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3001. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
      February 01, 2018 - identified in Weight for Week columns (found in Weight Summary Report; one weight/date per week, with up … Example: Postfall Assessment Summary Report by Resident This resident-level report displays data for up … recommendations: alert and oriented Resident unable to follow recommendations: cognitively … Potential medication issue: new med/dose change/suspected reaction 42 Resident chooses not to follow … recommendations: alert and oriented 43 Resident unable to follow recommendations: cognitively

3002. Finding Sustainable Funding for Primary Care Extension Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
      February 01, 2023 - recommended that primary care extension programs rely solely on Federal grants, these grants often make up … You can view available grants at Grants.gov and set up to receive alerts for current and projected funding … For example: m The State provided ORPRN with start-up funding from tobacco settlement funds.

3003. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
      November 01, 2016 - I think there was a bit of questions that came up about this that had to with what to do if your program's … that quality improvement driven by leadership supports that engagement and you need to free people up … for some reason you have received a cold reception, Medicaid agencies are quite large so don't give up … If the agency is divided up into different domains, such as fee-for-service or managed care, you might … sent off an email to my colleagues at the Centers for Medicare & Medicaid Services, so I'll be sure to follow-up

3004. Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/mello-thoms-report.pdf
      January 01, 2025 - White women and because they comprise a minority population, radiologists perhaps were not picking up

3005. 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 - patients didn’t have any activity as defined by sitting on the bed, sitting in the chair, ambulating up

3006. Patient Outcome Survey (mailed version (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ptoutcsurvey.pdf
      June 02, 2025 - Patients are called up to 60 days after the date of index hospital discharge.

3007. Healthcare Systems and Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
      May 01, 2024 - The Medicare Annual Wellness Visit is an annual primary care check-up with no cost-sharing for the patient

3008. Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
      September 01, 2012 - This new toolkit assumes that your hospital already has components that make up the foundation for an … Facilities talked about:  The importance of empowering all staff to feel comfortable in speaking up … to piperacillin/tazobactam extended infusion because the additional nursing time required to set up … Instructions: Follow steps to identify antibiotic targets and plan and implement interventions. … Follow up on all discharged patients to provide appropriate therapy based on culture and sensitivity

3009. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - Follow-up semistructured phone interviews were conducted with project participants and partners in both … Final phone interviews: Follow-up interviews were conducted with pilot site leaders in December 2012

3010. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - 1 ETT 1 1 stylet 1 1 Reversal drugs Narcan 1 1 Flumazenil 1 0 Call for Help Back-up … considered, pauses in bag-mask ventilation not identified or managed while anesthesiologist setting up … digital video camera was also adequate for analysis, but the amount of noise made it difficult to follow

3011. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - Issues related to policies and procedures can include both the absence of, failure to follow, policies … and procedures.7, 8, 10 Failure to follow policies and procedures results in lack of attention to safeguards … features.16 Also, information resources, such as published drug guides, may not be readily available or up … rather than individual orientation to error reduction—quality improvement efforts are likely to come up

3012. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
      March 01, 2020 - Zimmerman et al. (2013) obtained follow-up cultures from 97 patients who had a positive culture during … cohorting, and other contact precautions Hospitalized patients Author searched for articles published up … Benefits Outcomes: Harms Implementation Themes/Findings Risk of Bias Comments and lack of follow-up

3013. Nutritional Research Series, Volume 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
      March 01, 2009 - number of subjects that should be included and, depending on the study design, the minimum duration of follow-up … set of reference values for a particular nutrient has been, to a large degree, dependent on the make up … Summing up evidence: one answer is not always enough. Lancet 1998; 351: 123-7.

3014. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
      January 01, 2024 - We defined maintenance as sites that had kept up sustained moderate/high usage of the DOAC Dashboard … Furthermore, the high level of off-label DOAC use (estimated up to 20%) is associated with increased

3015. Patient Self-Management Support Programs: An Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
      November 01, 2007 - The care managers follow up with the patients (in-person or by telephone) to see how they are doing … Together, these make up the program content. … Purchasers may leave a number of the protocol specifications up to the vendor (or the protocol decisions … essentially may follow from the choice of vendor), but a number of vendors also made reference to specifications … events in medical care tend to be non-recurring, a certain proportion of those patients would end up

3016. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - This classification aided in data collection to follow and record the pump programming steps and alarms … are due to be administered to help with the workload associated with administering medications for up … A total of 46 observations were conducted while a basic infusion was set up, whereas 14 Guardrail observations

3017. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Finally, participants engaged in individual postcompletion interviews with the evalua- tion team to follow … up on written feedback and answer additional questions about usability and feasibility.

3018. Healthcare Research and Quality Act of 1999 (continued 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/hrqa99c.html
      October 01, 2014 - in 26 equal interim installments during such period. (2) WITHHOLDING- The Secretary shall withhold up

3019. Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
      March 01, 2022 - particularly as a 2 percent no-rinse bathing solution, CHG is absorbed onto the skin surface and has up … is widely used as a preoperative showering agent.42,43 CHG is absorbed onto the skin surface for up … 46 Toolkit Prelaunch Activities Section 8 – Toolkit Prelaunch Activities We recommend that you follow … Follow targeted decolonization protocol for missed doses.

3020. High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
      October 01, 2019 - They make up 36 percent of hospitals, suggesting their critical importance when developing measures … panel; panel members participated in a two-round RAND/UCLA modified Delphi process, with enhanced follow-up … We developed a four- item questionnaire with internal review and a single cognitive interview with follow-up