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9341. Chipra204-Materials Iiia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
      January 01, 2014 - Measure Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims Information Additional Information NCQA/CAHMI* Rates of screening using standardized screening tools for potential delays in social and emotional development [Included in Initial Core Set of Childre…

9342. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-slides.pptx
      January 01, 2017 - Presentation: Program Overview Patient and Family Involvement in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-37-EF January 2017 Patient/Family Involvement ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Obje…

9343. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
      January 01, 2014 - colonized with resistant organisms compared to 40% of patients without device (p<0.01) What do we learn

9344. Decolonization Strategies
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
      April 01, 2025 - Decolonization Strategies Decolonization Strategies Surgical Services​ For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implemen…

9345. Meeting Minutes, March 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
      July 01, 2018 - Part of that is to learn from grant holders the impact of their grant work.

9346. Pharmacist Role in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
      June 29, 2020 - pharmacists to expand their roles and has improved aspects of medication safety, pharmacists have also had to learn

9347. Final Innovation Center Charter (pdf file)
      digital.ahrq.gov/sites/default/files/Final%20Innovation%20Center%20Charter_508.pdf
      April 06, 2022 - Final Innovation Center Charter FINAL INNOVATION CENTER CHARTER A p r i l 6 , 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago 4350 East-West Highway Suite 800 Bethesda, MD 20814 …

9348. Approaches to Quality Improvement | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/approaches-to-quality-improvement
      January 01, 2018 - Learn more about lean management principles in the Institute for Healthcare Improvement's white paper

9349. The Context Is the Intervention | PSNet
      psnet.ahrq.gov/perspective/context-intervention
      August 05, 2020 - Why hospitals don't learn from failures: organizational and psychological dynamics that inhibit system

9350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety The COVID-19 pandemic necessitated a shift in operations …

9351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49872/psn-pdf
      August 08, 2019 - Health Care.(11) The report encourages organizations to create and implement approaches to identify, learn

9352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - In the exercises, pilots learn that the messages that they send—spoken or unspoken—when someone does

9353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33709/psn-pdf
      July 01, 2011 - What Have We Learned About Safe Inpatient Handovers? March 1, 2011 Kripalani S. What Have We Learned About Safe Inpatient Handovers? PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers Perspective The care of hospitalized patients is marked by numerous tra…

9354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73622/psn-pdf
      August 25, 2021 - The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021 Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health Serv Res. 2021;21(1):773. doi:10.1…

9355. Opinion Leaders: Effect on Healthcare Practice and Evidence Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/opinion-leaders.html
      February 01, 2025 - Opinion Leaders: Effect on Healthcare Practice and Evidence Use Resource: Local Opinion Leaders: Effects on Professional Practice and Healthcare Outcomes  (PDF, 1 MB, 121 pages) This review by the Canadian Health Services Research Foundation highlights the strong impact opinion leaders have on how much resear…

9356. Hindsight Bias | PSNet
      psnet.ahrq.gov/glossary/hindsight-bias
      September 13, 2021 - Hindsight Bias September 13, 2021 Anonymous (not verified) In a very general sense, hindsight bias relates to the common expression "hindsight is 20/20." This expression captures the tendency for people to regard past events as expected or obvious, even when, in real time, the events perplexed those involved. M…

9357. Exhibit 4.18. Major Factors that Facilitate Lean Success | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.18. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…

9358. Exhibit 6.14. Major Factors that Facilitated Lean Success | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-14.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.14. Major Factors that Facilitated Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare C…

9359. Network of Patient Safety Databases (NPSD) Dashboards | PSO
      pso.ahrq.gov/common-formats/npsd-dashboards
      November 01, 2024 - SHARE: More topics in this section Data Common Formats Network of Patient Safety Databases (NPSD) Dashboards Network of Patient Safety Databases (NPSD) Chartbooks Network of Patient Safety Databases (NPSD) Data Spotlights About …

9360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60198/psn-pdf
      April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…