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3181. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
      September 01, 2013 - The trial involved 43 hospitals and 74 ICUs. Pragmatic application.

3182. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
      December 01, 2012 - interpretation is affected by the context, auditory distractions, and the individual makeup of the participants involved

3183. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - Service managers in the United Kingdom determine a fair and consistent course of action toward staff involved

3184. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
      January 01, 2024 - quality and safety teams at each of the eight hospitals to evaluate the facilitators and barriers involved

3185. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
      October 01, 2024 - components of central line insertion include: Optimal site selection Competency of healthcare personnel involved

3186. 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 - this tool: Nurses, physicians, midwives, pharmacists, and other labor and delivery (L&D) unit staff involved

3187. Chapter 1: Introduction (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
      April 01, 2018 - such as care delivery sites (e.g., hospitals, physician practices) and public and private insurers involved

3188. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
      January 01, 2025 - errors develop related to both face- to-face and digital communication across the processes of care involved

3189. An Introduction to Assessing Practices: Issues to Consider (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
      September 01, 2015 - We choose new processes of care that are more advantageous than the old to everyone involved (patients

3190. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - Assist with ambulation as needed. 5 educator, and clinical nurse specialist were also involved

3191. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
      January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …

3192. Patient Safety Data Sharing and Protection from Legal Discovery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
      January 01, 2001 - Patient Safety Data Sharing and Protection from Legal Discovery 361 Patient Safety Data Sharing and Protection from Legal Discovery Steven Suydam, Bryan A. Liang, Storm Anderson, Matthew B. Weinger Abstract The Institute of Medicine report, To Err Is Human, recommended that collaborative networks of heal…

3193. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Issue Brief #26 Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Prepared for: Monika Haugstetter, M.H.A., M.S.N., R.N., CPHQ Contract Officer Representative Agency for Healthc…

3194. Appendix 3: Data Abstraction (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
      June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…

3195. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
      March 01, 2020 - 81.3 opioid prescriptions per 100 persons.4 From 1999 to 2017, nearly 400,000 drug overdose deaths involved … quasi-experimental designs in the primary care setting found that the most successful MAT programs involved … regarding the benefit to clinical outcomes of adding psychosocial interventions to MAT, which generally involved … This RCT included a cost-effectiveness study using a subset of patients involved in the trial.

3196. Making Healthcare Safer Practices: 14. Delirium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
      March 01, 2020 - Gelinas et al., 2018, and Kuczmarska et al., 2016.5,9,10,13,24 Most of the other studies reviewed involved … Five PDSA cycles were then undertaken which involved implementing change and then evaluating results

3197. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
      June 16, 2016 - Of all drug misuse or abuse ED visits, about 1.25 million ED visits, or 50%, involved illicit drugs, … about 1.24 million, or 50%, involved nonmedical use of pharmaceuticals, and about 0.61 million, or 25% … , involved drugs combined with alcohol.

3198. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - records for triggers and AEs does require some work beyond the routine clinical and administrative work involved … The automated GAPPS approach would improve reliability and efficiency by eliminating human error involved … Issues involved in the definition and classification of chronic health conditions.

3199. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
      February 06, 2012 - screen for, as well as counsel against, coercive and abusive relationships for adolescents who are involved … However, the sites involved in the study served adolescents in a range of communities. VII.E.

3200. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - pediatric and pregnant patients were excluded, as their team composition differs markedly from those involved … The steps involved in measure development are briefly described below and outlined in Figure 2.