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Total Results: 2,353 records

Showing results for "incidents".

2301. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - Experiences From the Frontline: Case Studies AHRQ Safety Program for Perinatal Care Experiences From the Frontline: Case Studies University of Arkansas for Medical Sciences THE NEED TO CHANGE Over the last 10 years, deliveries in the labor and delivery (L&D) unit at the University of Arkansas for Medical Sc…

2302. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
      October 01, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide Is Our Pharmacy Meeting Patients’ Needs? A Pharmacy Health Literacy Assessment Tool User’s Guide This user’s guide was produced under contract to the Agency for Healthcare Research and Quality (AHRQ) under Contract No.…

2303. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…

2304. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
      May 01, 2004 - Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability 7 Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability Peter E. Rivard, A. Rani Elwy, Susan Loveland, Shibei Zhao, Dennis Tsilimingras, Anne Elixhauser, Patrick S. R…

2305. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - getting feedback to the appropriate units in a timely manner; identifying the staff members involved in incidents

2306. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - getting feedback to the appropriate units in a timely manner; identifying the staff members involved in incidents

2307. Tobacco Use and Dependence, General References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
      January 01, 2010 - Tobacco Use and Dependence, General References General References 1. Fiore MC, Bailey WC, Cohen SJ, et al. Smoking cessation. Clinical Practice Guideline No. 18. Rockville, MD, U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research. AHCPR Publication …

2308. Stories of Success: Using CUSP To Improve Safety (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cuspsuccess.pdf
      October 01, 2012 - Stories of Success: Using CUSP To Improve Safety Stories of Success: Using CUSP To Improve Safety Prepared for: Agency for Healthcare Research and Quality (AHRQ) U.S. Department of Health and Human Services Contract Number: HHSA2902010000251/HHSA29032000IT, Task Order #1 Prepared by: Art…

2309. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18987-Nembhard-draft-1.pdf
      April 30, 2015 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations 1. Title Page Title of Project: Understanding the implementation of new practices in healthcare organizations Principal Investigator and Team Members: Ingrid M. Nembhard, PhD (P.I.) Elizabeth H. Bradley, PhD (Me…

2310. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18987-Nembhard-report.pdf
      April 30, 2015 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations 1. Title Page Title of Project: Understanding the implementation of new practices in healthcare organizations Principal Investigator and Team Members: Ingrid M. Nembhard, PhD (P.I.) Elizabeth H. Bradley, PhD (Me…

2311. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22458-Rosenman-report.pdf
      October 01, 2018 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…

2312. Office-Based Teams Instructor Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/primarycare/igpcobt.html
      December 01, 2012 - Office-Based Teams Instructor Guide TeamSTEPPS Primary Care Version This TeamSTEPPS module may undergo refinements while it is being tested in primary care practices as part of a project that runs through 2015. These files are offered as a courtesy to medical offices that wish to apply TeamSTEPPS principles i…

2313. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…

2314. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations 1. Title Page Title of Project: Understanding the implementation of new practices in healthcare organizations Principal Investigator and Team Members: Ingrid M. Nembhard, PhD (P.I.) Elizabeth H. Bradley, PhD (Me…

2315. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
      January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Final Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Principal Investigator: Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon) Team Members: Judy L. Smetzer, RN, BSN,…

2316. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
      April 01, 2019 - CHIPRA 81: Pediatric Global Health-7 Measure Report 1 Pediatric Global Health-7 Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Global Health-7 (PGH-7) Measure 1.B. Measure Number 0081 1.C. Measure Description Please provide a non-technical description of the measure that convey…

2317. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
      September 01, 2014 - 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). N…

2318. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
      June 01, 2018 - Chartbook on Care Coordination: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Coordination June 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress mandat…

2319. Pathways Community HUB Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/innovations/CommunityHubManual.pdf
      January 01, 2016 - Pathways Community HUB Manual A Pathways Community HUB Manual A Guide to Identify and Address Risk Factors, Reduce Costs, and Improve Outcomes Pathways Community HUB Manual A Guide to Identify and Address Risk Factors, Reduce Costs, and Improve Outcomes Prepared for: Agency for Healthcare Research and Qua…

2320. Medication Reconciliation for Children: General - Full Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-173-fullreport.pdf
      November 07, 2010 - Medication Reconciliation for Children: General - Full Report Medication Reconciliation for Children: General Desirable Attributes of Medication Reconciliation by Organizational Self-Report and Attestation Section 1. Basic Measure Information 1.A. Measure Name Medication Reconciliation for Children Measure Set …