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4061. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…

4062. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

4063. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …

4064. Studies in Meta-analyses | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/index.html
      October 01, 2014 - Studies in Meta-analyses This Clinical Practice Guideline used the references below in meta-analyses of research on treating tobacco use and dependence. They are listed by table in the guideline: Contents Table 6.4  |  Table 6.5  |  Table 6.7  |  Table 6.8  |  Table 6.9  |  Table 6.10  |  Table …

4065. Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
      January 01, 2024 - Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care Identification and Dissemination of Best Practices for Patient-Centered Care Final Report Principal Investigator: Hanan Aboumatar, MD, MPH Project Coordinator: Bickey Chang, MHA Armstrong Institute for Patient …

4066. Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
      January 01, 2025 - Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients Title: Measuring Quality of Primary Care in Complex Pediatric Patients Principal Investigator: Alex Y. Chen, MD, MS Organization: Children’s Hospital Los Angeles Inclusive Dates of Project: 07/01/2009- 06/30/2012 Federal Projec…

4067. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
      January 01, 2024 - Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach Patient Partnerships to Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach Principal Investigat…

4068. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication Errors Principal Investigator: Grant T. Savage, PhD (University of Missouri) Team Members: Jonathon R.B. Halbesleben, PhD (U…

4069. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & No…

4070. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 3. Description of Methods Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter…

4071. 3. Assessment Plan and Methodology | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
      April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests 3. Assessment Plan and Methodology Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Descripti…

4072. /docProps/thumbnail.jpeg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facnotes-spanish.docx
      April 21, 2014 - Notas para el facilitador DIGA: El módulo Participación de los directivos de este kit de herramientas se centra en los roles y las responsabilidades de los directivos dentro del equipo de seguridad del centro. Impulsar la participación de los directivos disminuye la distancia entre los directivos administrativos y l…

4073. Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
      August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination e Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination Hybrid CR Workgroup Evalu…

4074. Technical Appendix | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Technical Appendix Previous Page   Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCBS Population Outcomes …

4075. Appendix A. Teleconferences with AHRQ & CDC | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix A. Teleconferences with AHRQ & CDC Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1.…

4076. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
      December 01, 2017 - Program Overview: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Program Overview Say: You have embarked on a unique journey. Slide 2: Mead Quotation Say: Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…

4077. Facilitator Guide: Overview of the Improvement Model (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
      December 01, 2017 - Facilitator Guide: Overview of the Improvement Model Program Overview – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Project Overview SAY: You have embarked on a unique journey. Slide 1 Mead Quotation SAY: Margaret Mead was a popular and sometimes controversial cultural an…

4078. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…

4079. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
      January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Agency for Healthcare Quality and Research Research Grant Final Report December 5, 2024 Watchful Waiting as a Strategy for Reducing Low-valu…

4080. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - Further integration in NIH is expected in future years that differentiates AHRQ’s focus on systems-based