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  1. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - Fetal Monitoring (EFM) • Slide Presentation & Facilitator Notes • Tool: Safe EFM Pocket Card Safe Medication … Study UNDERTAKING CHANGE Standardizing Oxytocin Administration Oxytocin is listed as a high-risk medication … by the Institute for Safe Medication Practices and is used daily on the L&D unit. … tasks, such as changes to the electronic health record (EHR) or changes to the standard dosage of medication … Team activities included creating a standardized obstetric hemorrhage cart and changing the medication
  2. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - Fetal Monitoring (EFM) • Slide Presentation & Facilitator Notes • Tool: Safe EFM Pocket Card Safe Medication … Study UNDERTAKING CHANGE Standardizing Oxytocin Administration Oxytocin is listed as a high-risk medication … by the Institute for Safe Medication Practices and is used daily on the L&D unit. … tasks, such as changes to the electronic health record (EHR) or changes to the standard dosage of medication … Team activities included creating a standardized obstetric hemorrhage cart and changing the medication
  3. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
    October 12, 2022 - Appendix 2: CED Compiled Public Comment Themes Summary_Out of Scope Comments There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
  4. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
    September 01, 2014 - Workshop A4 & B4: Building a Multi-Organizational QI Support System PA SPREAD: Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure Alan M. Adelman, MD, MS Penn State University College of Medicine; Hershey, PA This project was supported by grant number U18HS020988 from the Agency for Healthcare Re…
  5. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
    January 01, 2013 -  Medication.  Home care instructions.  Treatment plan.  Recommended behavior changes.
  6. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 14 What are the SOPS Surveys? • Surveys of providers and staff about the extent to which their organizational …
  7. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
    May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set SOPS Health IT Patient Safety Supplemental Item Set Resource List 1 Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the A…
  8. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
    February 16, 2011 - Enhancing Performance Via Integrated Health Systems IDENTIFYING KEY AREAS FOR DELIVERY SYSTEM RESEARCH The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts and Stakeholders Lawrence Casalino M.D., Ph.D. Weill Cornell Medical College Sterling, VA February 16, 2011 * 2/16/…
  9. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar03/logic_models.pptx
    July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #3: …
  10. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2019update.csv
    February 13, 2023 - health_sys_id health_sys_name health_sys_city health_sys_state in_hcos in_ska in_aha ims_org_id ihs_id aha_id total_mds prim_care_mds grp_cnt hosp_cnt acutehosp_cnt sys_multistate sys_beds sys_dsch sys_res maj_inv_owned deg_children sys_incl_majteachhosp sys_incl_vmajteachhosp sys_teachint sys_incl_highdpphosp sys_high…
  11. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - They did not include costs for the pharmacy system, medication administration system, or clinical data … network, leadership, and training Returns (numerator) $28.5 million Averted adverse drug events; medication
  12. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
    August 07, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix I. Catheter Care Pocket Card Interventions To Prevent CAUTI in Patients Who Have a Documented Medical Need for Indwelling Urinary Catheter Prevention strategies must focus on clear indications for the insertion of a urinary catheter and prompt removal w…
  13. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
    January 01, 2013 - They did not include costs for the pharmacy system, medication administration system, or clinical data … network, leadership, and training Returns (numerator) $28.5 million Averted adverse drug events; medication
  14. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/The_Case_for_Improving_Patient_Experience_-2011_10_01_Transcript.pdf
    January 01, 2011 - CAHPS QI The Case for Improving Patient Experience The Case for Improving Patient Experience October 2011  Podcast Speaker Larry Morrissey, MD, Medical Director of Quality Improvement, Stillwater Medical Group Moderator Carla Zema, PhD, Consultant, CAHPS User Network; Assistant Professor of Economics an…
  15. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Selected …
  16. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - 7 minutes during which she may not have been breathing adequately, possibly from too much sedation medication … We now believe that this blue episode may have been the result of too much sedation medication being
  17. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…
  18. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/safford.pdf
    December 17, 2014 - Using Comparative Effectiveness Reviews to Optimize Quality of Life for Persons with Diabetes and Chronic Pain Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Using Comparative Effectiveness Reviews to Optimize Quality of Life fo…
  19. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
    May 12, 2016 - Getting Ready for Change Self-Assessment Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool A.3 Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readines…
  20. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
    June 27, 2014 - AHRQ Quality Indicators Toolkit Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to support effective implementation efforts. Using this checklist, you can highlight capabilities that should be in p…

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