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3421. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
      February 01, 2020 - Section 3: Are You Ready To Improve? July 2015 Contents 3.A. Cultivating and Supporting QI Leaders 3.B. Organizing for Quality Improvement 3.C. Training Staff in QI Concepts and Techniques 3.D. Paying Attention to Customer Service 3.E. Recognizing and Rewarding Success References Download Se…

3422. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …

3423. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
      July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation Implementing the  SPPC-II Teamwork Toolkit Module 7 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and plannin…

3424. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
      July 01, 2023 - Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation Implementing the  SPPC-II Teamwork Toolkit Module 7 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and …

3425. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
      April 01, 2019 - Meeting Minutes, November 2018 National Advisory Council Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 18, 2018, Meeting Summary Director's Welcome and Update Update on AH…

3426. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

3427. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …

3428. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
      November 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.…

3429. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
      September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…

3430. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…

3431. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
      January 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance Using the CAHPS Database to Compare, Report, and Improve Organizational Performance January 2014  Webcast Speakers Janice Ricketts, Senior Study Director, CAHPS Database, Westat, Rockville, MD Deborah Kilstein, BSN, MBA, Vice…

3432. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/references.html
      May 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…

3433. Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
      April 10, 2025 - Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan 1 AHRQ Action IV Task Order #16 Patient-Centered Care Planning for Peo…

3434. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
      January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System Evaluate the Effects of the Massachusetts Reporting System Principal Investigator: Nancy Ridley, M.S. Associate Commissioner, Massachusetts Department of Public Health Co-Investigators (alphabetically): Paul Dreyer, Ph.D. Massachuset…

3435. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …

3436. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - The Use of Surgical Simulators to Reduce Errors 165 The Use of Surgical Simulators to Reduce Errors Marvin P. Fried, Richard Satava, Suzanne Weghorst, Anthony Gallagher, Clarence Sasaki, Douglas Ross, Mika Sinanan, Hernando Cuellar, Jose I. Uribe, Michael Zeltsan, Harman Arora Abstract The training of…

3437. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…

3438. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices Creating Safety in the Testing Process in Primary Care Offices Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD; Jennie J. Gallimore, PhD Abstract Background: The testing process in primary care is complex, and it varies from o…

3439. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…

3440. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. Hospital Practice Insights: Challenges and Solutions Previous Page   Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Cha…