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1901. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
      January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation Four Safety Strategies: A Symposium on Implementation Principal Investigator: Mary A. Pittman, Dr.P.H. Project Team: Allan Frankel, M.D., Partners HealthCare System Tejal Gandhi, M.D., Brigham & Women’s Hospital Sarah Grillo Peter…

1902. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
      January 01, 2024 - example, use of a keyword search on the electronic record is estimated to have detected .3% to 1.9% of medication … errors.

1903. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - For example, the process map for medication errors is clear and understood—prescribing, documenting,

1904. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
      April 01, 2015 - For others, medication errors may be decreased.

1905. AHRQ Safety Program for Perinatal Care: Shadowing Another Professional Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Shadowing Another Professional Tool AHRQ Safety Program for Perinatal Care Shadowing Another Professional Tool Shadowing Another Professional Tool Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different profes…

1906. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety AHRQ Publication No. 17-0003-3-EF May 2017 SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help yo…

1907. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

1908. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 1 Educational Objectives Describe the patient safety risks tha…

1909. The Rural Physician Peer Review Model©: A Virtual Solution (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
      June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution The Rural Physician Peer Review Model©: A Virtual Solution Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD; Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD Abstract Evaluating …

1910. Assess and Adapt: Understanding the Science of Safety and Reliability | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
      July 01, 2018 - Slide 5 Health Care Defects 7 percent of patients suffer a medication error 2 On average, every

1911. Warm Handoffs: A Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-guide-for-clinicians.pdf
      June 02, 2025 - Warm Handoffs: A Guide for Clinicians Why is it important? Communication breakdowns can result in medical errors. Warm handoffs can help address communication issues and: ■ Engage patients and families and encourage them to ask questions. ■ Allow patients to clarify or correct the information exchanged. ■…

1912. Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
      January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness Title of Project: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness Principal Investigator and Team Members: Principal Investigator: Brian Pickering, MB,…

1913. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - Learn About CUSP, Facilitator Notes CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. CUSP Supports Kotter's…

1914. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
      December 01, 2012 - Implement Teamwork and Communication: Facilitator Notes The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4…

1915. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
      January 01, 2017 - prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure ulcers, and medication … errors.

1916. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
      January 01, 2017 - prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure ulcers, and medication … errors. 

1917. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
      January 01, 2024 - Key Words: anticoagulants, clinical decision support, population health, implementation science, medication … error 2 PURPOSE Our primary goal was to improve the safety of DOAC prescribing through the implementation … Prevalence, contributory factors and severity of medication errors associated with direct-acting oral

1918. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - For others, medication errors may be decreased.

1919. Learn About CUSP | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
      December 01, 2012 - Learn About CUSP CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. CUSP Supports Kotter's Eight Steps of Cha…

1920. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety AHRQ Publication No. 17-0003-4-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Science of S…