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1761. 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

1762. 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

1763. 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

1764. 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

1765. 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

1766. Module 2: Example (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
      May 01, 2017 - Identify who is leading the quality improvement project to introduce huddles.

1767. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
      June 01, 2017 - Schedule 10-minute debrief call with those leading quality improvement project to introduce visual management

1768. 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

1769. 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

1770. 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

1771. 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

1772. 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

1773. 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.

1774. 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

1775. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
      March 01, 2017 - or habit, you might bring up the concept that overuse of antibiotics can cause harm to the resident, leading

1776. 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

1777. 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.

1778. Appendix A: Family Information Packet (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa4.html
      December 01, 2013 - Leading cause of two lung infections: pneumonia and bronchitis.

1779. 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

1780. Mod5-Disclosure-Checklist (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
      April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…