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4501. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - For example, we have now developed physician learning interventions that significantly reduce clinical

4502. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - maintained for analysis and feedback purposes, as well as for subsequent study and organizational learning

4503. 030-Hand-Hygiene-Webinar-Slides-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
      October 01, 2024 - Updated computer-based learning modules were developed and assigned to all new staff at hire, as well

4504. Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
      January 01, 2025 - On the other hand, there may be a “learning curve” with increased use of ALARMS as clinicians become

4505. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
      January 01, 2024 - broad scale, the conference brought together a multidisciplinary stakeholder group dedicated to learning

4506. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - Journal of Verbal Learning & Verbal Behavior 1980:19:450–66. 15.

4507. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
      February 01, 2017 - Slide 2: Learning Objectives Say: After this session, you will be able to define low tidal volume

4508. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
      January 01, 2017 - Slide 1 Learning Objectives SAY: After this session, you will be able to define low tidal volume ventilation

4509. Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
      June 09, 2020 - The Abstrackr software has machine learning capabilities that predict the likelihood of relevance of

4510. 2014 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_cg_cahps_chartbook.pdf
      January 01, 2014 - Q31 In the last 12/6 months, did you and anyone in this provider’s office talk about your child’s learning … Q38 In the last 12/6 months, did you and anyone in this provider’s office talk about your child’s learning

4511. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
      March 01, 2004 - Leading organizational learning in health care. Qual Saf Health Care 2002;11:51–56. 38.

4512. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - Program  Intended User: Hospital facilities  Available Tools: Guides, checklists, webinars, learning … Reports of unsafe conditions and near misses can provide important learning opportunities for preventing … Root cause analyses on reports are conducted, and Patient Safety Alerts are issued to share the learning

4513. Eric T. Roberts - Sample Grant Application (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/eric-roberts-draft-application.pdf
      May 19, 2021 - Eric T. Roberts - Sample Grant Application PI: Roberts, Eric T Title: Financial assistance for low-income Medicare beneficiaries: Using natural experiments to assess effects on care and health outcomes Received: 05/29/2018 FOA: PA16-223 Clinical Trial:Optional Council: 01/2019 Competition ID: FORMS-E FOA…

4514. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
      January 01, 2024 - Development of the educational materials was based on principles of competency-based education and adult learning

4515. Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
      January 01, 2012 - Development and Behavior 0041 Whether health care providers address parental concerns about their child’s learning

4516. 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…

4517. 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 …

4518. Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
      August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged Emergency Visits for Opioid Use Rose While Treatment for Illicit Drug Use Remained Unchanged This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…

4519. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
      January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook 1 Table of Contents Introduction .................................................................................................…

4520. The Impact of Consolidation and Ownership on Primary Care - Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/consolidation-ownership-slides.pdf
      April 03, 2025 - The Impact of Consolidation and Ownership on Primary Care - Slide Presentation National Center for Excellence in Primary Care Research National Center for Excellence in Primary Care Research Presents The Impact of Consolidation and Ownership on Primary Care April 3, 2025 Presented by: Amelia Bond, PhD E. Ma…