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3781. 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…

3782. 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…

3783. 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…

3784. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
      April 06, 2008 - Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act William Riley, PhD; Bryan A. Liang, MD, PhD, JD; William Rutherford, MD; William Hamman, M…

3785. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html
      January 01, 2025 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 1 to 25 of 13220 Research Studies Displayed Pagination 1 2 3 4 5 … More pages …

3786. On-Time Pressure Ulcer Healing: Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pr…

3787. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation…

3788. 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 …

3789. Proposed Changes to the CAHPS Clinician & Group Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/proposed-changes-cahps-c&g-survey2015.pdf
      March 01, 2015 - Proposed Changes to the CAHPS Clinician & Group Survey Proposed Changes to the CAHPS Clinician & Group Survey The Agency for Healthcare Research and Quality’s (AHRQ) CAHPS Consortium is recommending changes to the CAHPS Clinician & Group (CG-CAHPS) Survey and the Patient-Centered Medical Home (PCMH) Item Set. The…

3790. 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…

3791. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
      March 01, 2017 - Module 5: Resident and Family Engagement: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 5: Resident and Family Engagement Say: The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility…

3792. 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…

3793. Section 5, Table 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
      January 01, 2014 - Section 5, Table 1 …

3794. Chapter 1: Introduction (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
      April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 1: Introduction (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. E…

3795. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
      January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Principal Investigator: Terry S. Field, DSc Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke Harrow,…

3796. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
      April 01, 2013 - Sustaining Zero CLABSIs (Transcript) May 8, 2012 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…

3797. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

3798. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…

3799. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading cause of injuries…

3800. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
      March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …