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1921. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
      January 01, 2024 - These workshop sessions generated potential solutions and prototypes to mitigate diagnostic disparities

1922. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
      December 01, 2023 - If data are missing, the hospital is not included in the numerator or denominator of generated statistics

1923. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
      January 01, 2024 - Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients Title Page Project title: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients Principal Investigators: Drs. Janice Morse and Andrew Merryweather…

1924. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) 1 | P a g e Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) Principal Investigator: Jeffrey L. Schnipper, MD, MPH Team Members: Harry Reyes Nieva, MAS; Me…

1925. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
      July 01, 2022 - USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities 2 This tool is voluntary and not related to any interim, final, or enjoined Centers for Medicare & Medicaid Services (CMS) rules or regulation…

1926. Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
      July 01, 2019 - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center 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 Re…

1927. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Thomas R. Cunningham, MS, and E. Scott Geller, PhD Abstract Medical errors continue t…

1928. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…

1929. Risk-Based Patient Safety Metrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
      March 25, 2008 - Risk-Based Patient Safety Metrics Risk-Based Patient Safety Metrics Matthew C. Scanlon, MD; Ben-Tzion Karsh, PhD; Kelly A. Saran, MS, RN Abstract Patient safety programs require meaningful metrics. Dominant frameworks are based on two safety metrics: one that seeks to identify, measure, and eliminate error an…

1930. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
      June 30, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation The Joint Commission Journal on Quality and Patient Safety 2024; 50:95–103 The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation Kisha J. Ali, PhD, MS…

1931. Physician Engagement (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
      April 01, 2013 - Physician Engagement (Transcript) September 13, 2011 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instructions will be given i…

1932. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
      April 01, 2013 - Conflict Resolution (Transcript) October 12, 2010 Operator: Good evening, ladies and gentlemen, and welcome to your CUSP content call. At this time all participants are in a listen-only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should req…

1933. Understanding CAHPS® Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
      January 01, 2019 - Understanding CAHPS® Surveys Webcast Transcript Understanding CAHPS® Surveys: A Primer for New Users January 2019 Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality Susan Edgman-Levitan, P.A., Executive …

1934. Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality February 4, 2015 Download accessible version of slides (PDF, 1.5 MB) National Quality Strategy Webinar: Using Payment to Improve Health and Health Care Quality. February 4, 2015 [Slide 1] Operato…

1935. Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement September 17, 2014 Download accessible version of slides (PDF, 2.4 MB) National Quality Strategy Webinar: Using Quality Measurement for Improvement. September 17, 2014 [Slide 1] Operator:  Ladies and g…

1936. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
      January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture September 16, 2014 – Webinar Transcript Speakers Theresa Famolaro, MPS, Database Manager, AHRQ Surveys on Patient Safety Culture, Westat, …

1937. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - Alerts generated by smart pumps include clinical advisories, soft stops, and hard stops.

1938. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
      January 01, 2023 - upon, more Network of Patient Safety Databases Chartbook, 2023| 3 analyses and content will be generated

1939. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
      June 01, 2018 - Medication information generated in different settings might not be sent to a patient's primary care

1940. 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 - The meta-analyses regarding risk factors for CRE acquisition showed that the use of medical devices generated