies P. Lina Santaguida, B.Sc.P.T., Ph.D., M.Sc., McMaster University Crystal M. Riley, M.A., Nanyang Technological University, Singapore David B. Matchar, M.D., Duke University; Duke-…