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2641. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…

2642. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…

2643. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

2644. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
      January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Resea…

2645. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
      January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…

2646. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
      October 01, 2019 - Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid Section 1. Basic Measure Information 1.A. Measure Name …

2647. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
      November 01, 2017 - Hospital clinical data Hospital CXR Number of Cases 93 2,144 816 30 127 19 108 Definition of HAC NNIS guideline … Guideline for prevention of catheter-associated urinary tract infections 2009.

2648. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
      November 01, 2017 - Hospital clinical data Hospital CXR Number of Cases 93 2,144 816 30 127 19 108 Definition of HAC NNIS guideline … Guideline for prevention of catheter-associated urinary tract infections 2009.

2649. 2014-Women-Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
      January 01, 2014 - The 2008 update of the Public Health Service Clinical Practice Guideline Treating Tobacco Use and Dependence

2650. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
      February 01, 2015 - Health Care Simulation to Advance Safety: AHRQ Issue Brief Foreword Simulation has long been recognized for the integral role it plays in high- risk industries. Our aerospace, transportation, and power-generation industries have become steadily safer over the years with the aid of simulation. As the Ebola virus di…

2651. Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/moore-report.pdf
      January 01, 2024 - Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic October 31, 2014 Title Page • Title of Project. Identifying Unnecessary Irradiation of Patients with Suspected Renal Colic • Principal Investigator and Team Members. Christopher L. Moore MD, Cary Gross MD, Ann…

2652. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients CUSP Guide for Reducing Ventilator- Associated Events in Mechanically Ventilated Patients AHRQ Pub. No. 16(…

2653. Mod5-Comm-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
      April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators. How to use this tool: Use the Communication Assessment Guid…

2654. How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
      January 01, 2020 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 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 quality of health care for children enrolled …

2655. How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
      September 08, 2015 - How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 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 qualit…

2656. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Act…

2657. Return on Investment Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
      January 01, 2013 - Return on Investment Tool Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to know what kind of financial return the investment will yield. A return on investment (ROI) analysis is a way to…

2658. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
      January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach to Reducing Medication Errors Project Final Report June 26th, 2023 Principal Investigator: Sadaf Kazi, PhD Team Members: Raj Ratwani, PhD Ella Franklin, MSN, RN Deanna-Nicole Busog Organization: MedSta…

2659. Section 8: The Care Management Evidence Base | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 8: The Care Management Evidence Base Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Se…

2660. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
      June 01, 2020 - References Health Services and Primary Care Research Study: Comprehensive Report 42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq. 42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.” AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…