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9241. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home Project Title: Enhancing the Safety of Warfarin in the Nursing Home Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD, MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…

9242. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
      January 01, 2024 - Final Progress Report: Accountability and Health Safety – A Statewide Approach Revised FINAL PROGRESS REPORT 5U18HS011918-03 TITLE: Accountability and Health Safety – A Statewide Approach PRINCIPAL INVESTIGATOR: Ke…

9243. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
      January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety PI: Guise, J-M FINAL GRANT REPORT Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety Grant Award #: 5U18HS015800-02 Grantee Institution: Oregon Health & Science University…

9244. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
      January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care Title: Medication Reconciliation: Bridging Communications Across the Continuum of Care Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh, Melissa Blanchard, MP, Amy Caster-Winegeart, …

9245. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
      May 01, 2017 - Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Publication No. 17-0003-2-EF May 2017 SAY: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care a…

9246. Mutual Support: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - Mutual Support: Severe Hypertension Hospital AIM Team Leads SPPC‐II Mutual Support Severe Hypertension Module 5 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the different facets of mutual support and strategies for supporting each. 1 …

9247. Mutual Support: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
      July 01, 2023 - Mutual Support: Severe Hypertension - PowerPoint Presentation Mutual Support Severe Hypertension Module 5 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutual …

9248. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

9249. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

9250. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
      October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…

9251. Strategy 4: IDEA Discharge Planning (Tool 4)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
      April 01, 2011 - Strategy 4: IDEA Discharge Planning (Tool 4) Insert hospital logo here Care Transitions from Hospital to Home: IDEAL Discharge Planning Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 4: IDEAL Discharge Planning (Tool 4) Guide to Patient & Family Engagement If you have condu…

9252. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation T…

9253. 0169 - Establishment of Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
      February 01, 2017 - 0169 - Establishment of Gestational Age: Full Report Establishment of Gestational Age Section 1. Basic Measure Information 1.A. Measure Name Establishment of Gestational Age 1.B. Measure Number 0169 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measure…

9254. Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
      July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC Care Coordination Quality Measure for Primary Care (CCQM-PC) Development and Pilot Test of the CCQM-PC v 1.0; Guidance for Use of CCQM-PC v 2.0 Overview of the Care Coordination Quality Measure…

9255. Telehealth and Patient Safety During the COVID-19 Response | PSNet
      psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
      May 14, 2020 - Telehealth and Patient Safety During the COVID-19 Response May 14, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [i…

9256. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
      January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…

9257. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please Teryl K. Nuckols, MD, MSHS | September 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Nuckols TK. Incident Reporting: More Attention to the …

9258. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Behrhorst J, Gale B, Van CM. Th…

9259. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab • Title of Project: Connected Emergency Care (CEC) Patient Safety Learning Lab • Principal Investigators: Jeremiah S. Hinson, MD, PhD, and Scott R. Levin, PhD • Team Members: Jeremiah Hinson, MD, PhD, Scott Levin, PhD, Eili Klein, Ph…

9260. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet
      psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
      February 24, 2022 - COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care Citation Text: Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department o…