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4561. Recommendations to Improve Children's Health Care Quality Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
      December 01, 2012 - diverse talents and expertise, including measurement capability, clinical knowledge, and the stakeholder groups

4562. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
      January 01, 2025 - These data were gathered by a combination of direct observations of ED work, small focus groups, and

4563. Final Progress Report: Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
      January 01, 2025 - during the post-warning period, but the extent of such increase differed across the four trajectory groups

4564. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - Across age groups, the percentage of patients experiencing a delay ranged from 29.7% to 37.6%.

4565. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
      January 01, 2021 - Falls were divided into two groups: Falls known to have been Assisted, and Falls considered Unassisted … Falls were divided into two groups: Falls known to have been Assisted, and Falls considered Unassisted … Injuries were divided into three groups: No Injury where the incident did not result in harm, Injury … Injuries were divided into two groups: Fall considered unassisted and Fall known to be assisted.

4566. Appendix V: Tested Measures by DRA Domain (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2a.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V: Tested Measures by DRA Domain (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introd…

4567. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Trigger Summary Report Information Exercises Objective: Facilitators will understand criteria and rules that determine information that displays on the Trigger Summary Report. …

4568. Final Progress Report: Emergency Physician Workload (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
      January 01, 2024 - Final Progress Report: Emergency Physician Workload Emergency Physician Workload Grant Award Number: R03-HS024801 Principal Investigator: Kathryn M. Kellogg, MD, MPH Team: Allan Fong, MS Raj Ratwani, PhD Rollin J. Fairbanks, MD, MS Amy Will Tracy Kim Organization: MedStar Health MedStar Institute for Inno…

4569. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

4570. Diagnostic Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
      May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for Users of the AHRQ Diagnostic Safety Supplemental Item Set I. Purpose This document provides a list of references to websites and other publicly available resources that medical offices can use to improve the ex…

4571. Final Progress Report: Changes in Hospital Care Organization and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
      January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes 1. TITLE PAGE Title: Changes in Hospital Care Organization and Outcomes Principal Investigator: Ann Kutney-Lee Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo Abraham (co-mentors) Organization: University…

4572. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
      August 21, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 5: Response and Disclosure Communication In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. 1 Objectives Define the Response and Disclosure component of the CANDOR Proc…

4573. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 4: Event Reporting, Event Investigation and Analysis Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. 1 Objectives Define the key elements …

4574. How the CHIPRA quality demonstration elevated children on State health policy agendas | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
      October 01, 2013 - How the CHIPRA quality demonstration elevated children on State health policy agendas Evaluation Highlight No. 4 Authors: Nicole Cafarella Lallemand, Elizabeth Richardson, Kelly Devers, and Lisa Simpson Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes …

4575. How are CHIPRA quality demonstration States working together to improve the quality of health care for children? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
      January 01, 2014 - How are CHIPRA quality demonstration States working together to improve the quality of health care for children? Evaluation Highlight No. 6 Authors: Dana Petersen, Henry Ireys, Grace Ferry, and Leslie Foster Contents Key Messages Background Findings Conclusion Implications Learn More Endno…

4576. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Overview: Getting Patients Off the Ventilator Faster SAY: In this module, we will introduce strategies and interventions, as well as adaptive and technical measures, which, when implemented, can help …

4577. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
      January 01, 2017 - Presentation: Program Overview Overview: Getting Patients Off the Ventilator Faster AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-25-EF January 2017 Overview ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, you will be …

4578. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
      February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Overview: Getting Patients Off the Ventilator Faster Say: In this module, we will introduce strategies and interventions, as well as adaptive and technical measures, …

4579. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
      January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process The Emergency Department & Catheter Insertions * Mohamad Fakih, MD, MPH St. John Hospital and Medical Center Lisa Wolf, PhD, RN, CEN, FAEN Emergency Nurses Association (ENA) Jeremiah Schuur, MD, MHS, FACEP Brig…

4580. SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-SPANISH-508.pdf
      January 01, 2022 - SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey - Spanish 1 SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the e…