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1121. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - Project Scan Findings The project scan was completed in fall 2010.

1122. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - legislatures to encourage medical peer review, many observers assert that outcomes of peer review fall

1123. Module 2: Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2.html
      March 01, 2019 - Module 2: Communicating Change in a Resident's Condition Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of the SBAR and CUS Tools …

1124. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/index.html
      July 01, 2023 - AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century AHRQ's Making Healthcare Safer reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the health…

1125. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.D…

1126. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - This criterion was intended to eliminate programs that did not fall within the patient safety spectrum … Specific patient care issues—programs that focus on one specific area of patient safety, such as fall

1127. Eric T. Roberts - Sample Grant Application (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/eric-roberts-draft-application.pdf
      May 19, 2021 - Reversing the Medicaid Fee Bump: How Much Could Medicaid Physician Fees for Primary Care Fall in … I expect final data approvals and an executed DUA by fall 2018, allowing me to begin analyses shortly

1128. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
      December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…

1129. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
      January 01, 2013 - Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change * Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center Learning Objectives Describe the methods to engage clinicians in CAUTI prevention Describe methods to engage l…

1130. Making the Case That Improving Antibiotic Use Is a Patient Safety Issue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
      November 01, 2019 - Making the Case That Improving Antibiotic Use Is a Patient Safety Issue AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making the Case That Improving Antibiotic Use Is a Patient Safety Issue Acute Care Slide Title and Commentary Slide Number…

1131. Meeting Minutes, November 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
      July 01, 2023 - Meeting Minutes, November 2022 Virtual Meeting Minutes from the November 17, 2022, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 21, 2022, Meeting Summary AHRQ Director’s Highlights Update on AHRQ Efforts to…

1132. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
      January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense 425 Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense Heidi B. King, Beth Kohsin, Mary Salisbury Abstract Advancing to a culture of safety requires a systems change. Teamw…

1133. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD Abstract Objective: To explore the feasibility of a novel method for capturi…

1134. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - only were more likely to report struggling to stay awake, they also were 2.4 times more likely to fall

1135. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
      July 01, 2013 - to have an indwelling urinary catheter because they are afraid of soiling linens or incontinence or fall

1136. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
      January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care Title of Project: Improving Medication Safety in Nursing Home Dementia Care Principal Investigator: Stephen Crystal, Ph.D. Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell, Sharon Cook, Shere…

1137. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal Investigator: Donna Woods, PhD, EdM Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…

1138. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - pneumothorax or hemothorax Hospital-acquired pulmonary embolism Hospital-acquired deep vein thrombosis Fall

1139. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
      January 01, 2017 - (8 per 10,000 PT treatment) Dislodgement of orogastric tube (2) Dislodgement of arterial line (1) Fall

1140. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/physician/examples.html
      September 01, 2019 - Examples of Physician Quality Measures for Consumers Following are a few examples of physician quality measures that research evidence and practical experience suggest are appropriate for reporting to consumers. The list is categorized by the Institute of Medicine’s domains for a quality health care system; for…