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3661. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
      January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors Improving Patient Safety by Reducing Medication Errors Brian Strom, MD, MPH, Principal Investigator: Director, Administrative Core; Director, Data Collection Core Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…

3662. Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
      November 01, 2017 - Comments included: • Having a complementary measure of “rate” would address issues of improvement. … Health IT could be helpful in resolving a few issues with the construction of this measure in the EHR

3663. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - contained all patients under the care of each clinical service, their diagnoses, admission dates, current issues

3664. University of Utah Health: Creating a Formula for Value-Based Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
      April 01, 2019 - University of Utah Health: Creating a Formula for Value-Based Care University of Utah Health: Creating a Formula for Value- Based Care The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers and other C-suite leaders better unde…

3665. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 1 Educational Objectives Describe the patient safety risks tha…

3666. Physician and Staff Engagement: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
      March 01, 2017 - Physician and Staff Engagement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Physician and Staff Engagement Say: Today, we will give you an overview of physician and staff engagement. Slide 2: Learning Objectives Say: After this session, you will be able to…

3667. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
      January 01, 2013 - Slide 1 Leveraging Cultural Change to Reduce Urinary Catheter Use 1 Linda Greene, RN,MPS,CIC Manager Infection Prevention Highland Hospital Jennifer Tuttle, RN, MSNEd Adult Critical Care Unit Tucson Medical Center Learning Objectives Describe the way in which improvement in the clinical culture can facilitate e…

3668. Daily Goals During Interdisciplinary Rounds: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
      February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Daily Goals During Interdisciplinary Rounds Slide 2: Learning Objectives After this session, you will be able to—…

3669. Module: Daily Goals During Interdisciplinary Rounds
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
      January 01, 2017 - Module: Daily Goals During Interdisciplinary Rounds Daily Goals During Interdisciplinary Rounds AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-35-EF January 2017 Daily Goals ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…

3670. Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
      January 01, 2018 - Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Maine’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare & Med…

3671. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2-transcript.docx
      June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3) AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix O. A Clear View on Flexible Endoscope Processing – Part 2, Disinfection/Sterilization Record Keeping Transcript/Facilitator Notes Sue Klacik: (Slide 1) Hi, and welcome to Part 2 of A Clea…

3672. Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-o-fac-notes.html
      May 01, 2017 - Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes Implementation Guide Slide 1: Appendix O. Part 2: A Clear View of Flexible Endoscope Processing: Disinfection/Sterilization Record Keeping Hi, and welcome to Part 2 of A Clear View on Flexible Endoscope Processing . In this p…

3673. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
      June 02, 2025 - Strategy 4: IDEA Discharge Planning (Tool 4) Guide to Patient & Family Engagement Insert hospital logo here Care Transitions from Hospital to Home: IDEAL Discharge Planning Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 4: IDEAL Discharge Planning (Tool 4) Today…

3674. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
      September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators References Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators I…

3675. Variation in Health System Characteristics Across States, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief3-variation-in-health-system-characteristics-across-states-2016.pdf
      January 01, 2016 - Variation in Health System Characteristics Across States, 2016 1 Variation in Health System Characteristics Across States, 2016 By the end of 2016, there were 626 health systems* in the United States. Number of health systems with hospitals located in each State 4 to 7 systems 9 to 15 systems 16 to 22 system…

3676. 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 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…

3677. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
      January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA; Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD; …

3678. On-Time Falls Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
      June 02, 2025 - Each facility will determine the best source of data elements to define each of the listed issues, except

3679. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
      September 03, 2014 - Other factors include individual staff issues, including forgetfulness or poor time management, as well

3680. Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
      January 01, 2024 - The TIP algorithms can address drug safety, cost issues, and nonadherence.