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4281. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
      January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training Virtual Healthcare Environments Versus Traditional Interactive Team Training Principal Investigator: Jeffrey M. Taekman, MD Investigative Team: Noa Segall, PhD David Turner, MD Gene Hobbs, CHT Cheryl Jacobs Barb…

4282. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …

4283. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
      May 01, 2016 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Technical Specifications Q-METRIC Imaging Measure 8, Overuse of CT for Atraumatic Headache U18HS020516 Page 41 Submitted May 2016 This measure assesses the number of computed tomography (CT) scans obtai…

4284. 3. Defining Categorization Needs for Race and Ethnicity Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 3. Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers…

4285. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic…

4286. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes VIEWPOINT Bridging the feedback gap: a sociotech…

4287. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

4288. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      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…

4289. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
      January 01, 2024 - Other senior leaders were focused on organizational changes (e.g., planned merger with another health

4290. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - Section is a physical redesign of the pharmacy’s OTC aisles, grounded in human factors engineering and focused

4291. Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
      January 01, 2025 - are unlikely to have significant variability in present-on-admission coding, the sampling strategy focused

4292. Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
      January 01, 2024 - However, our project focused solely on the disclosure conversation itself, which may have limited its

4293. View Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nw.pdf
      June 02, 2025 - provide high quality care Removal or reduction of barriers to better quality of care Using teams focused

4294. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
      April 01, 2025 - CUSP team discussion focused on antimicrobial prophylaxis.

4295. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
      April 22, 2004 - percent chance.1 Given the substantial benefit of an ambulatory follow-up visit, managed care has focused

4296. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - Patient Safety: Vol. 4 166 Introduction The emphasis on patient safety in the operating room has focused

4297. Partnering With Patients To Improve Quality, Safety, and the Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-1.pdf
      May 01, 2016 - Partnering With Patients To Improve Quality, Safety, and the Patient Experience Case Study Problem Addressed True patient-centered care requires providers and practices to forge strong partnerships with patients and families to improve the quality, safety, and experience of health care along the care continuum.1,…

4298. Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell-report.pdf
      January 01, 2024 - Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety 1. TITLE PAGE Final Progress Report Dissemination of the PPRNet Model for Improving Medication Safety Principal Investigator: Andrea M. Wessell, PharmD Team Members: Steven M. Ornstein, MD Ruth G. Jenkins, PhD Lynne S. Neme…

4299. Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
      August 14, 2015 - Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational supp…

4300. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
      January 01, 2010 - Nursing Home Survey on Patient Safety Culture: Background and Information for Translators Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture Background and Information for Translators January 2010 Purpose and Use of This Document In this docum…