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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
    December 01, 2017 - Although few replies were received, those who responded indicated that they were collecting participant … Results indicated that a single item, “hospital units work well together to provide the best care for … In the interviews, quality improvement personnel and surgeons indicated appreciation for the science … Additionally, team members indicated that the tools were useful in improving communication in surgical … Staff at that particular institution indicated via telephone a strong desire to share their experience
  2. www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
    January 01, 2024 - -Patient received an antibiotic that was not indicated and develops C- diffical diarrhea and misses 3
  3. ICU Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
    April 01, 2022 - Adherence to proper central line maintenance procedures inclusive of central line tubing changes as indicated … insertion to prevent movement and urethral traction O O O Ensuring that unless otherwise clinically indicated
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
    June 02, 2025 - Abt Single-Sided Body Template On-Time Falls Prevention: Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: · On-Time Falls High-Risk Report. · Quarterly Summary of Falls Risk Facto…
  5. www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
    December 01, 2012 - Systems Change: Treating Tobacco Use and Dependence Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…
  6. www.ahrq.gov/downloads/pub/advances/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…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia SAY: Welcome to this …
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
    October 01, 2024 - Optimizing Environmental Cleaning: Webinar Slide Presentation AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Optimizing Environme…
  9. 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 …
  10. 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…
  11. 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…
  12. 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. …
  13. 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
  14. 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
  15. 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
  16. 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
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
    January 01, 2023 - Area of potential improvement for most hospitals Staffing and Work Pace 51% of respondents indicated
  18. 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
  19. 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
  20. 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

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