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1461. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
      May 01, 2004 - patients experience resulting from exposure to the health care system, and that are likely amenable to prevention … Inquiry 1999 Fall;36(3):255–64. 14. Kohn LT, Corrigan JM, Donaldson MS, editors.

1462. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21093-Lambert-draft-1.pdf
      November 20, 2017 - One prevention strategy is to screen proposed new drug names for confusability before approving them … error rate for the test name different than that observed for the controls; and (ii) does the test name fall … potentially harmful confusions between cyclosporine and cycloserine, and we recommend strategies for prevention … Recent developments in the prevention and detection of drug name confusion.

1463. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
      January 01, 2024 - One prevention strategy is to screen proposed new drug names for confusability before approving them … error rate for the test name different than that observed for the controls; and (ii) does the test name fall … potentially harmful confusions between cyclosporine and cycloserine, and we recommend strategies for prevention … Recent developments in the prevention and detection of drug name confusion.

1464. Measure 1, Section 14, Attachment 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
      January 01, 2011 - ADHD was assigned.12 According to the statistics provided by the Centers for Disease Control and Prevention … Topic Prevalence • According to the statistics provided by the Centers for Disease Control and Prevention … However, the rates of "diagnostic prevalence" (namely, cases actually diagnosed by clinicians) fall … Angeles Department of Mental Health Appendix B: Citations 1 Centers for Disease Control and Prevention

1465. ADHD Performance Measurement Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
      January 01, 2011 - ADHD was assigned.12 According to the statistics provided by the Centers for Disease Control and Prevention … Topic Prevalence • According to the statistics provided by the Centers for Disease Control and Prevention … However, the rates of "diagnostic prevalence" (namely, cases actually diagnosed by clinicians) fall … Angeles Department of Mental Health Appendix B: Citations 1 Centers for Disease Control and Prevention

1466. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - J Contin Educ Health Prof. 2018 Fall;38(4):250-254. https://doi.org/10.1097/CEH.0000000000000225.

1467. Focused Assertive Communication for Nurses (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-slides.pdf
      March 19, 2017 - The issue I’m calling about is a fall with potential injury.

1468. 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 …

1469. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - Infection Prevention Support Tool Appendix S. … , moving them from being infection counters to being IPs, freeing these professionals up to do more prevention

1470. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/effectivetreatment/qdr2015-chartbook-effective.pptx
      September 06, 2016 - Source: Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Crucial elements in suicide prevention strategies. … Centers for Disease Control and Prevention.

1471. Training Program Summary: Millard Fillmore College Practice Facilitator Certificate Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/case-studies/fillmore.html
      April 01, 2022 - Marketing is important and can be challenging. 1 http://www.ahrq.gov/professionals/prevention-chronic-care … The pilot course was offered in summer 2013, followed by a second course in fall 2013 and a third course … http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/index.html Coalition

1472. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/appa.html
      May 01, 2016 - toolkits, establishing a clinical workgroup, and potentially furthering programs for opiate-addiction prevention

1473. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - toolkits, establishing a clinical workgroup, and potentially furthering programs for opiate-addiction prevention

1474. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - (F4R) Things “fall between the cracks” when transferring patients from one unit to another. … (F4R) Things “fall between the cracks” when transferring patients from one unit to another.

1475. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…

1476. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
      April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…

1477. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - Rehab Director: We always consider if particular support surfaces are needed for pressure ulcer prevention … The need to do this was stressed during the pressure ulcer prevention and healing education that we had … Pressure ulcers are always on the agenda; sometimes we have QAA projects related more to prevention. … Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance's Prevention … Skin assessments per frequency designated by protocol or provider ✓ Dressing protocols ✓ Infection prevention

1478. Building Quality Improvement Capacity in Primary Care, No. 2 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/pcmhqi2.pdf
      April 01, 2013 - Available at: http://www.ahrq.gov/professionals/prevention-chronic-care/ improve/index.html.

1479. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - increase in practice efficiency and provider knowledge, improved drug- related decisionmaking, and prevention

1480. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
      January 01, 2009 - overdose scenario involving a female patient receiving a medication too frequently, causing her to fall … Hence, when a team was discussing a subject such as prevention of future errors, the segment was not … to fix it Policy: appeal to policies or guidelines to prevent errors Pharmacy: involve pharmacy in prevention