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5521. Case Study of Using the QI Toolkit for Pediatric Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_pdi_casestudy.pdf
      December 01, 2015 - Case Study of Using the QI Toolkit for Pediatric Quality Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Case Study of Using the QI Toolkit for Pediatric Quality Improvement What is the purpose of this tool? This tool provides a case study from a children’s ho…

5522. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
      January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority The Timeline to Diagnostic Safety SIDM - Research as a Priority Mark L Graber MD FACP Senior Fellow – RTI International Professor Emeritus - SUNY Stony Brook Founder and President – SIDM graber.mark@gmail.com VISION: Creating a world where no pat…

5523. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
      January 01, 2024 - document for adjudicators was updated and redistributed as needed based on decisions made on how to manage

5524. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - Nonetheless, we did manage to undertake two rounds of technology-based interventions, though the number

5525. Functional Specifications for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
      December 01, 2017 - developed to provide nursing home leadership and nursing staff with tools to effectively monitor and manage

5526. Weight Summary (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
      February 10, 2014 - developed to provide nursing home leadership and nursing staff with tools to effectively monitor and manage

5527. Navigating-Hierarchy-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
      December 10, 2013 - because maybe the housekeeper has something to add to the complex care of this very difficult patient to manage

5528. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
      December 01, 2017 - because maybe the housekeeper has something to add to the complex care of this very difficult patient to manage

5529. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - but does not reduce risks for future patients Example: You get the supply from another area or you manage

5530. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
      April 01, 2022 - testing • Reduction in acute, severe pain with movement • Patient request for external catheter to manage

5531. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - To move forward responsibly, hospitals must build organizational capacity to manage AI implementation

5532. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - TeamSTEPPS for Improving Diagnosis Participant Workbook TeamSTEPPS® for Diagnosis Improvement Participant Workbook Participant Workbook This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 Module 1: Introducti…

5533. 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 - Final Progress Report: Racial and Ethnic Variations in Medical Interactions Title of Project Racial and Ethnic Variations in Medical Interactions Principal Investigator and Team Members Carol M. Ashton, MD, MPH (PI), Tracie C. Collins, MD, MPH, Coreen Domingo, MPH, Howard S. Gordon, MD…

5534. Follow-Up Referral After Positive Developmental Screen (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
      January 01, 2014 - Follow-Up Referral After Positive Developmental Screen Follow-Up Referral After Positive Developmental Screen Section 1. Basic Measure Information 1.A. Measure Name Follow-up Referral after Positive Developmental Screen 1.B. Measure Number 0204 1.C. Measure Description Please provide a non-technical descri…

5535. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
      April 01, 2019 - CHIPRA 81: Pediatric Global Health-7 Measure Report 1 Pediatric Global Health-7 Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Global Health-7 (PGH-7) Measure 1.B. Measure Number 0081 1.C. Measure Description Please provide a non-technical description of the measure that convey…

5536. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
      October 01, 2019 - Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid Section 1. Basic Measure Information 1.A. Measure Name …

5537. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
      January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part II Appendix A—Overall Results by Community Pharmacy Characteristics Appendix B—Overall Results by Respondent Characteristics Prepared for: Agency fo…

5538. Expanding and Enhancing All Payer Claims Database System Capacity in States | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/confrpt.html
      February 01, 2018 - Expanding and Enhancing All Payer Claims Database System Capacity in States The National Association of Health Data Organizations (NAHDO) and the APCD Council brought together States aggregating health care claims data from payers to transfer knowledge and best practices in all-payer claims database (APCD) coll…

5539. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Training Guide Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of Module 5 are to have the Implementation T…

5540. 170-Cusp-Science-Safety-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.” As you consider esta…