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4121. Building State Cooperatives for Healthcare Improvement: Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
      September 26, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary Contents Contents ..........................................................…

4122. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - all possible combinations of failures.58,59 Insights are obtained by breaking down the system into individual … medication. 3) Identify Failure Modes The researchers used an abbreviated FMEA process to identify individual

4123. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
      January 01, 2024 - value of improved patient safety reporting at both the organizational level and at the level of the individual

4124. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - Patient safety research has demonstrated consistently that blaming individual doctors or nurses will

4125. Treating Tobacco Use and Dependence, 2008 Update: References for Studies in Meta-analyses (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/meta/meta-analyses-refs.pdf
      January 01, 2007 - Reducing smoking during pregnancy and postpartum: physician’s advice supported by individual counseling

4126. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
      November 01, 2021 - Priorities Care) that focuses on aligning the care of older adults with multiple conditions on their individual

4127. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher. Slide…

4128. Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
      January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Principal Investigator: Ronilda Lacson, MD, PhD Team Members: Ramin Khorasani, MD, MPH Katherine Andriole, PhD Luciano Prevedello, MD, MPH Tejal …

4129. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
      January 01, 2012 - Slide 1 CLABSI Supplemental Call Series The Organizational Embrace of CUSP to Improve Patient Safety March 20, 2012 * Objectives To relate an organization’s approach to implementing CUSP in multiple areas of the hospital to reduce harm beyond CLABSI and CAUTI and to improve the overall culture of safety To…

4130. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary …

4131. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
      February 01, 2023 - Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript Module 1: Overview Slide 1 “Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tract infectio…

4132. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
      July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage SPPC‐II Toolkit                                                                                                                                                                             Hospital AIM Team Leads SPPC II Introduct…

4133. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…

4134. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…

4135. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool Primary Care Practice Facilitation Curriculum Module 16: Academic Detailing as a Quality Improvement Tool Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

4136. HIT/CAHPS Stakeholders Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HIT/HIT_CAHPS_Meeting_Summary.pdf
      December 01, 2006 - HIT/CAHPS Stakeholders Meeting Summary Health Information Technology- Consumer Assessment of Healthcare Providers and Systems Stakeholders Meeting Meeting Summary June 28, 2006 1 Introduction On June 28, 2006, the Agency for Healthcare Research and Qual…

4137. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
      April 01, 2013 - CUSP: A Framework for Success (Transcript) March 7, 2012 Operator: Excuse me, everyone, and thank you for holding, please be aware that each of your lines is in a listen-only mode. At the conclusion of today's presentation, we will open the floor for questions at that time. Instructions will be given as to t…

4138. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - - needed data to measure the quality of medication reconciliation and drive further improvement at individual

4139. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - that brings together all of the sources for display in Meds On Record deletes all data after each individual

4140. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Choice cuts: parsing policymakers’ pursuit of patient empowerment from an individual perspective.