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3561. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-refs.html
      October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 References Previous Page   Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

3562. Appendix A. Checklists for Assessing Executive and Physician Champion Potential | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
      October 01, 2015 - . __ Stays current on issues in patient safety, quality improvement, and risk-management through variety … administration. __ Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues … creating a mutual understanding of the needs of all parties, and facilitating a win-win solution to issues … others. __ Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues

3563. Module 1- Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
      May 01, 2017 - a scan of cases scheduled for the current day to anticipate any special needs or anticipated safety issues … fall into four rough groupings: (1) conformance with established protocols and procedures; (2) simple issues … that have an obvious “just fix it” solution; (3) issues that are symptomatic of a problem that is not … “Symptomatic” issues typically lead to a root cause analysis followed by small-scale testing of solutions

3564. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
      December 01, 2014 - The facilitator helps with implementation issues. … facilitator will help the team during the next 3 months to train staff and to problem solve implementation issues … months, the facilitator’s role is to check in to identify obstacles that could occur and to troubleshoot issues … as needed, such as turnover of key staff, computer glitches, and implementation issues.

3565. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
      March 01, 2017 - team, focuses on the input of frontline staff, discusses the importance of a common goal, identifies issues … It builds the capacity to address safety issues by combining clinical best practices and the science … , it can provide data transparency throughout the facility and opportunities to troubleshoot if any issues … Assess what is currently working by reviewing cases of resident safety issues (e.g., CAUTI) each month

3566. Implementation-Guide-Appendix-A (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
      January 01, 2008 - results · Spoken of in a positive, respectful manner by medical and hospital staff · Stays current on issues … administration · Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues … creating a mutual understanding of the needs of all parties, and facilitating a win-win solution to issues … for others · Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues

3567. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
      August 24, 2015 - CANDOR Resolution: The actions associated with addressing the needs or issues of patients, families, … overall process can lead to a financial settlement, but might not always lead to resolution of all issues … important to recognize the importance of disclosure and resolution in addressing unresolved needs or issues … The malpractice climate is different in each State, so organizations should be knowledgeable of the issues

3568. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
      January 01, 2012 - senior executive regularly attends safety meetings on my unit, and can identify the top three safety issues … safety team is currently working on: Very rarely attends and is out of touch with our unit safety issues … Intermittently attends, and is somewhat aware of our unit safety issues Attends whenever possible, … and is aware of our unit’s top three safety issues   3) By ensuring that your senior executive is

3569. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - Presidential advisory committee issues draft IT recommendations. http://www.ihealthbeat.org/ index.cfm

3570. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
      December 01, 2023 - These databases enable research on a broad range of health policy issues, including cost and quality … v2020.1, a set of algorithms that may be applied to hospital administrative data to quantify quality issues … access to care and patient care, communications between providers and patients, and specific care issues … alcohol, and illicit drugs; substance use disorders; receipt of substance use treatment; mental health issues … improvements in patient safety by fostering an understanding of the magnitude of specific patient safety issues

3571. Final Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
      January 01, 2025 - For example, a patient might describe their heart health issues and what has worked or not worked for … respondents described that heart health is affected by other SDOH; that without broadly improving issues … There were significant challenges with implementation of this toolkit, including issues contracting

3572. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare https://doi.org/10.1515/dx-2023-0042 Received April 9…

3573. 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 - IV medications and infusion pump safety issues have been identified as a growing concern and a source

3574. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Partner Roundtable Synthesis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-synthesis.pdf
      September 01, 2025 - implementation science research with areas of focus in older adults, complex medical conditions, complex social issues

3575. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
      January 01, 2007 - records 2.1 Administrative financial 2.1 Administrative HIPAA 2.1 Adverse clinical treatment/test issues

3576. Best Practices for Medical Technology Management: A U.S. Air Force–ECRI Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
      January 01, 2004 - ECRI’s verification process frequently uncovers issues such as incorrect device information or problematic

3577. Implementing Heart Health Practice Self-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
      February 01, 2016 - Review current workflows and document necessary changes to solve data quality issues 10.

3578. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
      January 01, 2024 - general error taxonomies to classify types of MAEs find that lapses – memory-related failures due to issues

3579. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
      June 02, 2025 - the patient: Patient history, vital signs, medications, physical exam, plan of care, psychosocial Issues

3580. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - The amount and quality of electronic information, as well as algorithm development issues, are also important