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3801. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care ST-PRA IN HOME HEALTH CARE Title: Sociotechnical Probabilistic Risk Assessment in Home Health Care Principal Investigator and Team Members: Michael P. Silver, MPH Principal Investigator Cher Edmonds, Study Coordinator Robert Fer…

3802. Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
      January 01, 2024 - Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II Minimizing Error, Maximizing Outcome (MEMO): Physician Worklife Study II Mark Linzer, MD, Principal Investigator (University of Wisconsin-Madison) Mark Schwartz, MD, Co-Principal Investigator (New York Universi…

3803. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
      December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) Webinar Transcript Paul Tedrick AHA – Chicago December 10, 2013 11:00AM CT Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, Dec…

3804. Navigating-Hierarchy-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
      December 10, 2013 - Paul Tedrick AHA – Chicago December 10, 2013 11:00AM CT Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, December 10th, 2013, scheduled for 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding; we now have our speake…

3805. Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
      August 01, 2023 - Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination e Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination Final E…

3806. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
      January 01, 2025 - intervention clinicians may have communicated intervention content to control clinicians, leading

3807. Snac-Final-Report-Mar2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
      January 01, 2025 - Brent James, a leading patient safety expert, and presentations from Federal partners on their safety

3808. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - In addition, leading organizations in pediatric safety have begun efforts to educate about, study, and

3809. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
      January 01, 2013 - Preventing Falls in Hospitals 5. How do you measure fall rates and fall prevention practices? Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Which fall pr…

3810. 6. How do you sustain an effective fall prevention program? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability.html
      January 01, 2013 - Preventing Falls in Hospitals 6. How do you sustain an effective fall prevention program? Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Which fall preven…

3811. MONAHRQ Sustainability Guide (pdf file)
      www.ahrq.gov/downloads/monahrq/documentation/monahrq_sustainability_guide.pdf
      September 30, 2016 - A heart attack, also called an acute myocardial infarction (AMI), happens when the arteries leading

3812. Contextual Factors: The Importance of Considering and Reporting on Context in Research on the Patient-Centered Medical Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/contextual-factors.pdf
      June 01, 2013 - What works in one context often does not work in another, leading to potentially conflicting conclusions

3813. Health Coach Intervention Sustainability Plan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
      March 30, 2023 - deliver the DPP program are responsible for billing as opposed to the individual lifestyle coaches leading

3814. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - WARFDOCS Moderate; warfarin declared a “quality improvement focus” by parent hospital chain in 2003, leading

3815. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - these safe practice interventions can be implemented successfully in diverse health care settings, leading

3816. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
      January 01, 2024 - support to the validity of items that we selected for the report card portion of our instrument while leading

3817. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
      January 01, 2024 - how this safe practice intervention can be successfully implemented in diverse healthcare settings, leading

3818. Methodological Challenges Associated With Developing and Implementing Antibiograms in Nursing Homes | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article9.html
      June 01, 2014 - susceptibilities of the infecting organism and, thus, may result in treatment failure and adverse outcomes, leading

3819. Cognitive Task Analysis: Methods to Improve Patient-Centered Medical Home Models by Understanding and Leveraging its Knowledge Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/cognitive-task.pdf
      March 01, 2013 - behavioral task analysis resulted in errors and poor performance (Schraagen, Chipman, and Shute, 2000), leading

3820. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
      September 01, 2007 - events that led to recognized harm included a case in which there was an incomplete triage evaluation, leading