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5401. Module 2: Urinary Catheter Maintenance | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2.html
      February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide Module 2: Urinary Catheter Maintenance Previous Page Next Page Table of Contents Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Module 1: Overview Module 2: Urinary Catheter Maintenance Module 3: Conversations Ar…

5402. New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/941.html
      December 01, 2024 - New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm Issue Number 941 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. December 10, 2024 AHRQ Stats: Trends in Severe Maternal Morbidity Complications Between 2016 and 2021, the…

5403. 5 Tk2 T3-Concise Antibiogram Toolkit Using Whonet To Create Your Antibiogram (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T3-Concise_Antibiogram_Toolkit_Using_WHONET_to_Create_Your_Antibiogram.doc
      May 01, 2014 - Concise Antibiogram Toolkit Using WHONET to Create your Antibiogram 4 Concise Antibiogram Toolkit Using WHONET to Create Your Antibiogram WHONET is free Windows-based database software developed in 1989 by the World Health Organization (WHO). The software is used in laboratories worldwide for the management and…

5404. Prologue -- Where the Rubber Meets the Road (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
      June 02, 2025 - Prologue -- Where the Rubber Meets the Road 1 Prologue Where the Rubber Meets the Road Lucian L. Leape Traditionally, a primary focus of patient safety research has been to analyze data to identify problems and demonstrate that a new practice will lead to improved quality or safety. Much less research att…

5405. American College of Obstetricians and Gynecologists (ACOG) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084additional.pdf
      August 14, 2012 - The Joint Commission Introduces Perinatal Care Core Measures [press release].

5406. American College of Obstetricians and Gynecologists (ACOG) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085addresource.pdf
      August 14, 2012 - The Joint Commission Introduces Perinatal Care Core Measures [press release].

5407. American College of Obstetricians and Gynecologists (ACOG) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085additionalreferences.pdf
      August 14, 2012 - The Joint Commission Introduces Perinatal Care Core Measures [press release].

5408. American College of Obstetricians and Gynecologists (ACOG) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082additional.pdf
      August 14, 2012 - The Joint Commission Introduces Perinatal Care Core Measures [press release].

5409. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
      April 01, 2013 - And length of stay, by the way, this is sort of off the topic but really important: Do not measure length … of stay in days; measure it in hours.

5410. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
      December 01, 2017 - Part of that context is motivation to measure and continue to give feedback as some more background level

5411. Sustaining-Change-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
      April 14, 2015 - Part of that context is motivation to measure and continue to give feedback as some more background level

5412. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - As Nuland notes, “It is every doctor’s measure of his own abilities; it is the most important ingredient

5413. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
      January 01, 2025 - The specific aims are to: Aim 1: Identify items from existing large vessel occlusion (LVO) scales that … improve LVO prediction (H1b); and an enhanced LVO screening tool will perform better than published scales … Other models have derived and validated stroke scales (e.g., CPSS and 3 I-SS); however, these models

5414. Puh-Implementation-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
      July 01, 2016 - We use the Braden Scale to identify persons at risk of pressure ulcers at admission but we don’t measure

5415. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - reduce medical errors.3 The QuIC report, the response to President Clinton’s directive, proposed clear measures … One of the measures was to implement a mandatory reporting system in the hospital and Advances in

5416. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Table 1 defines each of the three factors included in the RPN calculation and the rating scales associated … number calculation and their rating scale Risk priority number Definition Description of the rating scales … Using the communication and teamwork skills (CATS) assessment to measure health care team performance

5417. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
      January 01, 2024 - Data Sources/Collection/Measures: Quantitative data were derived from automated mechanisms for medication … The results here follow the usual healthcare model of demonstrating improvement in process measures

5418. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
      January 01, 2025 - Measures During in situ clinical simulations, we measured situational awareness of simulated patient

5419. Primary Care Practice Facilitation Curriculum Module 25: The Patient-Centered Medical Home: Principles and Recognition Processes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-25-pcmh-principles.pdf
      September 01, 2015 - • FFS with a PMPM payment and pay for performance based on predetermined performance measures.

5420. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - this, a direct causal relationship between patient safety programs and changes in specific safety measures