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3621. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
      March 15, 2004 - in the NYPORTS database for the same time period, and that were consistent with surgical procedures listed

3622. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - The ICD-9-CM codes that were used to identify renal dialysis patients are listed in Appendix 1.* Table

3623. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Advances in Patient Safety: Vol. 2 346 All of the hazards identified for control are then listed

3624. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - *Only three of the eight possible combinations were commonly observed; examples of these three are listed

3625. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - Note: PSOs included in this map were "AHRQ-listed" during any part of 2014 and submitted the PSO Profile … Note: PSOs included in this map were "AHRQ-listed" during any part of 2014 and submitted the PSO Profile

3626. Final Progress Report: Racial and Ethnic Variations in Medical Interactions (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
      January 01, 2024 - Support from family, friends, or medical staff (each listed as a separate item) ranked lowest among

3627. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
      June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Workshee…

3628. Self-Management Support Module User Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsguide.pdf
      April 12, 2016 - Self-Management Support Module User Guide Self-Management Support Module User Guide Reducing Barriers to Quality Assurance in Primary Care via Maintenance of Certification Modules http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sm…

3629. Module 5: Situation Monitoring
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
      January 10, 2022 - Module 5: Situation Monitoring Module 5 Situation Monitoring To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 5, Situation Monitoring To Improve Diagnosis, that you will review as the facilitator. Individual…

3630. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
      January 10, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                          …

3631. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
      September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture How PSOs Help Health Care Organizations Improve Patient Safety Culture Developing a culture of safety is an essential task for health care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm, …

3632. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
      January 01, 2024 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Cynthia F. Corbett, PhD, RN: Principal Investigator Alice A. Dupler, JD, APRN-BC Stephen M. Setter, PharmD, DVM, CGP Ke…

3633. 111-Cusp-Program-Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Program: Sustainability ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Program Sustainability SAY: Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sl…

3634. 147-Cusp-Roles-Responsibilities-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
      June 02, 2025 - AHRQ Safety Program for MRSA Prevention Core CUSP Team Member Roles & Responsibilities How To Use This Tool This tool identifies core Comprehensive Unit-based Safety Program (CUSP) team members and describes individual roles and responsibilities. For best results, each team member should: · Review expectations associa…

3635. Pressure Ulcer Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
      January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

3636. Webinar 6: Enhance Services for High-Risk Patients | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
      December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transitional Care Designing & Delivering Whole-Person Tr…

3637. CAHPS Child Hospital Survey: Overview of the Questionnaire (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
      March 20, 2017 - CAHPS Child Hospital Survey: Overview of the Questionnaire CAHPS® Child Hospital Survey and Instructions CAHPS Child Hospital Survey: Overview of the Questionnaire Document No. 950 Updated 3/20/2017 CAHPS® Child Hospital Survey: Overview of the Questionnaire Introduction..............................…

3638. Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
      January 01, 2016 - Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration Presentation for the National Academy of State Health Policy’s Vanguard Network and CHIP Directors Slide 1 Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration Presentation fo…

3639. On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
      April 16, 2013 - On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013 Sustaining Change 1 Eugene S. Chu, MD, FHM Director of Hospital Medicine Boulder Community Health Associate Clinical Professor of Medicine University of Colorado School of Medicine Learning Objectives 2 Differentiate between implementation and…

3640. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
      November 01, 2015 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program man…