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1741. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - general perception held by physicians that the reporting of errors is an administrative task that falls

1742. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Falls short of seamless integration of clinician ordering and pharmacy functions, which limits the

1743. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - range, it is more difficult to obtain an accurate reading of oxygen saturation if the body temperature falls

1744. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
      April 30, 2013 - errors or near medication errors by 5 percent during the third quarter Reduce the incidence of patient falls

1745. HIV and AIDS | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
      April 01, 2018 - continue to be collected and these measures will be added back to the reports if their performance falls

1746. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Missed nursing care is linked to patient harm, including falls and infections.

1747. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
      January 01, 2018 - Data Year Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … 0.97 HCUP 2016 Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling

1748. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
      March 01, 2016 - drill down to access patient-level data, which enables them to identify specific patients whose care falls … Capacity to access patient-level data also enables physicians to identify specific patients whose care falls

1749. A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article17.html
      June 01, 2014 - Advances in the Prevention and Control of HAIs A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advan…

1750. Focused Assertive Communication for Nurses (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-slides.pdf
      March 19, 2017 - Focused Assertive Communication for Nurses Slide 1 Focused Assertive Communication for Nurses University of Massachusetts Medical School and Qualidigm Welcome to Focused Assertive Communication for Nurses Slide 2 What makes communicating with physicians difficult? Sli…

1751. A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article17.html
      June 01, 2014 - Advances in the Prevention and Control of HAIs A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Prevent…

1752. Office-Based Teams Instructor Guide
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach-ig.pptx
      January 20, 2006 - Office-Based Teams Instructor Guide for OFFICE-BASED CARE Teaching and Coaching ® TeamSTEPPS | Office-Based Care Coaching Slide ‹#› ‹#› INTRODUCTION SAY: Welcome to the Coaching and Teaching module for TeamSTEPPS for Office-Based Care.   Coaching is a good way to foster continual development and proces…

1753. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/results.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Results Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Enviro…

1754. Best Practices in the Diagnosis and Treatment of Bacteremia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Bacteremia Acute Care Slide Title and Commentary Slide Number and Slide Best Pr…

1755. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Training Guide Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of Module 5 are to have the Implementation T…

1756. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…

1757. Meeting Minutes, July 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
      December 01, 2021 - Meeting Minutes, July 2021 Virtual Meeting Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 18, 2021, Meeting Summary Recent AHRQ Accomplishments AHRQ Budget Opportuniti…

1758. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
      May 01, 2013 - How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? Evaluation Highlight No. 2 Authors: Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly Devers, and Rebecca Peters Contents Key Messages Background Findings Conclusions Implications …

1759. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
      January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of …

1760. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …