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3221. Module-7-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
      June 02, 2025 - 1 TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7 Purpose and Overview This implementation guide is designed to help you think through the steps you can take to troubleshoot a successful automatic referral (AR) order set for your hospital/health system. …

3222. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation SAY: This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…

3223. Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
      January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…

3224. Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workfow Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facili…

3225. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
      July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency 105 Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder, Lisa J. Jaser, Nancy Safer, Paul Davern Abstract The Medicar…

3226. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
      January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task …

3227. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
      January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices Prepared for: Agency for Healthcare Research and Qual…

3228. Meeting Minutes (Draft), November 2023 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
      January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…

3229. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…

3230. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

3231. 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…

3232. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
      January 01, 2016 - • Most respondents (77 percent) indicated they had direct interaction with patients. … • More than half of the respondents (56 percent) indicated they had worked with their current hospital … Similarly, almost half of the respondents (47 percent) indicated they had worked in their current work … • Most respondents (77 percent) indicated they had direct interaction with patients. … Similarly, almost half of the respondents (47 percent) indicated they had worked in their current work

3233. Overuse of Imaging: Policy for ALARA Specific to Imaging Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
      August 01, 2019 - the survey were determined from Certificate of Need reports for the State of Michigan (2012), which indicated … Facilities were identified as having ALARA policies/protocols based on accreditation status as indicated … • While there were a small number of individuals completing the survey, many indicated they were … (2) the possibility that facilities were more comprehensively accredited than their patient roster indicated … All of the sites (100 percent) responding to the telephone survey indicated the presence of an ALARA

3234. Using Data Mining to Predict Errors in Chronic Disease 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-McCabe_39.pdf
      March 28, 2008 - A zero indicated the current prescription remained unchanged. … Positive numbers indicated the number of medication doses that were increased. … Although records indicated the use of insulin, titrations of insulin were not available. … Analysis of the prediction results and the specific branch paths used by the decision tree indicated

3235. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
      March 01, 2004 - A randomized controlled trial with 15-years follow-up indicated that nurse home visits during pregnancy … This study also indicated that a 9- item model performed as well as the longer 15-item version, correctly … A telephone survey of abused and non-abused women in 11 U.S. cities indicated that abused women were … A randomized controlled trial with 15 years follow-up indicated that nurse home visits during the … Children I, II-1, II-2 Poor-good: A trial of home nurse visits during and after pregnancy indicated

3236. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/outcomes.html
      October 01, 2015 - Appointment Access Results from two studies indicated that patient access improved after PCMH transformation … Ninety percent of the practices studied indicated that their patients usually or always saw the same

3237. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
      May 01, 2007 - Analysis of enoxaparin levels (as anti-Xa levels) suggested that draft conservative guidelines would have indicated … implemented as a quality improvement measure for CHB, Institutional Review Board approval was not indicated

3238. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
      March 01, 2017 - Appointment Access Results from two studies indicated that patient access improved after PCMH transformation … Ninety percent of the practices studied indicated that their patients usually or always saw the same

3239. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
      January 01, 2004 - These five adverse events are indicated with an asterisk in Table 5. … In fact, previous studies have indicated that reductions in nursing staff are associated with increased

3240. Staff Presentation Template (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
      July 01, 2004 - Staff Presentation Template Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool C.3 INSTRUCTIONS FOR USING THIS TOOL DELETE THIS SLIDE BEFORE PRESENTATION • Use this PowerPoint presentation as a template for your presentation to hospital staff. • Replace the ch…