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1641. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
      January 01, 2004 - Fredric Weinbaum, Mark Callahan, Eliot Lazar Abstract While cardiovascular complications remain a leading … abundance of published guidelines, few studies have demonstrated any changes in physician behavior leading … perioperative period, however, there is a concern over the abrupt discontinuation of beta- blocker leading … and institutions—namely, skepticism of the supporting literature and difficulty coordinating care, leading

1642. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - The nurse reviewer did not abstract any information about transactions leading up to or occurring after … Discussion The issue of medication errors or adverse events leading to increased patient morbidity and … review of patient charts documenting identified transactions—was used retrospectively to look at events leading … covering without benefit of a chart and without a mechanism to record interactions in the chart, possibly leading

1643. Part 2: Trends in Priorities of the Heckler Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
      June 01, 2018 - minority health issues, beginning with the creation of the HHS Office of Minority Health in 1986 and leading … In the 21st century, it had high prevalence and is the 11th or 12th (depending on gender and age) leading

1644. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
      January 01, 2012 - o Establishes measures that will tell if changes are leading to improvement. … Proactively Identifying and Providing Preventive Therapy to At-Risk Intensive Care Unit Patients, Leading

1645. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
      January 01, 2012 - o Establishes measures that will tell if changes are leading to improvement. … Proactively Identifying and Providing Preventive Therapy to At-Risk Intensive Care Unit Patients, Leading

1646. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 -  Leading causes of morbidity and mortality include heart disease, cancer, unintentional injuries, … ■ Congenital malformation, low birthweight, and maternal complications are the leading causes of infant

1647. 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/exercises7.html
      December 01, 2017 - Profile Report may help staff gain insight into the nutritional status of a resident during the 4 weeks leading

1648. Appendix D. Sample Production Agenda for the In-Person Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
      October 01, 2017 - Implementation Team Leader or designee (as well as the QI Team, if appropriate) that he/she will be leading

1649. Designing Care Management Entities for Youth with Complex Behavioral Health Needs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/index.html
      September 01, 2014 - With funding from CMS, the Agency for Healthcare Research and Quality (AHRQ) is leading the national

1650. Appendix A: Family Information Packet (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa4.html
      December 01, 2013 - Leading cause of two lung infections: pneumonia and bronchitis.

1651. Part 3: National Quality Strategy Priority—Care Coordination | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs4.html
      June 01, 2018 - Outcomes: Enhanced access to needed preventive  primary care and specialty medical services, leading

1652. Summary Tables | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-summ.html
      September 01, 2015 - Access to Health Care Affordability Communication and Care Coordination Effective Treatment of Leading

1653. Overview of the Application Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/process/grant-app-basics/appover.html
      October 01, 2014 - predoctoral individuals with supervised research training in specified health and health-related areas leading

1654. Community-Acquired Pneumonia Clinical Decision Support Training - Emergency Department Setting
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4a_ed-setting.pptx
      January 10, 2017 - Background and Context Community-Acquired Pneumonia Community-acquired pneumonia (CAP) is the 8th leading

1655. Why Is Improving Diagnosis Important? Physician and Patient Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/schiff-summit2016.pdf
      January 01, 2013 - Clinical situations where patterns of, or vulnerabilities to errors leading to missed, delayed or

1656. Engaging Senior Executives in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-slides.html
      February 01, 2017 - Slide 3: To Err Is Human Preventable harm is the third leading cause of deaths in the United States

1657. Sustaining Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
      December 01, 2017 - On the left is the cover of the book "Leading Change" by John P. Kotter.

1658. Step 6: Planning for Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide6.html
      October 01, 2014 - Publications in leading, peer-reviewed health services research journals will bring positive attention

1659. Frameworks for Change and Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
      October 01, 2015 - Change Model Comparison Objective Comprehensive Unit-based Safety Program (CUSP) Kotter: Leading

1660. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
      October 01, 2018 - Research Centers for Excellence in Clinical Preventive Services AHRQ has funded three Research Centers for Excellence in Clinical Preventive Services focusing on the delivery of preventive services in the clinical setting. Each center is conducting three research projects seeking solutions to the problems of un…