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1141. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
      January 01, 2024 - error originated.15 MEDMARX uses the National Coordinating Council for Medication Error Reporting and Prevention … In the fall of 2005, we conducted the AHRQ HSOPSC in 24 CAHs to obtain a baseline assessment of their … title o Conducted a baseline assessment of safety culture in 13 Group 1 and 11 Group 2 CAHs in the fall … of 2005 and in six Group 3 CAHs in the fall of 2006 o Reassessed safety culture in 10 Group 1 and 11 … Implications A high-reliability organization requires a systems approach to error prevention that results

1142. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
      January 01, 2014 - effect of widespread screening on delays in young children, as children may not receive services or may fall … In addition, the prevention guidelines for children (Bright Futures and the Periodicity Schedule) as … References Centers for Disease Control and Prevention. … Public Comment In fall of 2013, the three Developmental Screening Follow-up measures went through an … of widespread screening on delays in young children, as children may not receive services or may fall

1143. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=418
      January 01, 2024 - Keywords: Newborns/Infants, Prevention, Patient-Centered Outcomes Research, Guidelines Pho MT … Keywords: Community-Based Practice, Comparative Effectiveness, Patient-Centered Outcomes Research, Prevention … It found that if donor liver utilization practices remain constant, utilization will fall from 78 percent

1144. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=309
      January 01, 2024 - Keywords: Cancer: Colorectal Cancer, Prevention, Racial and Ethnic Minorities, Screening Zullo … Keywords: Clostridium difficile Infections, Healthcare-Associated Infections (HAIs), Patient Safety, Prevention … Psychodyn Psychiatry 2017 Fall;45(3):385-409. doi: 10.1521/pdps.2017.45.3.385..

1145. AHRQ Multiple Chronic Conditions Research Network Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
      May 01, 2014 - Two-year weight-loss maintenance in primary care-based Diabetes Prevention Program lifestyle interventions

1146. Meeting Minutes, March 2023 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.html
      July 01, 2023 - described the HHS Patient Safety Convening event, which was hosted by HHS Secretary Xavier Becerra in the fall … A planning committee representing AHRQ, the Centers for Disease Control and Prevention, the Centers for

1147. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
      June 11, 2003 - The hospital directors had to promote the philosophy of prevention instead of punishment when dealing

1148. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=198
      January 01, 2024 - Preventive Services Task Force (USPSTF), Evidence-Based Practice, Guidelines, Prevention, Primary Care … Bach P , Hartung D Leveraging the role of community pharmacists in the prevention, surveillance … Leveraging the role of community pharmacists in the prevention, surveillance, and treatment of opioid

1149. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - Patient Education Materials Assessment Tool (PEMAT) and User’s Guide http://www.ahrq.gov/professionals/prevention-chronic-care … index.html https://pharmacylibrary.com/doi/10.21019/9781582122304.ch1 http://www.ahrq.gov/professionals/prevention-chronic-care … /improve/self-mgmt/pemat/index.html http://www.ahrq.gov/professionals/prevention-chronic-care/improve … Because the Center’s Culture of Safety is based on prevention, not punishment, RCA teams investigate

1150. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
      July 01, 2004 - The groups were used to identify persuasive error prevention messages and to identify the types of patient-provider … focus groups generally believed the phrase “patient safety” could be used to signify medical error prevention

1151. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
      July 01, 2004 - The groups were used to identify persuasive error prevention messages and to identify the types of patient-provider … focus groups generally believed the phrase “patient safety” could be used to signify medical error prevention

1152. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
      March 01, 2004 - represent an evolution of AHRQ’s interest in quality of care and consist of three indicator sets: prevention

1153. HIV and AIDS | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
      April 01, 2018 - Source: Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. HIV and Viral Hepatitis. March 2014. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. HIV Surveillance by Race/Ethnicity. … Prevention of infection due to Pneumocystis carinii .

1154. Implementing Heart Health Practice Self-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
      February 01, 2016 - by CDC and the Centers for Medicare and Medicaid Services (CMS), will integrate proven and effective prevention … Better alignment and coordination of existing and new prevention and treatment efforts will accelerate … Clinically based prevention efforts will improve quality of care, access to care, and improve outcomes … Engage the Care Team Research and experience show that team-based care can produce positive results in prevention … Patients for Care Management Identifying patients for focused care management is a fundamental step in prevention

1155. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=23
      January 01, 2024 - health care professionals responsible for infection control policy development and implementation, prevention … The role of infection preventionists in creating effective methods for infection prevention and control … for health care systems and health care institutions to integrate lessons learned, improve infection prevention … Reevaluating the significance of infection preventionists and infection prevention and control departments … The authors administered 2 surveys to older adults who presented with a fall to the ED and used electronic

1156. AHRQ Joins Partners in Patient Safety Awareness Week Activities | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/655.html
      March 01, 2019 - Teamwork—Part 1: Divided We Fall; Part 2: Cursed By Knowledge—Building a Culture of Psychological Safety

1157. Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…

1158. 2018 National Healthcare Quality and Disparities Report Executive Summary
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2018qdr-patsaf-chartbook.pptx
      October 01, 2019 - Perinatal Blood or Blood Product Device or Medical/Surgical Supply Pressure Ulcer Surgery or Anesthesia Fall … Perinatal Blood or Blood Product Device or Medical/Surgical Supply Pressure Ulcer Surgery or Anesthesia Fall … Atlanta, GA: Centers for Disease Control and Prevention; January 2019a. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.

1159. Project Summaries for ACTION III Projects Awarded in 2015 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2015_action_projects.pdf
      January 01, 2015 - Contractor Amount Page Dissemination of AHRQ’s Safety Program for Nursing Homes—On-Time Pressure Ulcer Prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention. … frequently occurring events, QSRS provides additional detail beyond occurrence of the event (e.g., not just fall … Atlanta, GA: Centers for Disease Control and Prevention; March 2009. … Update on emerging infections: news from the Centers for Disease Control and Prevention.

1160. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/hospital/translators.html
      October 01, 2014 - Things "fall between the cracks" when transferring patients from one unit to another.