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5861. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - Available at: grants.nih.gov/grants/guide/rfa- files/RFA-HS-06-030.html. … www.acgme.org/acWebsite/downloads/RRC_progReq/320pediatrics07012007.pdf http://grants.nih.gov/grants/guide/rfa-files … /RFA-HS-06-030.html http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-030.html 24.

5862. 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 …

5863. Error Producing Conditions in the Intensive Care Unit (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_15.pdf
      February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

5864. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…

5865. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…

5866. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - This project assessed closed malpractice claim files over a 10-year period to explore the frequency of … of medical claims closed over an 11-year period; a retrospective analysis of selected closed claim files

5867. Participating in the CAHPS Child Hospital Survey Database | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/cahps-database/child-hcahps-database/participate.html
      March 01, 2025 - Participating in the CAHPS Child Hospital Survey Database All children's hospitals and inpatient pediatric departments that administer CAHPS Child Hospital (Child HCAHPS) Survey are invited to submit their results to the Child Hospital Survey Database. This page explains the requirements and the steps involved …

5868. Patient Education Booklets | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/enhanced-recovery/implementing/patient-booklets.html
      November 01, 2023 - Patient Education Booklets These booklets were created by experienced content experts for the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR), a collaborative program to enhance the recovery of surgical patients. They help adult patients prepare for and recover from surgery both in the hospi…

5869. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/index.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Toolkit and Resource Descriptions The Guide for Developing a Community-Based Patient Safety Advisory Council provides information and guidance to empower individuals and organizations to develop a community-based advisory council. These co…

5870. Toolkit 3. Minimum Criteria for Common Infections Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
      September 01, 2017 - Some of the files on this page may not be Section 508 compliant.

5871. SDOH and Health Systems Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/sdoh/health-systems-research.html
      December 01, 2022 - Federal Bureau of Investigation Uniform Crime Reporting (UCR) System HRSA Area Health Resources Files

5872. Effective Treatment of Leading Causes of Morbidity and Mortality | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
      September 01, 2015 - Project, 2000-2011 Nationwide Inpatient Sample, 2012 State Inpatient Databases disparities analysis files

5873. Part 2: Trends in Priorities of the Heckler Report—References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-ref.html
      October 01, 2018 - https://www.census.gov/hhes/families/files/scanned/P20-366.pdf (13.645 MB). U.S.

5874. Data Sources for Health Care Quality Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/understand/index.html
      July 01, 2018 - The advent of electronic medical records has increased the accessibility of patients’ files.

5875. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
      October 01, 2016 - Some of the files on this page may not be Section 508 compliant.

5876. CHIPRA Activities | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/chipra-activities.html
      October 01, 2014 - CHIPRA Activities As a followup to identifying the initial core measure set of children's health care quality measures, the Children's Health Insurance Program Reauthorization Act (CHIPRA) required establishment of a Pediatric Quality Measures Program (PQMP). CHIPRA charges the PQMP to develop future enhanced a…

5877. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmenu.html
      January 01, 2015 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Materials: Menu of Implementation Strategies Three implementation documents are used to help the nursing home change team integrate the pressure ulcer prevention reports they choose to use into day-to-day clinical decisi…

5878. Quality Improvement Change Assessment (QICA) of Practices’ Heart Health Care Capacity | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qica.html
      April 01, 2021 - Quality Improvement Change Assessment (QICA) of Practices’ Heart Health Care Capacity Resource: Quality Improvement Change Assessment (QICA) Practice facilitators and researchers can use this tool to assess primary care practices’ capacity to make changes needed to implement heart health evidence . The QIC…

5879. Using Checklists and Audit Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/esrd/resource/checklist.html
      January 01, 2015 - Using Checklists and Audit Tools ESRD Toolkit The Using Checklists and Audit Tools module of the ESRD Toolkit explains the importance of using data in the quality assurance and performance improvement process, and explains how implementing checklists and audit tools aligns with the principles of safe design. …

5880. Webcast: Using the AHRQ Pharmacy SOPS | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/events/webinars/pharmacy.html
      February 01, 2019 - Webcast: Using the AHRQ Pharmacy SOPS October 29, 2013 Summary Speakers and Presentation Slides Recording Transcript Related Materials Summary The Community Pharmacy Survey on Patient Safety Culture (SOPS ® ), developed by the Agency for Healthcare Research and Quality (AHRQ), is a measurement…