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1341. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Principal Investigator Saul N. Weingart, MD, PhD Co-Investigators Maureen Connor, RN, MPH Syl…

1342. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
      January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…

1343. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …

1344. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
      January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices 409 A Model-based Approach to Prioritizing Medical Safety Practices Richard S. Marken Abstract This report shows how a model of skilled human performance can be used to evaluate safety practices aimed at reducing medical error when randomized tr…

1345. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…

1346. 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 …

1347. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
      October 01, 2014 - Ask the patient to share his or her ideas about quitting strategies.

1348. 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 - progress, sharing information and data about the project, celebrating successes, and generating new ideas

1349. Improving Your Laboratory Testing Process Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
      December 01, 2017 - • While mapping, if ideas come up for fixes or there are questions that can't be answered, have the

1350. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - education materials accompanying the PBN (including treatment referral resources); and c) generate ideas

1351. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report Neonatal Intensive Care All-Condition Readmissions Without Gestational Age Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions Without Gestational Age 1.B. Measure Number…

1352. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported 1 Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported 1.B. Measu…

1353. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - best team leader is somebody who has some management experience, is a positive thinker, is open to new ideas … manager—noted that the Lean leader should have management experience, be a positive thinker, be open to new ideas

1354. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation   Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Nursing Home's Pressure Ulcer Prevention Implementation Scripted Exercise #…

1355. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
      January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…

1356. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
      January 01, 2024 - CRP Certification: Promoting Accountability and Learning After Adverse Events FINAL PROGRESS REPORT 1. Title Page Title of Project: CRP Certification: Promoting Accountability and Learning After Adverse Events Principal Investigator and Team Members: Thomas H. Gallagher, MD, Principal Investigator Karen Brigham…

1357. Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
      January 01, 2024 - Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report RESPOND Pharmacy Education Toolkit: AHRQ Final Report Principal Investigator: Daniel Hartung, PharmD, MPH Team Members: Nicole O’Kane, Christi Hildebran, Adriane Irwin, Lindsey Alley, Kevin Novak, Sara Haverly, David Cameron, Jennifer Hal…

1358. Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
      January 01, 2024 - Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services AHRQ Grant Final Report Project Title: Demonstration of Quality Improvement of Medication Therapy Management Services Principal Investigator: William R. Doucette, PhD Email: william-doucette@uiowa.edu (319) 335-8…

1359. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities July 21, 2016 Download accessible version of slides (PDF, 1 MB) The National Quality Strategy and The Public Sector [Slide 1] Operator: Ladies and gentlemen, thank you for stand…

1360. CAHPS 2024 Research Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
      January 01, 2024 - CAHPS 2024 Research Meeting Summary Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2024 Research Meeting Summary Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice November 2024 2 Table of Contents Introduction ......................…