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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
    April 14, 2015 - April 14, 2015 Sustaining Change Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…
  2. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Learning From Defects Through Sensemaking Say: This module focuses on the process of Learning From Defects Through Sensemaking. Slide 2: Learning Objectives Say: At the end of this module, you w…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
    December 01, 2004 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges 51 Patient Safety Research in Medical Group Practices: Measurement and Data Challenges Amy R. Wilson, Bryan E. Dowd, John E. Kralewski Abstract This paper attempts to identify and discuss some of the major challenges to co…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
    January 20, 2008 - Measuring IT Sophistication in Nursing Homes Measuring IT Sophistication in Nursing Homes Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell Abstract Objective: Little activity has occurred in nursing home (information technology) IT adoption. The purpose of this study was to de…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
    February 01, 2020 - CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child 1 Parent Report of Discussion of Weight Concerns for Child Section 1. Basic Measure Information 1.A. Measure Name Parent Report of Discussion of Weight Concerns for Child 1.B. Measure Number 0240 1.C. Measure Description Ple…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
    March 01, 2009 - Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa Technical Review #17 Nutrition Research Series Volume 3: Reporting of Systematic Reviews of Micronutrients …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
    January 28, 2011 - Regardless of the mechanism for publicizing accomplishments, it is important to provide ongoing and … Stories provide a mechanism by which clinicians, hospital staff, and patients can communicate and develop
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
    April 01, 2016 - Since most long-term care EMRs provide a mechanism for users to monitor completion of nursing assistant
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-fullreport.pdf
    June 01, 2019 - The primary mechanism to facilitate the use of this measure is to link vital statistics data to either
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
    September 01, 2022 - Toolkit content accurately reflects best practices moving forward may be challenging; however, a mechanism
  14. www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
    April 01, 2013 - during the shadowing, and this was pretty consistent for 2 years in a row, so that we had to put a mechanism
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
    August 01, 2017 - • If a unique transfer ID is not assigned, the system must provide an alternative mechanism to link
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
    July 01, 2023 - SPPC-II SCRIPT Communication is the lifeline of a well-functioning team and serves as a coordinating mechanism
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
    July 01, 2023 - 2 SCRIPT Communication is the lifeline of a well‐functioning team and serves as a coordinating mechanism
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
    April 01, 2008 - Community engagement may be a powerful mechanism for promoting and achieving behavior-based healthy outcomes
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
    April 01, 2014 - -3 NO 277 METABOLISM DIS NEC/NOS 5 YES 4 YES 278 OBESITY/HYPERALIMENT 4 YES 3 YES 279 DIS IMMUNE MECHANISM
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
    January 01, 2025 - $97,666 Purpose: To measure implementation outcomes and establish the feasibility of measuring the mechanism

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