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1741. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
      May 01, 2017 - Foundation assigned a dedicated project manager who worked with the implementation team to perform a gap

1742. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
      May 01, 2017 - Foundation assigned a dedicated project manager who worked with the implementation team to perform a gap

1743. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
      January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance AHRQ Grant Final Progress Report Title of Project: Analysis of Factors Associated with Clinical Checklist Compliance Principal Investigator: Aleksandra Sarcevic, PhD Associate Professor, College of Computing and Informatics, D…

1744. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…

1745. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
      January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs Title Page Title of Project: Risks Of Inaccurate Or Incomplete Preoperative Assessments In Freestanding ASCs Principal Investigator: Nancy Kupka DNSc, MPH, RN - The Joint Commission Team Members: Diana Bickham, …

1746. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
      March 01, 2023 - Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation Implementation Guide for Automatic Referral Introduction Acronym List Term Abbreviation AHRQ Agency for Healthcare Research and Quality AR Automatic referral CABG Corona…

1747. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention TITLE PAGE Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention Principal Investigator: Leigh V. Evans, MD Team Members: Ambrose H.…

1748. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings 225 Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings K. Arnold Chan for the HMO Research Network CERT Patient Safety Investigators Abstract Ten health m…

1749. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis 121 The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis Robert L. Phillips, Susan M. Dovey, John S. Hickner, Deborah Graha…

1750. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project 283 Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project Nancy E. Donaldson, Rosemary K. Plank, Ann Williamson, J…

1751. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT; Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…

1752. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
      February 21, 2008 - Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program Brian Jack, MD; Jeffrey Greenwald, MD; Shaula Forsythe; Julie O'Donnell; A…

1753. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements Improving Patient Safety Through Provider Communication Strategy Enhancements Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP; Rebecca Persing, RN, DNP Abstract The purpose of this study was to devel…

1754. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - Literacy To Protect Patient Safety • This public policy white paper frames the existing communication gap … It suggests multiple steps that need to be taken to narrow or close this gap.

1755. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - Starting in Cohort 3, HRET, in conjunction with the HSPH, decided to fill that gap by using QI Advisors … cohort 3, HRET, in conjunction with the Harvard School of Public Health (HSPH), decided to fill that gap

1756. 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 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
      January 01, 2013 - women ages 16-20 years of age as of December 31 of the measurement year and with no more than one gap … Continuous enrollment 31 days-15 months of age, with no more than one gap in enrollment of up to 45

1757. Potential Measures for Clinical-Community Relationships: A Supplement (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ccrm-atlas-suppl.pdf
      October 01, 2013 - investigators suggest 52 potential measures or measurement concepts that could be developed to fill the gap

1758. Potential Measures for Clinical-Community Relationships: A Supplement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas-suppl.pdf
      October 01, 2013 - investigators suggest 52 potential measures or measurement concepts that could be developed to fill the gap

1759. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…

1760. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - Improving Patient Safety by Engaging Patients and Families AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Engaging Patients and Families Overview Research has shown that involving patients, as well as their families and caregivers, in the planning, delivery, and evaluation of their heal…