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4561. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

4562. Preventablehospitalandedvisits-Implmatl (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
      June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nurs…

4563. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
      February 07, 2014 - Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU 1 Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospital Medicine Boulder Community Hospital Associate Clinical Professor of Medicine University of Co…

4564. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
      October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…

4565. Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-23-documenting-work-with-practices.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practices Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practicesith P Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Pr…

4566. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
      October 01, 2015 - Background for AHRQ Quality Indicators Tool A.2 Slide ‹#› Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool A.2 Slide ‹#› Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Toolkit Prepared by RAND and …

4567. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commen…

4568. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
      May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…

4569. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…

4570. Personal Health Records to Improve Health Information Exchange and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
      April 17, 2008 - Personal Health Records to Improve Health Information Exchange and Patient Safety Personal Health Records to Improve Health Information Exchange and Patient Safety James R. Fricton, DDS, MS; Diane Davies, MD Abstract The personal health record (PHR) is proposed as an innovative solution to the problems of f…

4571. Chartbook on Women's Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
      March 01, 2020 - Focuses on summarizing information on more than 200 measures that are tracked.

4572. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
      September 19, 2015 - The State Snapshots tool (http://nhqrnet.ahrq.gov/inhqrdr/state/select), part of the QDR Web site, focuses

4573. 2021 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
      December 01, 2021 - Congress, the report focuses on “national trends in the quality of health care provided to the American

4574. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills FINAL PROGRESS REPORT: IMPACTS OF ALCOHOL AND FATIGUE ON PARAMEDIC ALS SKILLS Les R. Becker, Ph.D., NREMT-P1 Principal Investigator Paul Marques, Ph.D.,1 Co-Principal Investigator Scott Tippetts,1 M.A., Senior Statistician Gregory L…

4575. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety FINAL REPORT SUMMARY Grant #: HS11375-03 Matthew B. Weinger 9/27/01 to 9/30/05 Center for Perioperative Research in Quality Vanderbilt University Medical Center 1211 22nd Avenue South, 526 MAB Nashville, TN 37212 Phone: 615…

4576. 6Bb-Toolkit-Fasttrack-Complete (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
      October 01, 2021 - 1 OVERVIEW The Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care How-To- Implement Toolkit: Overview Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 Contract No. HHSP23320…

4577. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
      March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine …

4578. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste Johns Hopkins Medicine Principal Investigator: Adam Sapirstein, MD Project Team Members: Ravi Aron, PhD Noah Barasch, MS Howard Carolan, MBA,…

4579. On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
      August 08, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Additional Exercises Nutrition Risk Reports Information Exercises ........................................................................…

4580. Chipra-89-Adhd-Behavior-Section-5-Attach-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
      February 02, 2012 - DOI: 10.1542/peds.2011-2654 ; originally published online October 16, 2011; 2011;128;1007Pediatrics Quality Improvement and Management Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents ADHD: Clinical Practice Guideli…