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4621. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

4622. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
      January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…

4623. 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…

4624. Strategy 4: IDEA Discharge Planning (Tool 4)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
      April 01, 2011 - Strategy 4: IDEA Discharge Planning (Tool 4) Insert hospital logo here Care Transitions from Hospital to Home: IDEAL Discharge Planning Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 4: IDEAL Discharge Planning (Tool 4) Guide to Patient & Family Engagement If you have condu…

4625. Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
      June 02, 2025 - Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary 1 National Collaborative for Innovation in Quality Measurement (NCINQ) Measures to Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary This report sum…

4626. Health Coach Intervention Sustainability Plan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
      June 02, 2025 - Health Coach Intervention Sustainability Plan Health Coach Intervention Sustainability Plan Medicare Preventative Services i. In Office Visits, Modifiers and Add-On Codes a. Annual Wellness Visits 1. Medicare i. Description-Initial Preventative Physical Exam (IPPE) also known as “Welcome to Medicare” visit ii. …

4627. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities July 21, 2016 Download accessible version of slides (PDF, 1 MB) The National Quality Strategy and The Public Sector [Slide 1] Operator: Ladies and gentlemen, thank you for stand…

4628. Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
      November 01, 2016 - Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy May 17, 2016 Download accessible version of slides (PDF, 1.9 MB) Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy…

4629. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - Redesign 39  Failure mode and effects analysis (FMEA): FMEA is a systematic, proactive method for evaluating

4630. AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
      January 01, 2021 - AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 US DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane …

4631. QDR 2014: Chartbook for Hispanic Health Care, Part 3 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
      June 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 3 Chartbook on Health Care for Hispanics Part 3: Trends in Access and Priorities of the National Quality Strategy 2014 National Healthcare Quality and Disparities Report | 41 PART 3: TRENDS IN ACCESS AND PRIORITIES OF THE NATIONAL QUALITY STRATEGY 2014 QDR Cha…

4632. On-Time Falls Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
      June 02, 2025 - On-Time Falls Prevention: Electronic Reports On-Time Falls Prevention: Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: • On-Time Falls High-Risk Report. • Quarterly Summar…

4633. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - Surveys on Patient Safety Culture® (SOPS®) Program Frequently Asked Questions Search or browse for answers to questions about the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program, surveys, supplemental item sets, and the SOPS Databases. Send additional questions to SafetyCultureSurveys@westat.com.   …

4634. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - Barriers Associated with Medication Information Handoffs 87 Barriers Associated with Medication Information Handoffs K. Bruce Bayley, Lucy A. Savitz, Glenn Rodriguez, William Gillanders, Steve Stoner Abstract Objectives: The transfer of medication information across patient care settings is an important …

4635. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
      April 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Transcript) March 20, 2012 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that ti…

4636. How CUSP Enables Nurse Empowerment (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
      April 01, 2013 - How CUSP Enables Nurse Empowerment (Transcript) November 15, 2011 Operator: Excuse me, everyone and thank you for holding. Please be aware that each of your lines is in a listen-only mode. At the conclusion of today’s presentation, we will open the floor for questions. At that time, instructions will be give…

4637. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Say: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communicat…

4638. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/corbett.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Transitional Care Medication Safety: Stakeholders' Perspectives Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability …

4639. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
      April 27, 2004 - Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs 185 Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs Dustin D. French, Andrea M. Spehar, Robert R. Campbell, Polly Palacios, Roy W. Coakley, Nicholas Coblio, Heidi Means, Dennis C. Werner, David M. Angaran Abstract Objectives…

4640. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation…