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4101. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
      June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…

4102. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
      January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Principal Investigator: Terry S. Field, DSc Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke Harrow,…

4103. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
      July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation SPPC-II Toolkit Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage Module 1 of 8 AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in …

4104. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
      August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …

4105. Safe Medication Administration: Oxytocin | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
      July 01, 2023 - Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of oxytocin during labor. The key elements are presented within the framework of the Comprehensive U…

4106. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. An…

4107. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
      January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients 173 Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients Joseph G. Weaver, Judy Enders McManus, Tammy Leung, Rhonda B. Mangione, Heidi R. Snow, Staci…

4108. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
      July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…

4109. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. An…

4110. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…

4111. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…

4112. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
      January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…

4113. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
      March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes 401 Technology for Improving Medication Monitoring in Nursing Homes Kate L. Lapane, Kathleen Cameron, Janice Feinberg Abstract A 1997 report entitled Prescription Drug Use in Nursing Homes, by the Department of Health and Human Services’ Office…

4114. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
      April 06, 2008 - Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act William Riley, PhD; Bryan A. Liang, MD, PhD, JD; William Rutherford, MD; William Hamman, M…

4115. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…

4116. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
      March 01, 2018 - important because culture is considered to be a group characteristic and is not considered to be a solely individual … Data Cleaning Each participating hospital submitted individual-level survey data.

4117. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - important because culture is considered to be a group characteristic and is not considered to be a solely individual … Data Cleaning Each participating hospital submitted individual-level survey data.

4118. Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
      January 01, 2024 - An individual allergy record often contains multiple data elements, including allergy type, allergen

4119. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
      January 01, 2024 - comorbidity method, which accounts for the influence of selected comorbidities on patient outcomes.21, 22 Individual

4120. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - sufficient number of computers available in patient care areas to provide network access for any individual