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3561. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - greatest impact, to extend patient safety improvements to all settings, prevent healthcare associated infections

3562. Behavioral Health Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
      December 31, 2015 - pregnancy tests when the patient does not wish to be pregnant, new or recurrent sexually transmitted infections

3563. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      April 01, 2011 - Common complications post-discharge include adverse drug events, hospital-acquired infections, and procedural

3564. Appendix D: Alternate Care Facility Questionnaire—Summary of Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixd.html
      July 01, 2018 - Minimal disease surveillance - diarrhea, respiratory tract infections were monitored .

3565. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
      July 01, 2024 - Serious misdiagnosis-related harms in malpractice claims: the “Big Three”–vascular events, infections

3566. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
      December 01, 2020 - In addition, the area of patient safety was expanded to include sections on healthcare-associated infections

3567. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - decreased urine output, brings up the possibility that these changes may be due to a urinary tract infection

3568. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - computed tomography, systolic blood pressure < 100 mmHg, dysrhythmia, suspected/confirmed systemic infection

3569. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
      January 01, 2024 - Shorter durations demand economy of motion and lower the risk of infection.

3570. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - improve intensive care unit processes and procedures (e.g., central line bundles or other aspects of infection … Medicare and Medicaid incentive funds to hire a full complement of improvement staff with expertise in infection

3571. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - care, emergency management, information management, medical recordkeeping, medication management, and infection … Lean, there was a more accountable process of ensuring cleanliness of equipment, which is important to infection

3572. Safety Climate on Hospital Units: A New Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
      January 01, 2004 - Safety Climate on Hospital Units: A New Measure 429 Safety Climate on Hospital Units: A New Measure Mary A. Blegen, Ginette A. Pepper, Joseph Rosse Abstract Objectives: The purpose of this project was to create a measure of safety climate for hospital inpatient care units and to determine the psychometric …

3573. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
      January 01, 2024 - Validity of The Health Improvement Network (THIN) for epidemiologic studies of hepatitis C virus infection

3574. CHIPRA 133: Section 2 Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-2-tech-specs.pdf
      January 01, 2011 - 637 (unspecified type of abortion) 638 (failed attempted abortion) 639 (genital tract and pelvic infection

3575. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - Infection control is another concern raised by the transport of simulators and medical equipment into

3576. Postpartum Followup and Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0084-fullreport.pdf
      March 01, 2016 - circumstances involving health issues in mothers or infants, such as human immunodeficiency virus (HIV) infection

3577. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - tests, use of equipment, and labor and delivery-related procedures) and diagnoses (cancer, fractures, infection

3578. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
      January 01, 2024 - discharged to another facility or deceased; were insured by Medicare; and had a primary diagnosis of infections

3579. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - Environmental factors that are common triggers include respiratory viral infections; airborne allergens

3580. Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
      September 01, 2018 - Environmental factors that are common triggers include respiratory viral infections; airborne allergens