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5241. 034-Ss-Action-Chart-Decisionmaking-Readiness (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Preoperative Decolonization Program Decision Making and Readiness for Implementation Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Review and Share the Evidence for Decolonization A surgical site infection (SSI) is an …

5242. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…

5243. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
      June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…

5244. 2. Developing and Running a State-Based Extension Program To Support QI in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 2. Developing and Running a State-Based Extension Program To Support QI in Primary Care Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary C…

5245. 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,…

5246. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
      January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…

5247. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…

5248. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - Strategy 3: Bedside Shift Report (Tool 3) Insert hospital logo here Nurse Bedside Shift Report Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 3: Nurse Bedside Shift Report (Tool 3) Guide to Patient & Family Engagement If you have conducted trainings for other strategies in …

5249. Medical Injury Identification Using Hospital Discharge Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
      January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data 119 Medical Injury Identification Using Hospital Discharge Data Peter M. Layde, Linda N. Meurer, Clare Guse, John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn, Karen J. Brasel, Stephen W. Hargarten Abstract Objective: Determine the feasi…

5250. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - Common Cause Analysis: Focus on Institutional Change Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN; Annette Bollig, MSN, RN; James Steven, MD, SM Abstract The Children’s Hospital of Philadelphia has created a mechanism …

5251. Minding the Gaps: Creating Resilience 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-Nemeth_116.pdf
      April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

5252. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
      January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…

5253. Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
      January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation TITLE Title: Regional Approach for THQIT in Rural Settings – Implementation Principal Investigator: Francis M. Richards Organization: Geisinger Clinic on behalf of the Geisinger Health System Dates of Project: September 30, 2005, t…

5254. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Final Progress Report: Staff Nurse Fatigue and Patient Safety Staff Nurse Fatigue and Patient Safety Principal Investigator: Ann E. Rogers, PhD, RN Co-Investigators: Linda Aiken, PhD, RN David Dinges, PhD Wei-ting Hwang, PhD Linda D. Scott, PhD, RN Organization: University of Pennsylvania School of Nursi…

5255. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
      January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture September 16, 2014 – Webinar Transcript Speakers Theresa Famolaro, MPS, Database Manager, AHRQ Surveys on Patient Safety Culture, Westat, …

5256. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
      April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…

5257. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies John S. Webster, MD, MBA; Heidi B. …

5258. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts AHRQ’s Safety Program for Nursing Homes Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Completed Self-Assessment Worksheet …

5259. Puh-Implementation-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
      July 01, 2016 - Handouts: Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Com…

5260. Chsp-Bibliography-Update-091223 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
      September 01, 2023 - AHRQ Comparative Health System Performance Initiative Publications Updated September 2023 This page intentionally left blank Comparative Health System Performance Initiative Publications 1 Comparative Health System Performance Initiative Publications Journal Articles Agniel D, Haviland A, Shekelle P, Sc…