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1821. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

1822. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - amount of pre-work and investigation by the Clinical Process Manager, the team plans three to four 2-hour

1823. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Working With Patient and Families as Advisors Implementation Handbook Strategy 3: Bedside Shift Report (Implementation Handbook) [Type text] [Type text] [Type text] Strategy 1: Working With Patient and Families as Advisors (Implementat…

1824. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
      January 01, 2024 - Interviews of clinicians and patients were approximately 1 hour in length, conducted using Zoom, audio … In 1-hour Zoom sessions, we presented the two patient scenarios via the RCS mock-up to clinicians and

1825. Chartbook on Healthcare for Asians and Native Hawaiians/Pacific Islanders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/asian-nhpi/asian-nhpi-chartbook.pdf
      May 15, 2020 - Chartbook on Healthcare for Asians and Native Hawaiians/Pacific Islanders Chartbook on Healthcare for Asians and Native Hawaiians/Pacific Islanders NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT This document is in the public domain and may be used and reprinted without permission. Citation of the source…

1826. Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
      April 01, 2024 - Adolescents to Deliver Preventive Services 6 2.3 Key Informant Interviews We conducted three 1-hour … We conducted 1-hour semi-structured interviews via Zoom in February 2024.

1827. Partnering With Patients To Improve Quality, Safety, and the Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-1.pdf
      May 01, 2016 - Partnering With Patients To Improve Quality, Safety, and the Patient Experience Case Study Problem Addressed True patient-centered care requires providers and practices to forge strong partnerships with patients and families to improve the quality, safety, and experience of health care along the care continuum.1,…

1828. How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
      January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement 1 Issue Brief How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement This brief shares the experiences of two provider groups using the 12-Month version of the CAHPS Clinician & …

1829. PowerPoint Presentation (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
      May 01, 2014 - PowerPoint Presentation Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. AHR…

1830. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
      September 01, 2022 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides AHRQ Safety Program for Improving Antibiotic Use 1 Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses Acute Care Slide Title and Commentary Slide Number and Slide …

1831. Transcript: Senior Leadership Podcast – Implementing Strategies and Tools (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module3-transcript.pdf
      June 01, 2017 - Transcript: Senior Leadership Podcast – Implementing Strategies and Tools AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Transcript Senior Leadership Podcast—Implementing Strategies and Tools Hosts TJ Lewis Louella Hung Interviewees Susan DeCamp-Freeze, R.N., B.S.N., M.B.A. Senior Dire…

1832. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will …

1833. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
      September 01, 2021 - Roadmap for Implementing Pediatric Quality Measures for Performance Improvement This Roadmap serves as a guide for stakeholders planning to implement pediatric quality measures for performance improvement. It is intended for use by states, health plans, hospitals, and other providers embarking on a quality im…

1834. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will …

1835. Healthcare Systems and Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/healthcare-systems.html
      August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Healthcare Systems and Infrastructure Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excel…

1836. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
      January 01, 2017 - Presentation: Program Overview Assess Patient Safety Culture Using the Hospital Survey on Patient Safety AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-30-EF January 2017 Using HSOPS ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After t…

1837. 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/module6/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. SLIDE 1 SAY: In this module we will— · Define sustainability and understand the importance of maintaining positive change · Describe the link between sustainability and spr…

1838. Preventing Pressure Injuries in Hospitals
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
      June 16, 2017 - Preventing Pressure Injuries in Hospitals Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1 – Understanding Why Change Is Needed 1 Ice Breaker Describe an interesting fact about yourself. 2 Compelling Reasons To Implement Program Pressure injury rates continue to escalate. The inci…

1839. Pressure Ulcer Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
      February 16, 2011 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 2 Tools 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C: Current Process Analysis 2D: Assessing Pressure Ulcer Policies 2E: Assessing Screening for Pressure Ulcer Risk 2F: Assessing Pressure Ulcer Care Planning 2I: Action Plan …

1840. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
      December 01, 2017 - Facilitator Guide: Science of Safety Training & Identifying Defects Science of Improving Safety and Identifying Defects – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide The Science of Improving Patient Safety and Identifying Defects SAY: The topic of this module is the science of …