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441. Appendix B1: The FMP Self-Assessment Tool (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B1: The FMP Self-Assessment Tool (Text Description) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…

442. Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
     January 01, 2024 - Four subcohorts of patients defined by diagnosis (acute myocardial infarction, heart failure, pneumonia

443. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
     January 01, 2025 - diagnosis error reported by our surveyed practitioners was for lung cancer (n=11), breast cancer (n=9), congestive … heart failure (n=8), pulmonary embolism (n=7), colon/rectal cancer (n=6), diabetes (n=6), and depression

444. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
     March 01, 2023 - Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination Implementation Guide for Getting Started Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination Acronym List Term Abbreviation AACVPR American Assoc…

445. Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips90.html
     October 01, 2014 - Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Allina/GMCF, the Quality Improvement Organization (QIO) for Georgia, in conjunction with the Georgia Hos…

446. E-Fetal-Monitoring Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety—Electronic Fetal Monitoring SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM). This bundle offers an approach to the us…

447. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Say: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM…

448. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives from the Frontlines Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD; Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA Abstract Although patient safety experts have focused on event…

449. Minding the Gaps: Creating Resilience in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
     April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

450. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave-references.html
     July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond References Previous Page   Table of Contents Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Introduction Understanding the AI Wave—What Is AI? Understanding AI’s Potential…

451. Design Options for a Self-Management Support Program (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
     July 01, 2018 - As an example, an external call-center program for heart failure patient support stratified participants … (people identified with heart failure who agreed to enroll) into three categories of high, medium, and

452. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
     January 01, 2004 - morbid conditions and/or at risk for poly-pharmacy if they had 2 or more chronic conditions (e.g., congestive … heart failure, diabetes, hypertension, etc.) beyond the indication for warfarin noted in the electronic

453. Teaching Implementation Change Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
     February 01, 2024 - Teaching Implementation Change Management Change Management Overview and Objectives Display Slide 63, “Change Management,” as the class reassembles before discussing the last implementation topic. In discussing Slide 64, “Objectives,” as you transition from coaching to change management, note that succe…

454. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
     January 01, 2024 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Cynthia F. Corbett, PhD, RN: Principal Investigator Alice A. Dupler, JD, APRN-BC Stephen M. Setter, PharmD, DVM, CGP Ke…

455. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, EdM, PhD Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker, PhD; Jonathan Young; O…

456. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Commercially Insured Beneficiaries Ages 45-64 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/data-innovations-statbrief-statins-commercial-insurance.pdf
     October 02, 2024 - Evidence of a “heart failure belt” in the southeastern United States.

457. Supportive and Palliative Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
     June 01, 2018 - Chartbook on Healthy Living Supportive and Palliative Care Previous Page   Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectiveness Measures Maternal and C…

458. Section 6: Operating a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
     October 01, 2014 - Sedgwick County as its pilot site to implement a care management program focused on asthma, diabetes, congestive … heart failure, and other high-risk or high-need members.

459. Pediatric All-Condition Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
     December 31, 2015 - Single-component interventions effective in reducing readmissions for patients with heart failure include … peri-discharge management include comprehensive discharge planning plus post-discharge support for heart … failure and involvement of advanced practice clinicians (Coleman, et al, 2006; Naylor, et al, 2004; … failure, or pneumonia. … failure, or pneumonia.

460. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
     December 01, 2017 - Sustaining Change Webinar Transcript April 14, 2015 Operator: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National Conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. Central Time. Excuse me everyone. We now have all of …