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2101. 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/guide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…

2102. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…

2103. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
      January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing Elaine M. Fle…

2104. Final Progress Report: The National Quality Forum Fall Policy Conference 2008 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
      January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality Forum Fall Policy Conference 2008 Principal Investigator: Dwight McNeil Team Members: S. Callahan, L. Gorban, D. McNeill, and B. Yelin 9/30/08-9/29/09 Federal Project Official: Karen Ho Supported by: Agen…

2105. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
      December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Implementing Your SSI Prevention Bundle SAY: This module is about implementing your surgical site infection (SSI) prevention bundle. Slide 1 Learning Objectives SAY: This module will help you develop …

2106. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Implementing Your SSI Prevention Bundle Say: This module is about implementing your surgical site infection (SSI) prevention bundle. Slide 2: Learning Objectives Say: This modu…

2107. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
      July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation SPPC-II Toolkit Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage Module 1 of 8 AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in …

2108. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/notes.html
      December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …

2109. Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
      May 11, 2023 - Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity   IMPORTANT NOTE RE: ACCESSING LINKS in the PPT presentation: Links embedded in SLIDE portion are hyperlinks Links shown in the NOTES portion must be copied into a…

2110. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

2111. Section 5, Table 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
      January 01, 2014 - Section 5, Table 1 …

2112. Strategy 1: Working with Patients & Families as Advisors (Tool 5)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
      June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5) Insert hospital logo here Become a Patient and Family Advisor: Information Session [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Patient & Family Advisor Information Session (Tool 5) Guide to Patient & Family Engag…

2113. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017.html
      November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Results References …

2114. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation…

2115. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
      January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…

2116. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
      March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes 401 Technology for Improving Medication Monitoring in Nursing Homes Kate L. Lapane, Kathleen Cameron, Janice Feinberg Abstract A 1997 report entitled Prescription Drug Use in Nursing Homes, by the Department of Health and Human Services’ Office…

2117. 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…

2118. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - Department of Veterans Affairs Emergency Airway Management Initiative Department of Veterans Affairs Emergency Airway Management Initiative Erik J. Stalhandske, MPP, MHSA; Michael J. Bishop, MD; James P. Bagian, MD, PE Abstract Over the last 2 years, the U.S. Department of Veterans Affairs (VA) undertook a …

2119. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…

2120. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - We especially want to acknowledge the time and expertise of: Expert Name and Credentials Affiliation … computer system (CHESS) that had an instant library (instead of an 18 wheeler), an anonymous ask-the-expert … List of Working Group Participants AHRQ PBRN Working Group on Rapid-Cycle Research Participants Expert