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101. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
     July 01, 2003 - In some instances, the AMP required surgeons to deviate significantly from apparently tried-and-true … In other instances, the volume and type of specific surgical services changed. … included prophylaxis, coupled with postoperative automatic stop orders, forced compliance in many instances

102. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
     June 18, 2008 - Data collection documented 52 instances when a nurse 6 received an alert that programming exceeded … This value is the number of instances for which there are documented case reports. … There were other instances in which RR alarms were triggered, interventions made, and unwarranted outcomes

103. Sustaining Fall Prevention Practices at Your Hospital (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
     January 01, 2013 - Sustaining Fall Prevention Practices at Your Hospital Sustaining Fall Prevention Practices at Your Hospital Presented by Pat Quigley, Ph.D., M.P.H., ARNP, CRRN, FAAN, FAANP Associate Director, VISN 8 Patient Safety Center Associate Chief for Nursing Service/Research Welcome! Thank you for joining this webin…

104. University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202303.html
     October 01, 2023 - University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality Search All Impact Case Studies October 2023 The University of Georgia Health Center (UHC) used AHRQ’s Medical Office Survey on Patient Safety Culture ™ (SOPS ® ) to conduct a required assessment to evaluate …

105. Appendix 1: Clinica Campesina and Group Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/innovations/will-work/appendix1.html
     February 01, 2021 - Not to Adopt Because of the organizational culture of trying, respondents could think of very few instances

106. Build a Business Case for Quality Improvement: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
     February 01, 2017 - Build a Business Case for Quality Improvement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Build a Business Case for Quality Improvement Say: This slide set introduces building a business case for quality improvement. Slide 2: Learning Objectives Say: Afte…

107. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
     February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Say: In this module, we will introduce the Hospital Survey on Patient S…

108. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
     August 01, 2022 - As illustrated in the discussion of health care transitions above, there are instances in which consumers … In many instances, this reflected the realization that technologies or accepted practices are changing

109. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/prospectscare/prospsum.html
     July 01, 2018 - time frame APCDs, HIE * (if includes claims data) or payer files Use claims data to examine instances

110. Priority Areas Identified by the U.S.-Mexico Border Commission (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm4.html
     October 01, 2015 - Chartbook for Hispanic Health Care Priority Areas Identified by the U.S.-Mexico Border Commission (continued) Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Q…

111. Studying HAI Prevention Efforts to Learn From Experience: Methodological Opportunities and Challenges | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article11.html
     June 01, 2014 - Advances in the Prevention and Control of HAIs Studying HAI Prevention Efforts to Learn From Experience: Methodological Opportunities and Challenges Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Prevention and C…

112. Pre‐Application Technical Assistance Webinar - Dissemination and Implementation of Equity‐Focused Evidence‐Based Interventions in Healthcare Delivery Systems (RFA‐HS‐23‐002) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/HS-23-002-webinar-slides.pdf
     March 09, 2023 - Pre‐Application Technical Assistance Webinar - Dissemination and Implementation of Equity‐Focused Evidence‐Based Interventions in Healthcare Delivery Systems (RFA‐HS‐23‐002) Dissemination and Implementation of Equity‐Focused  Evidence‐Based Interventions in Healthcare Delivery Systems R18 Funding Opportunity (RFA‐…

113. 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/assess-psc-hsop-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Assess Patient Safety Culture Using the Hospital Survey on Patient Safety SAY: In this module, we will introduce the Hospital Survey on Patient Safety, or HSOPS, and review why it is important, as wel…

114. 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…

115. Sustaining Pressure Ulcer Prevention Practices at Your Hospital (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
     April 01, 2011 - Sustaining Pressure Ulcer Prevention Practices at Your Hospital Sustaining Pressure Ulcer Prevention Practices at Your Hospital Presented by Dan Berlowitz, M.D., M.P.H. Bedford VA Medical Center Boston University School of Public Health 2 Welcome! Thank you for joining this webinar about how to sustain pr…

116. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/chapter6.html
     October 01, 2014 - As illustrated in the discussion of health care transitions above, there are instances in which consumers … In many instances, this reflected the realization that technologies or accepted practices are changing

117. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
     November 01, 2004 - Please think of instances in the past year when you feel your performance was challenged or below par … Please think of instances in the past year when you were able to perform your job very well. … The second question asked staff to identify “instances when your performance was challenged or below … par,” and question three asked staff to describe “instances when you were able to perform your job

118. Improving Patient Safety through Research and Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-maynard.html
     May 01, 2020 - Grantee Profile Improving Patient Safety through Research and Implementation Gregory Maynard, M.D. Chief Quality Officer University of California Davis Medical Center Gregory Maynard, M.D. “Improving the quality, safety, and efficiency of patient care is a passion that I gladly share with AHRQ. …

119. Grantee Guidance | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/research/publications/pubcomguide/granteeguide.html
     November 01, 2021 - newsletter or on an AHRQ-supported website, the Agency cannot link to a .com domain because, in most instances

120. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
     April 12, 2018 - And a staff member reported, “There have been instances where the patient is being warm handed off to