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2521. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five sample reports are provided here. The reports are: • High-Risk Transfer Report (a medium-risk rep…

2522. 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…

2523. Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
      January 01, 2024 - Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Sit…

2524. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
      January 01, 2016 - Therefore, we recommend the following guideline: • Use a 5 percentage point difference as a rule of

2525. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…

2526. Interim Report of the Subcommittee of the NAC on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
      October 01, 2022 - Interim Report of the Subcommittee of the NAC on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities - 1 - INTERIM REPORT OF THE AHRQ NATIONAL ADVISORY COUNCIL SUBCOMMITTEE ON THE PATIENT-CENTERED OUTCOMES RESEARCH TRUST FUND STRATEGIC FRAMEWORK AND FUTURE ACTIVITIES …

2527. AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
      October 19, 2021 - AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary AHRQ SUBCOMMITTEE OF THE NATIONAL ADVISORY COUNCIL ON HEALTHCARE QUALITY MEASUREMENT EXECUTIVE SUMMARY - 1 - …

2528. Expanding and Enhancing All Payer Claims Database System Capacity in States | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/confrpt.html
      February 01, 2018 - Expanding and Enhancing All Payer Claims Database System Capacity in States The National Association of Health Data Organizations (NAHDO) and the APCD Council brought together States aggregating health care claims data from payers to transfer knowledge and best practices in all-payer claims database (APCD) coll…

2529. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
      June 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care Introduction Pre-Intervention Assessment Purpose The purpose for this self-assessment is to: -Highlight current efforts to promote safe transitions of care and engage patients; -Identify gaps or opportunities for…

2530. Understand the Science of Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
      July 01, 2018 - Understand the Science of Safety Facilitator Notes The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…

2531. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
      January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection Prevention in Emergency Care: A Systems Approach Principal Investigator: Jeremiah D. Schuur, MD, MHS Team Members: Conference Co-Chair: Connie Price, MD Project Coordinator: Corine Sinnette, MA Organization: Brigh…

2532. 025-Assessing-Evc-Webinar-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Assessing Environmental Cleaning Effectiveness ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Assessing Environmental Cleaning Effectiveness SAY: Welcome to this presentation on Assessing Environmental Cleaning (EVC) Effectiveness and incorporating effective…

2533. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Assessing Environmental Cleaning Effectiveness ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Assessing Environmental Clea…

2534. 170-Cusp-Science-Safety-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.” As you consider esta…

2535. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
      April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? Evaluation Highlight No. 11 Authors: Grace Anglin and Mynti Hossain Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Qua…

2536. Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
      September 01, 2015 - Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary Prepared for: Agency for Healthcare Research and Quality Rockville, MD Contract No. …

2537. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change SAY: This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…

2538. Assembleteam (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
      June 02, 2025 - SAY: The “Assemble the Team” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses CUSP team composition for your quality improvement initiative. This module will help you understand five concepts: the importance of teamwork and team composition to the CUSP initiative, developing a strategy …

2539. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
      July 01, 2023 - Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…

2540. Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
      July 01, 2012 - Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Prepared for: Agency for Healthcare Research and Quality Rockville, MD 20850 Contract No. …