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4741. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
      July 01, 2024 - But we just can’t manage that by workflow. … We can’t really manage that type of multiple different dissemination routes.

4742. 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 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…

4743. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
      January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging Challenges and Opportunities  for Stewardship of Urological Imaging Quality Improvement Summit October 21, 2017 Principal Investigator. Matthew E. Nielsen, MD Team Members. Presenters Timothy Averch, MD; AUA Quality Improve…

4744. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
      January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging Challenges and Opportunities  for Stewardship of Urological Imaging Quality Improvement Summit October 21, 2017 Principal Investigator. Matthew E. Nielsen, MD Team Members. Presenters Timothy Averch, MD; AUA Quality Improve…

4745. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …

4746. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
      January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study AHRQ grant final progress report TITLE The Effect of EMR on Medication Safety: A SPUR-Net Study PRINCIPAL INVESTIGATORS AND TEAM MEMBERS Principal Investigator: Grace M. Kuo, PharmD, MPH Study Co-Investigators: Jeffrey R. Steinbauer,…

4747. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Hand Hygiene Promotion 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 & Non-ICU Hand Hygiene Promotion 1 Educational Objectives De…

4748. Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldatasum.html
      October 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Disparities among…

4749. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …

4750. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Trigger Summary Report Information Exercises Objective: Facilitators will understand criteria and rules that determine information that displays on the Trigger Summary Report. …

4751. Develop Your Own? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/develop/index.html
      June 01, 2020 - Develop Your Own? The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Existing measurement sets assess a limited number of factors. There may be health conditions, health services, or specific population subgroups of great interest for which esta…

4752. Language Access Plan for the Agency for Healthcare Research and Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/electronic/plain-writing/language-access.html
      July 01, 2025 - Language Access Plan for the Agency for Healthcare Research and Quality Language Access Principles  The Agency for Healthcare Research and Quality (AHRQ) will follow the language assistance principles outlined in this plan when assessing and addressing situations in which individuals with limited English profic…

4753. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
      March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD; John Brehm, MD; David Lomely, BA. Abstract Prevention of patient falls i…

4754. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/research/grants-2022.html
      August 01, 2025 - Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures in the diagnostic process, which may include the establishment of Research Centers of Diagnostic Excellence to develop systems, measures, and new tech…

4755. 029-Ss-Review-Ssi-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Review of SSI Program Tools Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Review of SSI Program Tools SAY: This presentation provides an overview of all the program…

4756. Maternal and Child Health Care: Effectiveness Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mcheff-measures.html
      June 01, 2018 - Chartbook on Healthy Living Maternal and Child Health Care: Effectiveness Measures Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effecti…

4757. Cusp Patient Family Engagement Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
      June 02, 2025 - SAY: The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on an important topic: Making sure patients and their family members understand what is happening during the patient’s hospital stay, are active participants in the patient’s care, and are prepared for…

4758. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
      July 01, 2018 - Guide to Patient and Family Engagement Executive Summary Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key In…

4759. 2. Overview of AHRQ’s Recent Investments in Primary Care Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/overview.html
      August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 2. Overview of AHRQ’s Recent Investments in Primary Care Research Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ…

4760. Central Venous Catheter Insertion Bundle Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
      April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes CLABSI Module: Central Venous Catheter Insertion Facilitator Guide Slide Number and Image This module, titled Central Venous Catheter Insertion, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) t…