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3061. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
      March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…

3062. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - AHRQ-Funded Patient Safety 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Research has shown that health information technology (HIT)i and health information exchange (HIE)ii make it …

3063. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - of all ICU days.6 The lungs are typically sterile, but an invasion of bacteria via aspiration can lead

3064. New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
      October 01, 2016 - Each assignment for the dental lab is reviewed by the technician, and then the lead does a review.

3065. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
      December 01, 2017 - So communication issues are often cited as one of the root causes that lead to significant safety issues

3066. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - So communication issues are often cited as one of the root causes that lead to significant safety issues

3067. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
      December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Webinar Transcript AHA – Chicago May National Content Call May 13, 2014 11:00AM CT Operator:  This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me…

3068. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
      May 13, 2014 - Paul Tedrick AHA – Chicago May National Content Call May 13, 2014 11:00AM CT Operator: This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all speakers in conference. Please be aware that each of y…

3069. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - rates, days on diversion, complexity of patient case mix, and other measures of activity that might lead

3070. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
      January 01, 2024 - 1991) and inappropriate drug selection (Stuck et al, 1994; Wilcox et al, 1994; Beers et al, 1992) can lead

3071. Table 5.A.1. Evidence Table (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
      January 01, 2014 - Table 5.A.1. Evidence Table …

3072. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
      January 01, 2020 - note that if you opt to lift work areas or staff positions where there are very few staff, this might lead

3073. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
      January 09, 2018 - We are the lead federal agency charged with improving the safety and quality of America's health care

3074. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
      January 01, 2011 - Specific Tools To Support Change Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool G.2 Specific Tools To Support Change What is the purpose of this tool? This tool provides information on tools developed by other organizations that may be used instead o…

3075. Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
      January 01, 2024 - This is translational research that could lead to regulations on safe working hours for nurses. 4

3076. Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
      October 01, 2014 - region, and he -- he's just a clinical practicing physician, and he was asked by his medical staff to lead

3077. Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
      September 01, 2019 - Shaller, Slide 34 Not surprisingly, this fairly wordy cautionary message didn't lead very many respondents

3078. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - Planning Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Carilion Medical …

3079. LEARNING OBJECTIVES OF THIS WORKBOOK (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
      April 01, 2006 - The State takes a lead role in each stage. 1) Stage 1: Provide leadership.

3080. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - Once narrative accounts can be more reliably elicited, they may lead to an entirely new family of performance