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1901. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Eliminating CLABSI, A National Patient Safety Imperative A Companion Guide to the National On the CUSP: Stop BSI Project Final Report A Project of: Health Research & Educational Trust Johns Hopkins Medicine A…

1902. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF May 2017 SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also …

1903. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
      August 01, 2022 - Implementation Guide for the CANDOR Process Communication and Optimal Resolution Toolkit Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…

1904. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection References Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter 2. Dete…

1905. 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
      January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices Prepared for: Agency for Healthcare Resea…

1906. Assess-Resident-Uti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Urinary Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Urinary Tract Infection Long-Term Care SAY: Welcome to the presentation titled, “A…

1907. Re-Engineered Discharge Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
      September 01, 2012 - Re-Engineered Discharge Toolkit 1 Re-Engineered Discharge Toolkit Samples and Forms 1 Sample After Hospital Care Plan (AHCP) 2 **Bring This Plan to ALL Appointments** After Hospital Care Plan for: Oscar Sanchez Discharge Date: August 1, 2012 TRY TO QUIT SMOKING: Call Jon Doe at (555)…

1908. “Role of the Nurse Manager” Slide Content and Alternative Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
      April 01, 2013 - “Role of the Nurse Manager” Slide Content and Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Title Slide (CUSP logo) The “Role of the Nurse Manager” module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP t…

1909. Measure: Pediatric All-Condition Readmission Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
      October 01, 2014 - Measure: Pediatric All-Condition Readmission Measure Measure: Pediatric All-Condition Readmission Measure Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM) Numerator Denominator Exclusions Data Source(s) Hospitalizations at general acute care hospitals for patients less than 18 …

1910. Prescribers-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
      June 01, 2021 - In a survey of 2,000 health care professionals, intimidation was found to be the root cause of medication … error. … improve communication and alleviate this feeling of intimidation can reduce unnecessary prescriptions or medication … errors.

1911. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
      March 01, 2016 - Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation March 2016 Authored by: Jeff Hummel, MD, MPH Peggy C. Evans, Ph…

1912. P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p9-schoenthaler-mann.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the A…

1913. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
      July 01, 2023 - Shadowing Another Professional Tool AHRQ Safety Program for Perinatal Care Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other discip…

1914. Buffalo Hospital Uses TeamSTEPPS® to Improve Pediatric Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201504.html
      March 01, 2015 - Buffalo Hospital Uses TeamSTEPPS® to Improve Pediatric Patient Safety Search All Impact Case Studies March 2015 Women and Children's Hospital of Buffalo, the only pediatric facility in Western New York, has used an AHRQ-designed patient safety program to improve care for children with bronchiolitis. Hospita…

1915. Screener Items for the CAHPS Item Set for Children with Chronic Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/screener.html
      April 01, 2022 - Screener Items for the CAHPS Item Set for Children with Chronic Conditions The CAHPS Item Set for Children with Chronic Conditions includes a five-item screener that is used during the analysis of the data to determine which responses to the questionnaire reflect the experiences of children with chronic conditi…

1916. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
      January 01, 2024 - Injury due to a known DDI is a preventable adverse drug event and constitutes a serious medication … error.2, 3 Evidence suggests that hundreds of millions of interacting drugs are co-prescribed and consumed … Injury due to a known DDI is a preventable adverse drug event and serious medication error. … errors, and improve patient safety. … Preventable medication errors: identifying and eliminating serious drug interactions.

1917. National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
      June 16, 2016 - error …  Improving communication is a key aspect of decreasing medication errors and improving patient … errors and a 30% to 84% reduction in adverse drug events (ADEs) (Ammenwerth, et al., 2008) … errors and a 30% to 84% reduction in adverse drug events (ADEs) (Ammenwerth, et al., 2008) … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review

1918. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
      June 16, 2016 - error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review

1919. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
      July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…

1920. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
      March 01, 2020 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge