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3401. 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 - We also found influencers and champions with the understanding that if we couldn't find senior leaders … The next question we have here is, we find that staff are scared to report.

3402. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 Title Page – Final Progress Report Title: Diagnostic Error in Medicine Conference 2020-2022 Principal Investigator: Gerry Castro, PhD, MPH Team Members: 2022 Conference Chairs, Co-chairs and Planning Commitee members Andrew Olson…

3403. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Early Mobility in the Intensive Care Unit SAY: In this slide set, we will look at the benefits, safety, feasibility, and sustainability of early mobility. Many hospitals and intensive care units or IC…

3404. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Safe Med. Admin. 2 Safe Administration of Medications in L&D T…

3405. Chapter 6. Measure Maps and Profiles (continued, 6) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6e.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 6) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter…

3406. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-4-statins.pdf
      October 01, 2024 - Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older 1 Data Innovations Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older Rh…

3407. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Commercially Insured Beneficiaries Ages 45-64 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/data-innovations-statbrief-statins-commercial-insurance.pdf
      October 02, 2024 - Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Commercially Insured Beneficiaries Ages 45-64 Data Innovations Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Commercially Insured Beneficiaries Ages 45-64 Rhona Limcangc…

3408. State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
      March 01, 2024 - State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance 1 Data Innovations State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance Rhona Limcangco, Ph.D., Melike Yildirim, Ph.D., Frederick Ro…

3409. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
      July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…

3410. Data Request Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Data-Request-Guide-Oct24update.pdf
      October 01, 2024 - Data Request Guide Synthetic Healthcare Database for Research (SyH-DR) A Synthetic Nationally Representative All-Payer Claims Database Data Request Guide AHRQ Publication No. 24(25)-0019-2-EF October 2024 SyH-DR Data Request Guide i Purpose The Synthetic Healthcare Database for Research (SyH-DR) D…

3411. Screening for Depression in Adults | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/depression/depsum1.html
      April 01, 2013 - Screening for Depression in Adults Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evid…

3412. 035-Importance-Mrsa-Prevention-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Importance of MRSA Prevention ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Importance of MRSA Prevention SAY: Welcome to this presentation on the Importance of Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. This presentation will ou…

3413. Final Report: Collaborative Clinical Culture and Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/greenfield-report.pdf
      January 01, 2024 - Final Report: Collaborative Clinical Culture and Quality of Care Title of Project: Collaborative Clinical Culture and Quality of Care Principal Investigator and Team Members Sheldon Greenfield, Principal Investigator Sherrie H. Kaplan, Co-Principal Investigator Douglas Roblin, Co-Principal Investigator Norma Te…

3414. Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
      January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ Final Report Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ grant: 1 R13 HS 15757-01 Awarded May, 2005. Dates of project: May 2005-May 2006. Date of Conference: June 25 and 26, 2005. …

3415. Availability and Use of State Medicaid HCBS | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find3.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Availability and Use of State Medicaid HCBS Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators fo…

3416. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
      January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare October Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…

3417. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
      September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design References Previous Page   Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction The History of Patient Roles Impact of Dis…

3418. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
      November 15, 2022 - Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care Traber D. Giardina, PhD, MSW1,2 , LeChauncy D. Woodard, MD, MPH3, and Hardeep Singh, MD, MPH1,2 1Houston Cent…

3419. Supplemental Document 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdf
      September 01, 2014 - Final SNAC Deliberations, criteria 2–4 16 n Multiple studies, including some published in 2013, find

3420. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
      October 01, 2011 - Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations       Technical Review 17 Nutritional Research Series Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations Prepared for: A…