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241. Journey of Mr. Kane
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
     June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

242. AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication In Site Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postop-csection.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Postoperative Cesarean Section Complication In Situ Simulation Sample Scenario for Postoperative Cesarean Section Complication In Situ …

243. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
     September 18, 2014 - PMCoE PICU Expert Work Group and Leadership Team Roster …

244. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
     September 18, 2014 - Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster …

245. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
     September 18, 2014 - Section 6-B, Expert Workgroup Roster and Materials …

246. 5 Tk2 P3O-Comprehensive Antibiogram Toolkit Phase 3 Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3O-Comprehensive_Antibiogram_Toolkit_Phase_3_Implementation.pdf
     May 01, 2014 - Phase 3 Implementation Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit Phase 3 Implementation After the antibiogram has been developed, the nursing home team will need a plan for how t…

247. CAHPS Health Plan Survey Child Medicaid Survey 5.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Child_Med_Eng_HP50_2155a.pdf
     September 01, 2015 - CAHPS Health Plan Survey Child Medicaid Survey 5.0 CAHPS® Health Plan Surveys Version: Child Medicaid Survey 5.0 Language: English Notes • Release of 5.0 version: The CAHPS Health Plan Surveys were updated in the Spring of 2012. The updates are limited to minor changes to the wording of several items and a …

248. Value Set Export (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-169-gestational-age-additional-specifications.pdf
     January 01, 2012 - Value Set Export Copyright 2012 American Medical Association and National Committee for Quality Assurance. All Rights Reserved. Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Performance Im…

249. Value Set Export (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085behaviorcoding.xls
     January 01, 2012 - Value Set Export Disclaimer Copyright 2012 American Medical Association and National Committee for Quality Assurance. All Rights Reserved. Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Perfor…

250. Value Set Export (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082cesareancoding.xls
     January 01, 2012 - Value Set Export Disclaimer Copyright 2012 American Medical Association and National Committee for Quality Assurance. All Rights Reserved. Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Perfor…

251. Module 4: Summary and Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4.html
     February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide Module 4: Summary and Next Steps Previous Page Next Page Table of Contents Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Module 1: Overview Module 2: Urinary Catheter Maintenance Module 3: Conversations Around D…

252. Table A.4.1. Verisk condition classifications | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
     December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Table A.4.1. Verisk condition classifications Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Sys…

253. Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/long-covid.html
     March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders Long COVID is a Case Study of Our Fractured Healthcare System MAR 21 2023 By Edmondo Robinson, M.D., M.B.A., M.S. Chair, AHRQ’s National Advisory Council Edmondo Robinson, M.D. M.B.A., M.S. Editor’s Note:   This blog post…

254. Appendix 2-A. Suggested Slides for Module 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
     October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 2-A. Suggested Slides for Module 2 Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in …

255. Chapter 4. Results and Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program4.html
     April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Chapter 4. Results and Next Steps Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Cata…

256. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
     September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity Previous Page Next Page Table of Contents The Contribution of Diagnostic Er…

257. Section 5, Figure 1 and Tables 1-5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
     January 01, 2011 - Section 5, Figure 1 and Tables 1-5 Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for Children with Complex Needs Suboptimal Care- Seeking by Parent/Pt •Lack of a PCMH •Urgent care/ED use instead of PCMH •Lack o…

258. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
     April 01, 2025 - PowerPoint Presentation Learning From Defects: Applying the “Swiss Cheese Model” of System Failures Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevent…

259. Section 1, Tables 1-4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-1-tables-1-4.pdf
     June 02, 2025 - Section 1, Tables 1-4 1 Table 1: Definition of Severe Sepsis and Septic Shock Term Definition Severe sepsis Sepsis plus one of the following: cardiovascular organ dysfunction OR acute respiratory distress syndrome OR two or more other organ dysfunctions. Sepsis Systemic Inflammatory Response Syndrome (SIRS) …

260. Section 2, Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-2-tech-specs.pdf
     June 02, 2025 - Section 2, Technical Specifications Sepsis Measure 3: Timely Blood Culture for Children with Sepsis Syndrome Description The proportion of hospitalized children with sepsis syndrome who had blood culture drawn within 4 hours of meeting diagnostic criteria for sepsis syndrome. A higher proportion indic…