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3181. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…

3182. 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…

3183. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
      June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…

3184. 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…

3185. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - cognitive effort required for a task.47 The NASA-TLX, SWAT, and Paas Cognitive Load Scale can provide indicators

3186. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
      January 01, 2024 - Other measures include Results - health outcomes, care process indicators (e.g., improvement goals

3187. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
      October 01, 2016 - management, motivational interviewing, between-visit management, awareness of high-value care, quality indicators

3188. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
      July 01, 2019 - management, motivational interviewing, between-visit management, awareness of high-value care, quality indicators

3189. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
      October 01, 2011 - Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations       Technical Review 17 Nutritional Research Series Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations Prepared for: A…

3190. No More CAUTI – preventing catheter associated urinary tact infections
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
      June 02, 2025 - No More CAUTI – preventing catheter associated urinary tact infections No More CAUTI – preventing catheter associated urinary tract infections Elizabeth Mizerek, MSN, RN, CEN, CPEN, FN-CSA Assistant Professor of Nursing Mercer County Community College 1 1 Learning Objectives Define the impact of CAUTI Des…

3191. Collecting Performance Data Using Chart Audits and Electronic Data Extraction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
      September 01, 2015 - learners conduct chart abstractions of diabetes Healthcare Effectiveness Data and Information Set indicators … They are interested in seeing how they are performing on HEDIS* quality indicators for diabetes and

3192. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions TOOLBOX DESIGNING AND DELIVERING WHOLE-PERSON TRANSITIONAL CARE: THE HOSPITAL …

3193. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Issue Brief 14 Pediatric Diagnostic Safety: State of the Science and Future Directions PATIENT SAFETY e This page intentionally left blank. e Issue Brief 14 Pediatric Diagnostic Safety: State of the Science and Future Directions …

3194. Self-Assessment Worksheet for Pressure Ulcer (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
      June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Prevention 1 On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet i…

3195. Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
      May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice Case Study Problem Addressed A typical primary care visit is not always a satisfying encounter for either the provider or the patient. Providers feel stressed by the need for efficiency and the demands of electronic…

3196. Gap Analysis for MRSA Prevention (Hospital-Level) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
      June 02, 2025 - Gap Analysis for MRSA Prevention (Hospital-Level) hospital? AHRQ Safety Program for MRSA Prevention Gap Analysis for MRSA Prevention (Hospital-Level) ICU & Non-ICU Please answer the following questions related to methicillin-resistant Staphylococcus aure…

3197. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Engaging Senior Executives in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the importance of senior executive engagement on your safety program team. Slide 1 Lear…

3198. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Build a Business Case for Quality Improvement SAY: This slide set introduces building a business case for quality improvement. Slide 1 Learning Objectives SAY: After reviewing this slide set, you…

3199. Performing SSI Investigations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
      December 01, 2017 - Performing SSI Investigations: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Performing an SSI Investigation Slide 2: Learning Objectives After this session, you will be able to– Explain the difference between process and outcome data. D…

3200. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections (May 5, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
      December 01, 2017 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections (May 5, 2015) Slide Presentation Slide 1 No More CAUTI - Preventing Catheter-Associated Urinary Tract Infections Elizabeth Mizerek, MSN, RN, CEN, CPEN, FN-CSA Assistant Professor of Nursing Mercer County Community College Slide 2…