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1321. Final Progress Report: (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
      January 01, 2024 - visits, unclear role responsibilities and poor coordination between infusion and clinic led to details falling

1322. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
      October 01, 2018 - , adults • Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … Pressure Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls … Pressure Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls

1323. 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…

1324. 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…

1325. 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…

1326. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - If a Braden Score is available and the Braden Score date falls within the week parameters for the report

1327. 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

1328. 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

1329. 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

1330. 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

1331. 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

1332. 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 - Sioux Falls, SD; December 2011:16. Pichert JW, Hoffman WW, Danielson D, et al.

1333. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
      January 01, 2017 - For instance, to reduce patient falls, it would be easier to add a nightlight to bathrooms than to redesign

1334. 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

1335. 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

1336. 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

1337. 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

1338. 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

1339. 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

1340. 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