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3221. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description…

3222. ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
      June 02, 2025 - ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' Fault Tree Diagram File Name: ASC Fault Tree_with_change.RFP Gate347 SSI Risk Q:0.00436584 Gate2 Pt SSI risk Q:0.0281772 From Page 2 Gate18 Bug moves to SS Q:0.154943 F…

3223. SOPS™ 101 Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
      June 01, 2020 - SOPS™ 101 Webcast Transcript November 2018 https://www.ahrq.gov/sops/index.html 1 Understanding SOPS Surveys: A Primer for New Users October 23, 2018 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety C…

3224. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
      October 01, 2018 - Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care October 2018  Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for H…

3225. 2025 Child HCAHPS Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-child-hcahps-chartbook.pdf
      January 01, 2025 - 2025 Child HCAHPS Survey Database Chartbook The Consumer Assessment of Healthcare Providers and Systems (CAHPS)® Child Hospital Survey Database 2025 Chartbook Authors: Teresa Dodson, M.A. Jack Vallentine Joshua Rubin Naomi Yount, Ph.D. Dale Shaller, M.P.A. Prepared by: Westat 1600 Research Boulevard …

3226. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
      January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU Final Progress Report NPSF Joint Medical-Legal Conference at SMU October 27 – 29, 2003 Principal Investigator: John J. Nance, JD Team members: Thomas Wm. Mayo, JD Robert Krawisz Deborah Cummins, PhD Organization: National Patient Safety Found…

3227. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
      January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Title Page Application title: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Principal investigator: Charles G. Macias, MD, MPH Co-investigator: Evaline Alessandrini, MD,…

3228. Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
      July 01, 2019 - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Re…

3229. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five sample reports are provided here. The reports are: • High-Risk Transfer Report (a medium-risk rep…

3230. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation Severe Hypertension Scenarios Safety Program for Perinatal Care II Teamwork Toolkit SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…

3231. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation Situation Monitoring Obstetric Hemorrhage Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation moni…

3232. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage SPPC‐II Toolkit                                                                                     Hospital AIM Team Leads SPPC II Situation Monitoring Obstetric Hemorrhage Module 4 of 8 ‐ SCRIPT Welcome to Module 4 of the Safety Program for Perinatal Ca…

3233. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies John S. Webster, MD, MBA; Heidi B. …

3234. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
      January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) References Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Introduction Methods Results Summary References Appendix A. Grants Database Search Terms & An…

3235. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned Fro…

3236. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
      January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense 425 Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense Heidi B. King, Beth Kohsin, Mary Salisbury Abstract Advancing to a culture of safety requires a systems change. Teamw…

3237. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
      August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis This page intentionally left blank. e Issue Brief Telediagnosis for Acute Care: Implications …

3238. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…

3239. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD Abstract Objective: To explore the feasibility of a novel method for capturi…

3240. On-Time Pressure Ulcer Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-ereports.pdf
      June 02, 2025 - On-Time Pressure Ulcer Prevention: Electronic Reports AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Prevention Pressure Ulcer Prevention Electronic Reports 1 A H R Q ’s S a fe ty P ro g ra m f o r N u rs in g H o m e s : O n -T im e P re s s u re U lc e r …