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3641. Holtropstudysnapshot (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/holtropstudysnapshot.pdf
      December 01, 2016 - AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT Methods and Outcomes of Care Management Programs Within Physician Organizations vs. Plan-Based Programs Background Americans are increasingly plagued by chronic diseases and conditions. Care management (CM) is a team-based, patient-centered approach to helping patient…

3642. Interplay Between Cognitive Load and Diagnostic Accuracy | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Interplay Between Cognitive Load and Diagnostic Accuracy Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cogn…

3643. Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
      February 18, 2025 - Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation Engineering Safety into Practice through Implementation of the 2025 SAFER Guides NATIONAL WEBINAR SERIES JANUARY 21, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on …

3644. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
      December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements Performing an SSI Investigation – Facilitator Notes Slide Title and Commentary Slide Number and Slide Performing an SSI Investigation SAY: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide …

3645. Performing an SSI Investigation: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
      December 01, 2017 - Performing an SSI Investigation: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Performing an SSI Investigation Say: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide 2: Learning Objectives Say: Here are the objectives. We want to d…

3646. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
      December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustainability: Learning From Defects Slide 2: Learning Objectives After this session, you will be able to– Describe the difference between first-orde…

3647. EvidenceNow Executive Summary - North Carolina Cooperative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
      November 01, 2017 - EvidenceNow Executive Summary - North Carolina Cooperative North Carolina Cooperative North Carolina EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help …

3648. EvidenceNow Executive Summary - New York City Cooperative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
      November 01, 2017 - EvidenceNow Executive Summary - New York City Cooperative New York City Cooperative New York ★ EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help small…

3649. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
      April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction …

3650. Prologue -- Blueprints for Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
      January 01, 1999 - Prologue -- Blueprints for Action 1 Prologue Blueprints for Action Mary K. Wakefield In 1999, the Institute of Medicine report To Err Is Human: Building a Safer Health System1 advanced a clear challenge to create safer environments in health care. The message of the report has resonated ever since, from t…

3651. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
      January 01, 2025 - Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery Principal Investigator: Ken Catchpole, Ph.D., Medical University of South Carolina, Charleston, SC Co-PI: James Abernathy, M.D., M.P.H., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS26625 Project Period: 09/30/18-07…

3652. 2. Evidence of Disparities among Ethnicity Groups | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
      May 01, 2018 - Similarly, a health center might find that women of a certain group are not coming in for prenatal care

3653. Chapter 3. Designing and Testing Methods to Stratify Risk of Surgical Site Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
      April 01, 2018 - This information should help other facilities to determine where they may find these risk factors at

3654. Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
      January 01, 2024 - Level 2: Average Many hospitals that have tried to improve VTE prophylaxis find themselves at Level 2

3655. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - For example: A year from now, a team might find their senior executive champion's interest is waning.

3656. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
      December 29, 2022 - to implement strategies aimed to prevent interruptions at all costs, while other environments may find

3657. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Of these factors, we have addressed the first two in a limited way; we find that the fourth and fifth

3658. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
      May 01, 2018 - We would expect to find the largest differences between poorer and other counties, than across the upper

3659. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
      February 06, 2012 - Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) Attachment A: CHIPRA Pediatric Quality Measures Progra…

3660. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
      September 01, 2019 - We would expect to find the largest differences between poorer and other counties, than across the upper