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5981. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…

5982. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
      January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project 255 Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby, Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar, Richard…

5983. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project 255 Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby, Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar, Richard…

5984. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
      January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021 Network of Patient Safety Databases Chartbook, 2021 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2021. Rockvi…

5985. Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
      January 01, 2024 - Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs Title: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs Principal Investigator: John M. Hollingsworth, MD, MS Team Members: Brahmajee K. Nallamothu, MD, MPH (Mentor) Jason Owen-Smith, PhD …

5986. Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
      January 01, 2024 - Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference 1. TITLE PAGE Pediatric Quality Improvement Methods, Research, and Evaluation Conference Jonathan Finkelstein, MD, MPH, Principal Investigator Team Members: Denise Dougherty, PhD Alex Kemper, MD, MPH, MS Lawrence K…

5987. How the CHIPRA quality demonstration elevated children on State health policy agendas (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight04.pdf
      September 08, 2015 - How the CHIPRA quality demonstration elevated children on State health policy agendas The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid …

5988. Lessons from the Field: Measuring Intermediate Progress (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-intermediate-progress.pdf
      November 04, 2018 - Lessons from the Field: Measuring Intermediate Progress Lessons from the Field: Measuring Intermediate Progress Prepared for the Agency for Healthcare Research and Quality by L&M Policy Research, LLC with guidance from the Pediatric Quality Measure Program (PQMP) Grantees i Table of Contents List of Acrony…

5989. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
      February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients Say: In this module, we will discuss the Learning From Defects tool. It is a very useful proc…

5990. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
      December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Slide Presentation Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospi…

5991. Communication-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Teamwork and Communication Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Teamwork and Communication Long-Term Care SAY: Welcome to this presentation, “Improving Teamwork and Communication.” Slide 1 Objectiv…

5992. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4j Selected Best Practices and Suggestions for Improvement PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs) Why …

5993. 2018 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_cg_cahps_chartbook.pdf
      January 01, 2019 - 2018 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE CAHPS Clinician & Group Survey Database 2019 Chartbook This document is in the public domain and may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyri…

5994. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4x Selected Best Practices and Suggestions for Improvement PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs) Why focus on c…

5995. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
      January 01, 2013 - Tools for Reducing Central Line-Associated Blood Stream Infections Tools for Reducing Central Line-Associated Blood Stream Infections January 2013 1 Table of Contents Purpose of the tools ........................................................................…

5996. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
      April 01, 2025 - Hospital-Level Gap Analysis for MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Hospital-Level Gap Analysis for MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal F…

5997. Urinary Tract Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-slides.pptx
      November 01, 2019 - Urinary Tract Infections Best Practices in the Diagnosis and Treatment of Sepsis Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Sepsis 1 Objectives Review approaches to the diagnosis of sepsis De…

5998. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Qual…

5999. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief Issue Brief 10 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators PATIENT SAFETY e This page intentionally left blank. e Issue Brief 10 Reinforcing the Va…

6000. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) Webinar Transcript AHA – Chicago June 3, 2014 Onboarding Webinar 5 12:00 PM CT Operator: The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, J…