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2501. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

2502. Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
      January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH; Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA; Stephanie M.…

2503. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
      April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022 RE…

2504. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
      November 01, 2016 - Our office would like to do something similar to engage physicians; not just to give them a guideline

2505. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
      December 01, 2017 - Or do you have something that you could use to, supply us a guideline for a significant gap, like 10

2506. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
      October 08, 2013 - Or do you have something that you could use to, supply us a guideline for a significant gap, like 10

2507. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - The checklist gives you a guideline for what you should be asking for.

2508. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - the emergency department, the hospitalist attempts to look up whether they might benefit from newer guideline-directed

2509. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
      January 01, 2020 - For example, a stratified analysis by gender may not inform practice or policy if guideline-recommended

2510. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
      October 01, 2011 - Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations       Technical Review 17 Nutritional Research Series Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations Prepared for: A…

2511. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
      August 01, 2025 - These observations highlight the importance of ongoing efforts to develop an evidence-based guideline … understanding of ED safety, approaches to measuring safety in EDs and elsewhere, and the extent of guideline

2512. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
      October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Training Guide Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Module Goals The goals of…

2513. Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
      May 01, 2017 - Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide Slide 1: Debrief Example Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few minutes I'll be talking to you about how to turn the work yo…

2514. Appendix-K-Debrief-Audio-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
      June 02, 2025 - AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix K. Quality Improvement Study Framework Debrief Example Audio Transcript/Facilitator Notes Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few m…

2515. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…

2516. Section 1: Planning a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 1: Planning a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program S…

2517. 2021 CAHPS Hospital Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-childhcahps-chartbook.pdf
      January 01, 2021 - 2021 CAHPS Hospital Survey Database Chartbook THE CAHPS DATABASES CAHPS Child Hospital Survey Database 2021 Chartbook What Pediatric Patients and Their Parents or Guardians Say About Their Experiences With Inpatient Care Public Domain Notice. This product is in the public domain and may be used and reprinte…

2518. How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
      September 08, 2015 - How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the qu…

2519. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

2520. How are CHIPRA quality demonstration States improving perinatal care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
      May 01, 2015 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 Authors: Ellen Albritton and Dana Petersen Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demonstration Grant Program In Feb…