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1221. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - safety that facilitates the resolution of problems associated with hospital-acquired infections and falls

1222. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
      April 01, 2013 - example, primarily nursing units, we are seeing them use the CUSP program, for example, to address falls

1223. Communication: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
      July 01, 2023 - response to treatment Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls

1224. Communication: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
      July 01, 2023 - treatment • Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls

1225. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - If motivation increases, this indicates an improved situation; if motivation falls, this indicates that

1226. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - TeamSTEPPS for Improving Diagnosis Participant Workbook TeamSTEPPS® for Diagnosis Improvement Participant Workbook Participant Workbook This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 Module 1: Introducti…

1227. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
      January 01, 2023 - 2023 CAHPS Health Plan Survey Database Chartbook The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey Database 2023 Medicaid and Children’s Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans and Medical Care Authors…

1228. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…

1229. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - their tasks), environmental hazards (e.g., objects causing collision/bumping or the risk of slipping/falling

1230. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
      January 01, 2025 - Falling through the cracks: challenges and opportunities for improving transitional care for persons

1231. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
      June 30, 2024 - the dis- tribution ranges from less than 50 (22.2%) to greater than 1,000 (22.2%), with various sites falling

1232. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - Abnormal Growth ■ Infants whose growth curve plateaus or growth trajectory falls off, and those who

1233. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
      December 01, 2013 - Abnormal Growth ■ Infants whose growth curve plateaus or growth trajectory falls off, and those who

1234. Final Progress Report: Cardio-HIT Phase II (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
      January 01, 2024 - Some would argue that this method helps to avoid patients “falling through the cracks,” but others posit

1235. Children With Disabilities Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
      January 01, 2020 - The percent agreement between any two code classifiers was 90-91 percent, which falls into the “nearly

1236. Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
      February 01, 2017 - The measure highlights where providers or health systems are falling short in providing this essential

1237. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
      April 01, 2013 - The patient definitely is volume-depleted, and he definitely has saturation falling, and I think it’s

1238. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
      April 01, 2013 - worked on that are there for everybody to use in order to look to see where in the process things are falling

1239. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

1240. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …