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6041. Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
      October 01, 2014 - Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality Search All Impact Case Studies August 2008 A tool developed by AHRQ provided both a benchmark and a measure of progress for a major quality improvement initiative at Evanston Northwestern Healthcare (ENH). The tool—the Hospital …

6042. A One-Stop Shop for Health Care in Suburban North Carolina | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/model/profiles/burke.html
      March 01, 2021 - A One-Stop Shop for Health Care in Suburban North Carolina "We're kind of like a mini hospital," explains Ms. May Thao, patient care coordinator at Burke Primary Care, a comprehensive family practice that offers a wide range of health care services at the foothills of the Blue Ridge Mountains in Morgantown, Nor…

6043. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
      October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…

6044. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
      March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans A Webcast Presented by the AHRQ CAHPS User Network March 17, 2015 1:00 – 2:00 pm EDT www.cahps.ahrq.gov CAHPS Webcast Series • Consumer Assessment …

6045. Content-Specific Versus Process-Focused Checklists | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
      September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Content-Specific Versus Process-Focused Checklists Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Sp…

6046. Supplemental Items for the CAHPS Clinician & Group Adult Survey: Interpreter Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items-cg-survey30-adult.html
      December 01, 2023 - Supplemental Items for the CAHPS Clinician & Group Adult Survey: Interpreter Services Population version: Adult Users of the CAHPS ® Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Some items cover events …

6047. Diagnostic Terminology: Challenges and Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
      April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Diagnostic Terminology: Challenges and Opportunities Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Impro…

6048. Next Steps | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
      September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Next Steps Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction The History of Patient Roles Impac…

6049. 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…

6050. Sample Telephone Script for the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sample-telephone-script.pdf
      April 17, 2017 - Sample Telephone Script for the CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions Sample Telephone Script for the CAHPS Child Hospital Survey (Child HCAHPS) Document No. 962 Updated 4/17/2017 Sample Telephone Script for the CAHPS® Child Hospital Survey (Child HCAHPS) The foll…

6051. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
      August 01, 2017 - Table 3 includes percent positive scores for each type of culture by institution and overall across all

6052. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
      September 19, 2015 - Health center population only includes data from 1,202 program grantees. … Includes only patients for whom it is known whether they saw a nephrologist prior to initiation.

6053. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - The taxonomy includes four main tiers. The first tier considers what happened.

6054. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? 199 Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? Dean Schillinger, Edward L. Machtinger, Frances Wang, Lay-Leng …

6055. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
      January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance Dean Schillinger, Eddie Machtinger, Frances Wang, Maytrella Rodriguez, Andrew Bindman Objective: Mis…

6056. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
      January 01, 2017 - References Summary Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …

6057. Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
      January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty Title Page TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in times of diagnostic uncertainty PRINCIPAL INVESTIG…

6058. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comme…

6059. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
      March 15, 2004 - For example, NYPORTS includes all deaths within 2 days of a surgical procedure, even if the death was

6060. Final Progress Report: Optimizing OTC labels for older adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
      January 01, 2024 - Final Progress Report: Optimizing OTC labels for older adults AHRQ Grant Final Progress Report Optimizing OTC labels for older adults: Empirical evaluation of labels designed to provide older users the information they need to minimize adverse drug events Principal Investigators: Mark W. Becker, Ph…