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4801. Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
      January 01, 2024 - Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care Title: Addressing Patients' Multiple Concerns in Primary Care Principal Investigator/Team Members: Professor John Heritage, UCLA (PI); Professor Jeffrey Robinson, Rutgers University; Dr. Marc Elliott, RAND Corp; Dr. Megan Beckett, RAN…

4802. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…

4803. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities 193 Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities George Blike, Joseph Cravero, Steve Andeweg, Jens Jensen, Klaus Christoffersen Abstract Background: Human er…

4804. Weighted Summary Statistics: PUF Commercial Inpatient File (Version 2) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
      September 26, 2023 - Weighted Summary Statistics: PUF Commercial Inpatient File (Version 2) 15:39 Tuesday, September 26, 2023 1 Weighted Summary Statistics: PUF Commercial Inpatient File Variable Variable Label Count of Non-missing Values (Unweighted) Count of Missing Values (Unweighted) Minimum Maximum Mean Standard Deviatio…

4805. Generic Dashboard Data 2024 (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
      January 01, 2024 - Introduction Introduction-Generic Patient Safety Concern The tables in this workbook present generic data on Patient Safety Concerns submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include distributions of events and…

4806. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue Alarm Fatigue 13-1 13. Alarm Fatigue Authors: Meghan Woo, Sc.D., and Olivia Bacon Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM Introduction Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm desensitiz…

4807. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - Ambulatory Safety and Quality Program: Health IT Portfolio AHRQ’s Ambulatory Safety and Quality Program: Health IT Portfolio P R O G R A M B R I E F The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of health care by: • Using evidence to improve health care. • Improving health …

4808. Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
      December 01, 2017 - Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014) Webinar Transcript American Hospital Association – Chicago November National Content Call November 4, 2014 11:00 AM CT Operator: The following is a recording for Kathy Drury with the American Hospital Association. This is the N…

4809. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
      November 04, 2014 - Rafael Borja American Hospital Association – Chicago November National Content Call November 4, 2014 11:00 AM CT Operator: The following is a recording for Kathy Drury with the American Hospital Association. This is the November National Content Call on Tuesday, November 4, 2014 at 11:00 a.m. Central Time. Excuse m…

4810. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
      April 01, 2013 - CLABSI Investigation Process: Walk the Process (Transcript) September 14, 2010 Operator: Good day, ladies and gentlemen and welcome to the CUSP content call. At this time, all participants are in a listen-only mode. Later, we will have a question-and-answer session, and instructions will be given at that tim…

4811. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
      September 01, 2015 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript 1 Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture July 15, 2015 – Webcast Transcript Speakers Jim Battles, PhD, AHRQ Center for Quality Improvement and Patient Safety, Rockville, …

4812. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism References Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3. Outline the Eviden…

4813. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…

4814. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism References Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3. Outline the Eviden…

4815. Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
      January 01, 2023 - Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes Prepared for: Agency for Healthcare Researc…

4816. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training—Handouts: On-Time Falls Prevention Training   Implementation Scripted Exercise – Change Team Meeting for Self-Assessment Implementation Scripted Exercise – Selecting Falls Prevention Reports and Meetings in W…

4817. Fallspximpl-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Handout 1: Implementation Scripted Exercise – Change Team Meeting for Self-Assessment Team consists of: Facilitator [Jim]. Program Champion [Mary]. Nursing Assistant A [Allison]. Nursing Assistant B [Jolene]. Nurse Manager A [Miranda]. Nurse M…

4818. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
      October 01, 2024 - Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings AHRQ Safety Program for MRSA Prevention Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings Introduction 1 The Importance of MRSA Prevention 1 Four Key Strategies of MRSA Prevention 1 Decolonize Patients 2 Decontamina…

4819. Guide-Infection-Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
      March 01, 2017 - ACKNOWLEDGMENTS Content leads for the preparation of this document were as follows: Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC Infection Preventionist Lutheran Home/Lutheran Life Communities Arlington Heights, IL Steven J. Schweon, R.N., M.P.H., M.S.N., CIC, HEM, FSHEA Infection Prevention Cons…

4820. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
      April 01, 2013 - Two More “Es” and How To Spread (Transcript) December 13, 2011 Operator: Excuse me, everyone, and thank you for holding. Please be aware that each of your lines in a listen-only mode. At the conclusion of today’s presentation, we will open the floor for questions. At that time, instructions will be given as …