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5741. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
      January 01, 2024 - Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS AHRQ Grant Final Progress Report 12/2018 Title of Project: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue (Push Electronic Relay for Smart Alerts f…

5742. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard TITLE PAGE Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard Princip…

5743. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error AHRQ Grant Final Project Report Title of Project Using Public Deliberation to Define Patient Roles in Reducing Diagnostic Error Principle Investigator Tina Nabatchi, PhD, Associate Professor, Maxwell School of Ci…

5744. Episiotomy (Overuse) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
      March 01, 2016 - Episiotomy (Overuse) Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measure is aim…

5745. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
      January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 January 2019 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017 Summary Updated and new patient safety data for 2014 through 2017 conti…

5746. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - Combining Performance Feedback and Evidence-based Educational Resources 237 Combining Performance Feedback and Evidence-based Educational Resources John R. Meurer, Linda N. Meurer, Jean Grube, Karen J. Brasel, Chris McLaughlin, Stephen Hargarten, Peter M. Layde Abstract Objective: This study is intended t…

5747. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
      July 01, 2023 - PowerPoint Presentation SPPC-II Toolkit Obstetric Hemorrhage Scenarios Safety Program for Perinatal Care II Teamwork Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …

5748. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting Principal Investigator: Ronilda Lacson, MD, PHD Team Members: Ramin Khorasani, MD, MPH Ivan Ip, MD, MPH Sonali Desai, MD Allen Ka…

5749. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
      March 01, 2016 - Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) Section 1. Basic Measure Information 1.A. Measure Name Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) 1.B. Measure Number 0082 1.C. Measure Description Please…

5750. Episiotomy (Overuse): Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
      March 01, 2016 - Episiotomy (Overuse): Report Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measur…

5751. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - Understanding errors from a systems perspective helps managers and policymakers avoid over- reacting

5752. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - ChartBook On Patient Safety CHARTBOOK ON PATIENT SAFETY National Healthcare Quality and Disparities Report Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov http:www.ahrq.gov This document is in the public domain and may be used and reprinted witho…

5753. AHRQ Step Up App Challenge Phase 1 Informational Webinar (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/stepup_Challenge/step-up-challenge-phase-1-webinar-slides.pdf
      September 24, 2018 - AHRQ Step Up App Challenge Phase 1 Informational Webinar AHRQ Step Up App Challenge Advancing Care Through Patient Self-Assessments Phase 1 Informational Webinar Learn about the challenge and how to enter Phase 1 For more information, visit: www.ahrq.gov/stepupappchallenge 1 http…

5754. On-Time Pressure Ulcer Prevention: Facilitator Training—Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-handouts.pdf
      March 22, 2014 - On-Time Pressure Ulcer Prevention: Facilitator Training—Handouts AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Handouts: Introduction to Pressure Ulcer Prevention Reports 1. Nutrition Report: High Risk 2. Nutrition Report (Exercise) 3. Weight Summary Report …

5755. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
      August 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Introduction Overview …

5756. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
      January 01, 2012 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although childre…

5757. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
      January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary …

5758. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
      April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa AHRQ Grant No.: HS024379 Proj…

5759. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
      January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare October Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…

5760. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
      January 01, 2025 - Table of Contents: Volume 4. Technology and Medication Safety Contents Volume 4. Technology and Medication Safety Prologue: Technology and Medication Safety Mary L. Grady Health Information Technology “Safeware”: Safety-Critical Computing and Health Care Information Technology Robert L. Wears, Nancy G. Lev…