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2341. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
      July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …

2342. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
      March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes References Previous Page   Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Improve Diagnosis in Health Profes…

2343. Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
      January 01, 2024 - Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care Agency for Healthcare Research and Quality Final Progress Report Title: Patient Advocacy Summit: Patients at the Center of Care Principal Investigator: Jo Anne Earp Team Members: Elizabeth French, Melissa Gilkey Organization:…

2344. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
      January 01, 2024 - Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety FINAL PROGRESS REPORT Systems Approach for Improving Region-Wide Patient Safety Carl A. Sirio, MD (Principal Investigator) Rober Weber, RPh Carlene Muto, MD Donna Keyser, PhD Jan Pringle, PhD Rangaraj Ramanujam, PhD John Jernig…

2345. Assemble the Team, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
      December 01, 2012 - Assemble the Team, Facilitator Notes CUSP Toolkit The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.   Contents Slide 1. Cover Slide . Slide 2. Learning Objectives . Slide 3. The Unit-Based CUSP Team . Slide 4. CUSP Team Memb…

2346. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
      January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16, 2007 Using Barcode Technology to Improve Medication Safety Principal Investigator: Tejal Gandhi, tgandhi@partners.org Brigham and Women’s Hospital Tejal Gandhi MD, MPH, Principle Investigator Eric Poon, MD, MPH, …

2347. Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
      July 01, 2018 - Facilities Public Health Emergency Preparedness 1. Preplanning Description: Certain equipment, services, or staffing required for surge use of the shuttered hospital will necessitate advance arrangements, including identification of providers, contracts, specifications, and protocols. Timeframe: As soon…

2348. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

2349. User-Centered Quality Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
      June 02, 2025 - User-Centered Quality Report Transcript release date 3/1/12 www.talkingquality.ahrq.gov Tips on Making Quality Reports User-Centered Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group Speaker: Jeanne McGee, Sociologist, McGee and Evers Consulting Lise Rybowski From th…

2350. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
      March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Key Takeaways Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement. Leaders make a commitment to patient and family engagement by: Modeling partnerships with patie…

2351. Case Example #7: Cherokee Health Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
      July 01, 2019 - Case Example #7: Cherokee Health Systems This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD …

2352. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…

2353. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

2354. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhacrate2013.html
      November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…

2355. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…

2356. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD; Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…

2357. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care AHRQ Grant Final Progress Report Mazor, Kathleen M Grant Award Number: 5 R18 HS022757 Project Title: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care Principal Investigator: Kathleen …

2358. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Guide to Patient and Family Engagement Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 4: IDEAL Discharge Planning (Implementation …

2359. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) Principal Investigator and Team Members: Name Role Medical University of South Carolina Ken Catchpole, PhD Principal Investigator Myrtede …

2360. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - College Project Dates: 7/1/2002-6/30/2004 Federal Project Officer: Eileen Hogan This project was funded