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1421. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
      August 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Issue Brief 18 Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety PATIENT SAFETY e This page intentionally left blank. e Issue Brief 18 Documenting Diagnosis: Explorin…

1422. Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
      June 01, 2014 - Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? June 2014  Webcast Speakers Steven Martino, PhD, Behavioral Scientist, RAND, Pittsburgh, PA Rachel Grob, PhD, Senior Scientist, Cent…

1423. Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
      August 01, 2023 - Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination e Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination Final E…

1424. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
      June 01, 2019 - Action Planning for the SOPS Surveys Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Action Planning for the SOPS Surveys January 17, 2019 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westa…

1425. SOPS™ Best Practices for Web-based SOPS Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
      June 12, 2019 - SOPS™ Best Practices for Web-based SOPS Surveys Webcast Transcript June 2019 https://www.ahrq.gov/sops/index.html 1 Best Practices for Web-based SOPS Surveys June 12, 2019 – Webcast Transcript Speakers: Theresa Famolaro, M.P.S., M.S., M.B.A. Senior Study Director and SOPS Database Manager User Networ…

1426. Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
      October 01, 2021 - Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions November 17-18, 2020 - 1 - …

1427. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
      January 01, 2024 - Falling through the cracks: challenges and opportunities for improving transitional care for persons

1428. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
      October 01, 2019 - primary language other than English in the home, with 37.5 million people greater than 5 years of age falling

1429. Anticipatory Guidance Regarding Hydroxyurea Treatment for Children With Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
      January 01, 2019 - The measure highlights where providers or health systems are falling short in providing maintenance

1430. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - error, 58,000 suffered an episode of severe hypoglycemia, and 9,600 required rescue treatment after falling

1431. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - This falls in the category of a “person-time” denominator.

1432. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
      September 03, 2014 - PowerPoint Presentation Culture of Safety in Hemodialysis Facilities An Adaptation of “Introduction to Comprehensive Unit-based Safety Program (CUSP)” for Dialysis Facilities 1 Objectives Discuss the elements of a comprehensive, unit-based approach to safety (CUSP) and its impact on improving patient care Review t…

1433. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
      January 01, 2024 - Final Progress Report: Improving Pain Management in Nursing Homes Final Report Improving Pain Management in Nursing Homes Principal Investigator: Katherine R. Jones Team Members: Investigator: Regina Fink Investigator: Evelyn Hutt Investigator: Ginny Pepper Investigator: Jill Scott Investigator: Lauren Clark Inves…

1434. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) STRAIT (5U18HS016651-02) Final Report Weinger et al STRAIT Simulation Training For Rapid Assessment And Improved Teamwork Principal Investigator: Matthew B. Weinger, MD Team Members: Audrey Kuntz, Becky Arndt, Debbie…

1435. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations 259 Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations Robert R. Campbell, Douglas D. Bradham, Aurora S…

1436. 6Bb-Toolkit-Fasttrack-Complete (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
      October 01, 2021 - 1 OVERVIEW The Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care How-To- Implement Toolkit: Overview Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 Contract No. HHSP23320…

1437. CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
      April 01, 2016 - CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores Strategies for Improving CAHPS Health Plan Survey Scores April 2016  Webcast Speakers Karen Posey, VP, Enterprise Strategy & Consumer Experience, CareSource Graham Bouldin, MSW, Manager, Data Analytics & Quality Improvement, Health Share…

1438. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript January 2020 https://www.ahrq.gov/sops/index.html 1 Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…

1439. Sampling, Weighting, and Synthetization Methodologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
      December 01, 2023 - For each person, the number of IP and ED claims falling under each of the diagnosis groups was tabulated

1440. Chapter-2 - Failure-To-Rescue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
      March 01, 2020 - This is especially true for the overall hospital mortality rate, which Solomon et al. note has been falling