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2861. Safe Medication Administration: Oxytocin | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
      July 01, 2023 - Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of oxytocin during labor. The key elements are presented within the framework of the Comprehensive U…

2862. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Patient and Family Engagement in the Surgical Environment Module Facilitator Notes SAY: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…

2863. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
      April 01, 2015 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research 1 Care Management Issue Brief Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Executive Summary Health care delivery systems throughout the United States are employing…

2864. Appendix C: Alternate Care Facility Questionnaire | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixc.html
      July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Appendix C: Alternate Care Facility Questionnaire Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter …

2865. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
      June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 Video-Based Simulation: Facilitator Guide Team Leadership Briefs, Huddles, and Debriefs TeamSTEPPS Training Curriculum …

2866. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
      April 05, 2013 - Information to Help Hospitals Get Started Key Takeaways Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety. Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…

2867. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
      June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3 Video-Based Simulation: Facilitator Guide Situation Monitoring Shared Mental Model TeamSTEPPS Training Curriculum …

2868. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
      July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…

2869. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals Pilot Study Results From the 2017 AHRQ Surveys on Patient Safety Culture (SOPSTM) Health Information Technology Patient Safety Supplemental Item Set for Hospitals Prepared for: Agency for Healthca…

2870. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…

2871. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Care Management Issue Brief Contents: Executive Summary Care Management: a Fundamental Vehicle for Managing the Health of Populations Overview Strategy: Identify Populations with Modifia…

2872. Meeting Minutes, July 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
      July 01, 2021 - Meeting Minutes, July 2018 National Advisory Council Minutes from the July 18, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 16, 2018, Meeting Summary Director's Welcome and Update Update on AHRQ Data…

2873. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - Safe Practices for Better Health Care 23 Safe Practices for Better Health Care Kenneth W. Kizer, Laura N. Blum Abstract Modern health care is highly complex, high risk, and error prone. Not surprisingly, health care errors and consequent adverse events are a leading cause of death and injury, even though wel…

2874. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
      March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes 401 Technology for Improving Medication Monitoring in Nursing Homes Kate L. Lapane, Kathleen Cameron, Janice Feinberg Abstract A 1997 report entitled Prescription Drug Use in Nursing Homes, by the Department of Health and Human Services’ Office…

2875. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

2876. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - Department of Veterans Affairs Emergency Airway Management Initiative Department of Veterans Affairs Emergency Airway Management Initiative Erik J. Stalhandske, MPP, MHSA; Michael J. Bishop, MD; James P. Bagian, MD, PE Abstract Over the last 2 years, the U.S. Department of Veterans Affairs (VA) undertook a …

2877. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Final Progress Report Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Principal Investigator: Katherine J. Jones, PT, PhD1 Co-Investigators: MARobin High, MBA, 1 Roni Reiter-P…

2878. Puh-Erepguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
      February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Pressure Ulcer Healing Reports Slide AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Instructor Guide Slide 1: Introduction to Pressure Ulcer Healing Reports SAY: In this sess…

2879. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
      January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety Clinical Decision Support Simulations for Medication Administration Safety Principal Investigator: Jacqueline Moss, PhD, RN Co-Investigator: Eta S. Berner, EdD University of Alabama at Birmingham Dates of Aw…

2880. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
      January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors Improving Patient Safety by Reducing Medication Errors Brian Strom, MD, MPH, Principal Investigator: Director, Administrative Core; Director, Data Collection Core Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…