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461. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
     July 01, 2023 - pills”) and other medications in primary care settings, but heart failure exacerbations frequently lead

462. Learning-From-Antibiotic-Adverse (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - Contributing Factor Intervention Person(s) Assigned To Lead Efforts Followup Date

463. Endnotes | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1ref.html
     March 01, 2019 - stakeholderguide/index.html . 7 A logic model shows how resources and activities are expected to lead

464. Module 1: Overview - Facilitator's Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
     February 01, 2023 - and 7 percent per day, so we know that unnecessary culturing without signs or symptoms of UTI could lead … This can lead to inappropriate use of antibiotics.

465. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
     November 01, 2021 - She had the opportunity to lead a diverse group of volunteer Federal employees and local contractors … He used the above clinical laboratory to lead the execution of numerous clinical research studies funded … Miller became the lead of the Prevention/Chronic Care Portfolio and in 2015 she helped to launch the … Postal helped to lead the expansion of telehealth IHS-wide to support COVID-19 efforts. … Toedt is IHS’s lead expert on medical and public health topics, provides national leadership for the

466. Culture Checkup Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
     July 01, 2023 - This exercise will help you better understand your culture and consider interventions that lead to improvements

467. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     April 02, 2025 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…

468. Implementing an ISCR Pathway | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/enhanced-recovery/implementing.html
     June 01, 2023 - Implementing an ISCR Pathway Tools and Resources To Help Hospitals Implement an ISCR Program Engagement and Development of Your ISCR Pathway This part of the implementation phase is critical to spend time on because it is the foundation of your Improving Surgical Care and Recovery (ISCR) program. The Implem…

469. Help Consumers Start Conversations With Trusted Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/explain/support/help-consumers.html
     March 01, 2016 - experience with—this approach, but it appears to be a potential use of comparative quality reports that can lead

470. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
     February 01, 2017 - These evidence-based interventions lead to patient safety and quality methods and processes. … result, they are not able to effectively participate during a spontaneous breathing trial, which can lead … a venous thromboembolism, a medication error, ventilator associated pneumonia, or anything that can lead

471. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - Organisms from the perineal area ascend into the bladder and may lead to symptomatic CAUTI. … Isolating an organism from a nonsterile site does not equate to infection and may lead to inappropriate … Obtaining urine cultures in patients with indwelling UCs can lead to inadvertent increased antimicrobial … In addition, the inappropriate use of urine cultures may lead to an increase in observed CAUTI events … What features of educational interventions lead to competence in aseptic insertion and maintenance of

472. Tool 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
     March 01, 2013 - many opportunities for improved discharge processes at U.S. hospitals that, if accomplished, could lead … 10,11 Medicine Reconciliation and Adverse Events: Confusion about which medicines to take can also lead

473. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Because the senior executive’s actions related to the project are recorded on this form, the CUSP team lead … Ask: What defect did the team lead identify for the group to discuss? … According to the team lead, where did communication fail on their unit? … Ask: What good news does the team lead share with the CUSP team?

474. Barrier Identification and Mitigation Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
     December 01, 2017 - likelihood of the barrier occurring in the unit (likelihood score) and the probability that it would lead … Very high Severity Score How likely is it that experiencing this particular barrier will lead to

475. Acknowledgments | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/acknowledgments.html
     June 01, 2018 - Specifically, we thank: Authors: Atlang Mompe (Lead Author-SSS), Darryl Gray (AHRQ), Alan Simon (CDC-NCHS

476. Supplement to Evaluation Highlight No. 13 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
     June 01, 2015 - over four collaboratives 6–9 2-3 Immunizations, developmental and autism screening, optional lead

477. Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
     November 01, 2019 - completing the gap analysis, you note major deficiencies in your ASP, particularly those that might lead … Decision Making” provides a specific framework for developing and implementing solutions to problems that lead

478. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA The Importance of Safety Culture in Nursing Homes Nicholas Castle, Ph.D., M.H.A., FGSA Nicholas.Castle@HSC.WVU.edu mailto:Nicholas.Castle@HSC.WVU.edu The Importance of Safety Culture • The 1999 Institute of Medicine (IOM) rep…

479. Women's Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-intro.html
     September 01, 2015 - Chartbook on Women's Health Care Women's Health Care Previous Page Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coordination E…

480. Organizational Embrace of CUSP to Improve Patient Safety (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
     June 01, 2013 - Spring, Maryland Yancy Phillips, MD, MACP, Vice President Quality and Care Management Sean Maxwell, Lead … Spring, Maryland Yancy Phillips, MD, MACP, Vice President Quality and Care Management Sean Maxwell, Lead