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4301. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - • Engaging social workers in the ED to champion outpatient resources for individual patients.

4302. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - details on brand, size, and length of tube; catheter insertion depth; reason for tracheostomy; potential individual

4303. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
      December 01, 2013 - details on brand, size, and length of tube; catheter insertion depth; reason for tracheostomy; potential individual

4304. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
      July 01, 2023 - PowerPoint Presentation SPPC-II Toolkit Obstetric Hemorrhage Scenarios Safety Program for Perinatal Care II Teamwork 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 for AIM’s Obstetric Hemorrhage …

4305. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
      March 01, 2020 - Additionally, as noted in Stewart and Freshour (2013), individual studies may define “bleeding” differently

4306. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…

4307. Health Assessments A Primary Care Practice Improvement Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdf
      February 05, 2015 - This practice improvement activity provides practical guidance and tools to help individual clinicians

4308. 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 - https://doi.org/10.1007/s11606-020-06428-3 12 Resilience at the individual, team, or systems level

4309. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Registered Units n=1,821 units Note: Units with rates>25 post-baseline were not excluded; rather, individual

4310. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
      July 01, 2016 - What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Matern Child Health J (2017) 21:187–198 DOI 10.1007/s10995-016-2108-8 What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Anna L. Christe…

4311. 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…

4312. Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
      January 01, 2025 - Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department FINAL PROGRESS REPORT TITLE PAGE (1R03HS017755-01, PI Newman-Toker) Title: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department Principal Investigator: David E. …

4313. Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
      January 01, 2024 - Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety AHRQ Grant Final Progress Report Title of Project: Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety Principal Investigator: Elizabeth D. Cox, MD, PhD, Associate Professor, Department of Pediatrics a…

4314. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates TITLE PAGE Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates Principal Investigator: Daniel Joseph France, PhD, MPH Team Members: Key Pe…

4315. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
      January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan 1. title page The ED Pharmacist as a Safety Measure in Emergency Medicine Supported by: Agency for Healthcare Research and Quality Grant N…

4316. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
      January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth 1 AHRQ Final Progress Report Title: What about mom? Using Administrative Data to Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth Principal In…

4317. Compendium of U.S. Health Systems, 2023, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-os-linkage-techdoc.pdf
      January 01, 2023 - Compendium of U.S. Health Systems, 2023, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2023, Outpatient Site Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Departm…

4318. Data Measures Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
      January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…

4319. Patient Self-Management Support: A Chronic Conditions Practice Improvement Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
      March 29, 2016 - of diplomates’ pursuit of quality improvement activities at the organizational level can extend individual

4320. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office 101 Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, James D. Bramble, Wendy Taylor, Kevin G. Moores Abst…