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  1. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
    March 01, 2018 - Improving Patient Safety in Long-Term Care Facilities Module 1. Detecting Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating C…
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
    January 01, 2020 - 2020 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2020 CAHPS Health Plan Survey Database 2020 Chartbook What Consumers Say About Their Experiences With Their Health Plans and Medical Care This document is in the public domain and may be used and reprinted without permission in the United St…
  4. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_hpchartbook.pdf
    January 01, 2019 - 2019 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2019 CAHPS Health Plan Survey Database 2019 Chartbook What Consumers Say About Their Experiences With Their Health Plans and Medical Care This document is in the public domain and may be used and reprinted without permission in the United …
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
    June 09, 2020 - Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients Evidence-based Practice Center Systematic Review Protocol Project Title: Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients I. Backgrou…
  6. www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
    July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …
  7. www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
    January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
    January 01, 2000 - Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care 7 Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care Denise Hartnett Daudelin, Manlik Kwong, Joni R. Beshansky, Harry P. Selker Abstract Information Technology (IT) solutions to patient safe…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
    January 01, 2005 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database 277 Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database Elaine M. Furmaga, Peter A. Glassman, Francesca E. Cunningham, Chester B. Good Abstract Objective: In view of the wi…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
    April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  14. www.ahrq.gov/antibiotic-use/acute-care/improve/bedside-nurse.html
    November 01, 2019 - The Role of the Bedside Nurse in Antibiotic Stewardship Interventions After viewing or presenting this presentation viewers will be able to— Examine what motivates health care providers to  prescribe antibiotics Review basic theories regarding implementation science to implement antibiotic stewardship (…
  15. www.ahrq.gov/antibiotic-use/acute-care/improve/microbiology-lab.html
    November 01, 2019 - How Can Your Antibiotic Stewardship Program Collaborate With The Clinical Microbiology Laboratory After viewing or presenting this program viewers will be able to work with the microbiology laboratory to— Develop antibiograms Implement selective reporting of antibiotic susceptibility results Improve s…
  16. www.ahrq.gov/antibiotic-use/long-term-care/improve/communicate-prescribers.html
    June 01, 2021 - Communicating Infectious Concerns With Antibiotic Prescribers After viewing or presenting this presentation, viewers will be able to— Describe the components of, and when to use SBAR:  ​ S ituation​ B ackground​ A ssessment ​ R ecommendation​ Implement SBAR to improve communication between…
  17. www.ahrq.gov/antibiotic-use/acute-care/diagnosis/penicillin.html
    November 01, 2019 - Approach to Patients Reporting Penicillin Allergies After viewing or presenting this presentation viewers will be able to— Discuss the potential harm associated with the over diagnosis of penicillin allergies Discuss the approach to evaluating penicillin allergies Video
  18. www.ahrq.gov/patient-safety/reports/hotline/design2.html
    May 01, 2016 - caregiver consents to having the report shared with the relevant health care facility or provider, a PDF file
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
    October 01, 2016 - the patient on arrival and confirm registration in the WellMed system with necessary information on file
  20. www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
    January 01, 2024 - responding, 85% (44/52) agreed or strongly agreed that there was a more accurate medication list on file

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