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1561. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
      January 01, 2024 - likely a particular risk is to contribute to the following events: serious patient safety events (e.g., falls … We also identified emergent codes representing ideas not falling within our conceptual or coding frameworks

1562. Quality of Pediatric Hospital-to-Home Transitions Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/h2h-toolkit.pdf
      January 01, 2020 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Pediatric Quality Measures Program Quality of Pediatric Hospital-to- Home Transitions Toolkit 2 ACKNOWLEDGEMENTS .............................................................................................. 3 INTRODUCTION...........…

1563. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
      October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Slide Presentation Slide 1: Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1–Understanding Why Change Is Needed Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit. Slide …

1564. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/hospital/translators.html
      October 01, 2014 - Hospital SOPS Translation Information Background and Information for Translators This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (SOPS ® ) to help translation team members develop a translation that conveys the same meani…

1565. Linking Characteristics of High-Performing Hospitals With Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
      January 01, 2024 - Linking Characteristics of High-Performing Hospitals With Patient Safety Linking characteristics of high-performing hospitals with patient safety Principal Investigator: Jason M. Etchegaray, PhD Mentor: Eric J. Thomas, MD, MPH The University of Texas Medical School at Houston and The University of Texas H…

1566. Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
      May 01, 2018 - Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology AHRQ EvidenceNOW Public Webinar 12PM-1PM EST June 22, 2016 Welcome and In…

1567. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19604-Coburn-report.pdf
      January 01, 2013 - Final Progress Report: SAFER: Standardizing Admissions for Elderly residents SAFER: Standardizing Admissions for Elderly Residents FINAL REPORT Principal Investigator: Andrew Coburn, PhD Team Members: Judith Tupper, Carolyn Gray, Karen Pearson Organization: Muskie School of Public Service, University of South…

1568. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - Final Progress Report: SAFER: Standardizing Admissions for Elderly residents SAFER: Standardizing Admissions for Elderly Residents FINAL REPORT Principal Investigator: Andrew Coburn, PhD Team Members: Judith Tupper, Carolyn Gray, Karen Pearson Organization: Muskie School of Public Service, University of South…

1569. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
      January 01, 2024 - , 1.98) 0.01 1.43 (1.10, 1.86) 0.01 Stroke 1.53 (1.07, 2.19) 0.02 1.49 (1.08, 2.05) 0.01 History of falls … (2 or more falls, or any fall with an injury, in the past year 1.11 (0.86, 1.44) 0.40 1.03 (0.81,

1570. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
      January 01, 2024 - workers recalled such an event. (89) Nurses working rotating shift schedules had twice the odds of falling

1571. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21114-Lannon-draft-1.pdf
      September 01, 2017 - SPS has reduced falls by 81%, ventilator-associated pneumonias by 47%, adverse drug events by 42%, and

1572. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
      January 01, 2024 - SPS has reduced falls by 81%, ventilator-associated pneumonias by 47%, adverse drug events by 42%, and

1573. Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
      January 01, 2024 - Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases AHRQ Grant Final Progress Report Title of Project: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic…

1574. Minding the Gaps: Creating Resilience 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-Nemeth_116.pdf
      April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

1575. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Doe…

1576. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
      January 01, 2018 - NORTH SEPULVEDA BOULEVARD, El Segundo, CA, 90245 HSI00000068 Avera Health 3900 W AVERA DR, Sioux Falls … , SD, 57108 Avera Health 3900 WEST AVERA DRIVE, Sioux Falls, SD, 57108 HSI00000070 BJC Healthcare … , MT, 59405 Benefis Health System 1101 26TH STREET SOUTH, Great Falls, MT, 59405 HSI00000109 Berkshire … 5 MOBILE INFIRMARY CIRCLE, Mobile, AL, 36607 HSI00000513 Inova Health System 8110 GATEHOUSE RD, Falls … Church, VA, 22042 Inova Health System 8110 GATEHOUSE ROAD, Falls Church, VA, 22042 HSI00000514

1577. Compendium of U.S. Health Systems, 2020, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
      January 01, 2020 - Health System 5 MOBILE INFIRMARY CIRCLE, Mobile, AL, 36607 INOVA HEALTH SYSTEM 8110 GATEHOUSE RD, FALLS … CHURCH, VA, 22042 Inova Health System 8110 GATEHOUSE ROAD, Falls Church, VA, 22042 UNITYPOINT HEALTH … , SD, 57108 Avera Health 3900 WEST AVERA DRIVE, Sioux Falls, SD, 57108 CHRISTUS HEALTH 919 HIDDEN … Medical Center 751 LIBERTY STREET, Meadville, PA, 16335 BENEFIS HEALTH SYSTEM 1101 26TH ST S, GREAT FALLS … , MT, 59405 Benefis Health System 1101 26TH STREET SOUTH, Great Falls, MT, 59405 RIDGEVIEW MEDICAL

1578. Compendium of U.S. Health Systems, 2021, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-Compendium-TechDoc-rev.pdf
      January 01, 2021 - Health System 5 MOBILE INFIRMARY CIRCLE, Mobile, AL, 36607 INOVA HEALTH SYSTEM 8110 GATEHOUSE RD, FALLS … CHURCH, VA, 22042 Inova Health System 8110 GATEHOUSE ROAD, Falls Church, VA, 22042 COMPENDIUM … , SD, 57108 Avera Health 3900 WEST AVERA DRIVE, Sioux Falls, SD, 57108 CHRISTUS HEALTH 919 HIDDEN … Medical Center 751 LIBERTY STREET, Meadville, PA, 16335 BENEFIS HEALTH SYSTEM 1101 26TH ST S, GREAT FALLS … , MT, 59405 Benefis Health System 1101 26TH STREET SOUTH, Great Falls, MT, 59405 RIDGEVIEW MEDICAL

1579. Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
      April 01, 2013 - Again, that falls into my embarrassment category, and that helps certainly to drive some of the real

1580. Advances in Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/advances/index.html
      October 01, 2014 - Nozick Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers