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6241. 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 - Final Progress Report: Quality Factors in Nursing Home Choice 1 Title Page Title of Project: Quality Factors in Nursing Home Choice Principal Investigator: JoAnn G. Congdon Team Members: Co-Principal Investigator: Joan K. Magilvy Investigator: Mary A. Blegen Investigator: Katherine R. Jones Investigator: Nor…

6242. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
      January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…

6243. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
      January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…

6244. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
      October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…

6245. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…

6246. II. Hotline Design and Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/design2.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events II. Hotline Design and Development Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…

6247. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection 181 “Near-miss” Reporting System Development and Implications for Human Subjects Protection Harvey J. Murff, Daniel W. Byrne, Paul A. Harris, Daniel J. France, Christa Hedstrom, Robert S. Dittus Abstract Background: R…

6248. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & No…

6249. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - when we were in the middle of doing it, we would recommend not administering the survey as people are learning

6250. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - This study demonstrates that ST-PRA, even with its uncertainties, can lead to learning and improvements

6251. National Institute for Research on Safety and Quality (NIRSQ) FY 2018 Budget Justification (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2018/NIRSQ.pdf
      January 01, 2018 - Accelerating learning and innovation in health care delivery is also a priority for NIRSQ and many of … support doctors and nurses in using data to improve care delivery so their organizations can become learning

6252. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
      January 01, 2014 - possibilities include 783.42 (Delayed milestones), 315.31 (Language disorder, developmental), 315.9 (Learning

6253. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Expectations & Actions Promoting Patient Safety 74.2% 74.5% -0.003 0.140 0.686 Organizational Learning … & Transitions Supervisor/Manager Expectations & Actions Promoting Patient Safety Organizational Learning … patient safety 49.4% 26.6% 22.8% 0.760 24.9% 24.6% 0.749 3 Systematic analysis and proactive learning

6254. Fallpxtools (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtools.docx
      January 01, 2013 - Continue asking questions that are important in learning more about this process. 2D: Assessing Current … standardized approach to postfall evaluation is key to maintaining the patient’s safety and for organizational learning

6255. Survey User's Guide: Nursing Home Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/nhguide.pdf
      August 01, 2016 - Organizational Learning There is a learning culture that facilitates making changes to improve resident … Organizational Learning (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree

6256. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - reporting environment and medical liability system that facilitates timely identification, disclosure, and learning … systems need to develop a nonpunitive culture that encourages active surveillance, reporting, and learning … further incentivize and encourage clinicians to report these errors to improve care processes and learning

6257. Final Progress Report: Optimizing OTC labels for older adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
      January 01, 2024 - Meeting commentary- Medicines for older adults: Learning from practice to develop patient centric drug

6258. Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
      January 01, 2024 - 172 medical students were surveyed about their views of FCR and barriers and facilitators to their learning

6259. About the CAHPS Health Information Technology Item Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HIT/about-cahps-hit-item-set-2313.pdf
      July 03, 2017 - About the CAHPS Health Information Technology Item Set CAHPS® Clinician & Group Survey and Instructions About the CAHPS Health Information Technology Item Set About the CAHPS® Health Information Technology Item Set Document No. 2313 Updated 7/3/2017 Introduction ..............................…

6260. SOPS Hospital Database: Data use Agreement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/sops-hospital-dua.pdf
      September 01, 2019 - SOPS Hospital Database: Data use Agreement Surveys on Patient Safety Culture™ (SOPS™) Hospital Database Data Use Agreement Instructions 1. All organizations that want to participate in the AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Database must submit a signed Data Use Agreement (DUA) and prov…