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4741. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

4742. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…

4743. Chartbook on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
      January 01, 2020 - 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

4744. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts AHRQ’s Safety Program for Nursing Homes Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Completed Self-Assessment Worksheet …

4745. Puh-Implementation-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
      July 01, 2016 - Handouts: Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Com…

4746. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles 1 Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality Implementation Programs Society of Critical Care Medicine William S. Miles, MD, FACS, FCCM, FAPWCA Director of Surgical Critical Care and the …

4747. Putoolssect7 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
      February 16, 2011 - You may want to administer it to different groups and compare the results to obtain insight on potential

4748. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Introduction to Preventable Hospital and ED Visits Reports AHRQ’s Safety Program for Nursing Homes: On-Time …

4749. Final Progress Report: Solutions for Vertigo presentations in the Emergency Department (SOLVE) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kerber-report.pdf
      January 01, 2025 - Final Progress Report: Solutions for Vertigo presentations in the Emergency Department (SOLVE) Project Final Progress Report Title of Project: Solutions for Vertigo Presentations in the Emergency Department (SOLVE) Project Principal Investigator: Kevin A. Kerber, MD Team Members: Devin L. Brown, MD A. Mark Fendric…

4750. Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
      January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Principal Investigator: Ronilda Lacson, MD, PhD Team Members: Ramin Khorasani, MD, MPH Katherine Andriole, PhD Luciano Prevedello, MD, MPH Tejal …

4751. How are CHIPRA quality demonstration States supporting the use of care coordinators? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight09.html
      July 01, 2014 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 Authors: Ellen Albritton, Dana Petersen, and Margo Edmunds Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demons…

4752. Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
      April 01, 2013 - Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy Pediatr Drugs DOI 10.1007/s40272-013-0042-4 LEADING ARTICLE Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy Edwin A. Lomotan • Denise Dougherty © Springer International Publishing Switzerland (outside th…

4753. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis References Previous Page   Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic Stewards…

4754. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
      January 01, 2024 - Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) Principal Investigator: Hall, Kendall K. 7P20HS017111-02 FINAL REPORT Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) Principal Investigator: Kendall K. Hall, MD, MS (University of …

4755. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix D. Falls Engineer Instructions Previous Page   Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…

4756. Cerner-Q-A-Session (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
      June 02, 2025 - 1 EHR Q&A Sessions Introduction Prior to each EHR Q&A event, participants were asked to submit questions related to the implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians regar…

4757. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
      January 01, 2024 - Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records Improving Quality of postoperative pain care through innovative use of electronic health records PrincipaI Investigator Tina Hernandez-Boussard Team members Catherine Curtin Stanford University…

4758. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
      March 01, 2023 - Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation Guide for Care Coordination March 2023 1 Implementation Guide for Enhancing Care Coordination for CR Acronym List Term Abbreviation AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation AR Automatic Refe…

4759. Advances in Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/index.html
      July 01, 2022 - Advances in Patient Safety Next Page Table of Contents Advances in Patient Safety Acknowledgments Preface Peer Reviewers for Volume 1. Research Findings Peer Reviewers for Volume 2. Concepts and Methodology Peer Reviewers for Volume 3. Implementation Issues Peer Reviewers for Volume 4. Pro…

4760. Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
      December 01, 2024 - Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients 1 Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients Prepared by: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …