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1201. Systems Change: Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
      December 01, 2012 - health care costs typically increase during the year in which smokers quit then decline progressively, falling

1202. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
      December 01, 2022 - infection following operating room procedures Healthcare-associated Infection Patients with one or more falls

1203. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - care units decreased from 26.4 to 18.8 per 100 workers, with the rate in spinal cord injury units falling

1204. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Rather than expecting staff to complete yet another task with the information falling into a black hole

1205. Pediatric Medical Complexity Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
      July 01, 2017 - algorithm using Washington and Minnesota Medicaid data and have found very similar percentages of children falling

1206. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - tells us that for minority patients and patients with limited English proficiency (LEP) we may be falling … used at admissions and/or discharge.68 • Greater risk of line infections, surgical infections, falls … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers

1207. Case Report on Ambulatory Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
      September 05, 2017 - How do you know when a “ball gets dropped” or “something falls through the cracks?” g.

1208. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
      September 01, 2015 - care nurses and physical therapists would discourage UC use to reduce the risk for immobility and falls

1209. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
      September 01, 2015 - care nurses and physical therapists would discourage UC use to reduce the risk for immobility and falls

1210. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
      September 01, 2015 - care nurses and physical therapists would discourage UC use to reduce the risk for immobility and falls

1211. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - Investigator: James Thomas Veline Grant No. 1R18HS017149-01 Applicant Institution: Avera Health, Sioux Falls

1212. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - dispense a medication, the entire responsibility for correct selection of drug, quantity, and dosage form falls

1213. 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…

1214. 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 …

1215. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - Challenges to Real-Time Decision Support in Health Care Challenges to Real-Time Decision Support in Health Care Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care); Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD; Colin F. Mackenzie, MBChB, FRCA, FCCM Abstract This …

1216. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
      March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …

1217. 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 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Issue Brief 15 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error PATIENT SAFETY e This page intentionally left blank. e Issue Brief 15 Strategies for I…

1218. Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/case-studies/ncahec.html
      August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program Previous Page   Table of Contents Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Ove…

1219. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Patient and Family Engagement in the Surgical Environment Module Facilitator Notes SAY: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…

1220. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…