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1661. Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
      September 01, 2015 - Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary Prepared for: Agency for Healthcare Research and Quality Rockville, MD Contract No. …

1662. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
      May 28, 2015 - Slide 1 Engaging The Nurse, Physician, Patient/Family; CUSP – Learn from Defects Jenny Tuttle, RN, MSNEd, CNRN Clinical Nurse Leader Neuro/Medical/Surgical ICU Tucson Medical Center Tucson, Arizona Christin Ko, MD, MBA, SFHM, FACP Assistant Professor Feinberg School of Medicine Northwestern University Chicago, IL …

1663. Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
      January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED 1 1. TITLE PAGE April 10th, 2012 Final Report Grant No: 1R03HS017740-01 Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension) Title: Developing a Rational Clinical Approach to the Dispositio…

1664. Assembleteam (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
      June 02, 2025 - SAY: The “Assemble the Team” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses CUSP team composition for your quality improvement initiative. This module will help you understand five concepts: the importance of teamwork and team composition to the CUSP initiative, developing a strategy …

1665. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
      December 01, 2012 - Engage the Senior Executive Facilitator Notes CUSP Toolkit The Engage the Senior Executive module of the CUSP Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and fron…

1666. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior leader will bridge the gap between senior management and frontline providers, and will help to get a system-level perspective on safety challenge…

1667. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…

1668. Meeting Sessions and Takeaways | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/building-state2.html
      October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary Meeting Sessions and Takeaways Previous Page Next Page Table of Contents Building State Cooperatives for Healthcare Improvement: Meeting Summary Introduction Meeting Sessions and Takeaways Appendix A: Meeting Agenda Appe…

1669. Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
      March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care …

1670. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
      May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS; Sally Reynolds, M…

1671. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
      January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey The PeaceHealth Ambulatory Medication Safety Culture Survey Ronald Stock, MD; Eldon R. Mahoney, PhD Abstract Objective: The objective of this project was to construct a measure of medication safety culture in ambulatory settings. Methods: A 16-it…

1672. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - Final Progress Report: Technology To Improve Medication Safety in Nursing Homes Nursing Home Medication Safety 1 Technology to Improve Medication Safety in Nursing Homes Jill Scott-Cawiezell, PhD Principal Investigator Marilyn Rantz, PhD, Lanis Hicks, PhD, Richard Madsen, PhD, & Greg Petroski, PhD Investigators …

1673. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
      October 01, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions e PATIENT SAFETY Calibrate Dx: A Resource To Improve Diagnostic Decisions 1 Calibrate Dx: A Resource To Improve Diagnostic Decisions Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 …

1674. Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
      January 01, 2024 - Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses Title: “The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses” Pri…

1675. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 7.  Appendix C: Additional Tables by Topic Area Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excel…

1676. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - In addition, it was estimated that mistransfusions could occur about once every 100 months on average

1677. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
      January 01, 2025 - In its report, To Err is Human: Building a Safer Health System, the Institute of Medicine (2000) estimated

1678. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - One study estimated that 11-61% of ambulance transports to the ED are medically unnecessary. 8 Although

1679. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - leading cause of adult accidental death,2 associated with 43 potential life years lost and annual estimated

1680. Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
      January 01, 2024 - Errors in RT are estimated to occur in up to ≈ 5% of the > ≈600,000 patients receiving RT per year in