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4161. Final Progress Report: (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
      January 01, 2024 - and their colleagues engage in the behavior or practice (e.g., “We talk about mistakes and ways to learn

4162. Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
      March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane …

4163. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Training Guide Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of Module 5 are to have the Implementation T…

4164. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Review of Self-Assessment Worksheet Say:   Y…

4165. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 4. Defining Language Need and Categories for Collection Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1.…

4166. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
      February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…

4167. Resources for Advanced Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
      March 01, 2016 - Resources for Advanced Practices Resources for Advanced Practices The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents Introduction ......................................................................1 Shared Decisionmaking .................…

4168. 0129References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
      October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …

4169. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …

4170. AHRQ Slide Template 2004 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
      May 14, 2013 - AHRQ Slide Template 2004 Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis Presenter: Marcus Thygeson, MD Discussant: Jodi Holtrop, PhD, Moderator: Michael I. Harrison, PhD Sponsored by AHRQ’s Deliv…

4171. Webinar #1: Fuzzy Set Analysis (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
      July 01, 2013 - Webinar #1: Fuzzy Set Analysis (Slide Presentation) Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Presenter: Marcus Thygeson, MD Discussant: Jodi Holtrop, PhD Moderator: Michael I. Harrison, PhD Sponsored by AHRQ's Delivery…

4172. PowerPoint Presentation; Deep-Root Your Data
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
      December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data Deep-Rooting Your Data AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…

4173. 2013 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
      January 01, 2013 - (To learn more, visit https://cahpsdatabase.ahrq.gov/DataResearchers.aspx) The CG-CAHPS Database Online

4174. Final Progress Report: The National Quality Forum National Annual Policy Conference 2007 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
      January 01, 2025 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2007 The National Quality Forum National Annual Policy Conference 2007 Principal Investigator: Dianne Feeney Team Members: L. Gorban, B. Theil, L. Murray, L. Thompson 08/01/07– 07/31/08 Federal Project Officer: Kare…

4175. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
      January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick J. Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. O’Connor MD MPH, Principal Investigator Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …

4176. 2013 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
      July 01, 2014 - (To learn more, visit https://cahpsdatabase.ahrq.gov/DataResearchers.aspx) The CG-CAHPS Database Online

4177. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - Interns and junior residents learn how to sign-out by observing more senior residents give sign-out.1

4178. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
      January 01, 2024 - It's so fast and it goes by so fast, by the end of the month when you finally learn the patient and

4179. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - With more months to prepare for the eMAR implementation and the opportunity to learn from the other

4180. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System 145 Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System Radhika Desikan, Melissa J. Krauss, W. Claiborne Dunagan, Erin Christensen Rachmiel, Thomas Bailey, Victoria J. Fraser Abstract Ba…