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3881. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
      December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …

3882. AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations AHRQ Publication No. 17-0003-22-EF May 2017 SAY: Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for…

3883. Chipra204-Materials Ii (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
      June 02, 2025 - eMeasure Title Follow-up Referral after Positive Developmental Screen eMeasure Identifier (Measure Authoring Tool) 376 eMeasure Version number 0.0.005 NQF Number None GUID d47f5664-bd76-4a65-88aa-f73f6fb6a2c8 Measurement Period January 1, 20xx through December 31, 20xx Measure Steward Agency for Healthcare Resea…

3884. Section 5: Selecting a Care Management Program Model | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm5.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 5: Selecting a Care Management Program Model Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Prog…

3885. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility safety team. Engaging the resident and family as partners will help assure they can be active participants in their care and in the decision-making process …

3886. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
      February 01, 2017 - Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Introduction to Daily C…

3887. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective communication to improve the resident safety culture in their facility. SLIDE 1 SAY: In this module we will— · Describe effective communicati…

3888. IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
      March 01, 2016 - IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool B.2b IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Guidance for Using the Windows QI Software and an Example of Output for On…

3889. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
      December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

3890. 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 - High Alert Medication Learning Guides. ConsumerMedSafety.org. 37. Health HTHCSoP.

3891. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
      January 01, 2024 - Comparative effectiveness of patient-centered strategies to improve FDA medication guides.

3892. Final Progress Report: Cardio-HIT Phase II (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
      January 01, 2024 - Final Progress Report: Cardio-HIT Phase II Final Progress Report Cardio-HIT Phase II Principal Investigator Karen S. Kmetik, PhD Vice President, Performance Improvement American Medical Association, Chicago, IL Co-Principal Investigator Michael O’Toole, MD Cardiologist and Chief Information Officer Midw…

3893. Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
      January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation TITLE Title: Regional Approach for THQIT in Rural Settings – Implementation Principal Investigator: Francis M. Richards Organization: Geisinger Clinic on behalf of the Geisinger Health System Dates of Project: September 30, 2005, t…

3894. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
      January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Title Page Application title: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Principal investigator: Charles G. Macias, MD, MPH Co-investigator: Evaline Alessandrini, MD,…

3895. Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
      January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD, MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis Advi…

3896. 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, …

3897. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
      April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…

3898. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…

3899. Clinical Inertia and Outpatient Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
      January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …

3900. Risk-Based Patient Safety Metrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
      March 25, 2008 - Risk-Based Patient Safety Metrics Risk-Based Patient Safety Metrics Matthew C. Scanlon, MD; Ben-Tzion Karsh, PhD; Kelly A. Saran, MS, RN Abstract Patient safety programs require meaningful metrics. Dominant frameworks are based on two safety metrics: one that seeks to identify, measure, and eliminate error an…