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1921. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare Creating and Maintaining a Culture of Safety Series (Session 3) Measuring and Responding to Safety Culture Across Healthcare NATIONAL WEBINAR SERIES April 15, 2025 Housekeeping Instructi…

1922. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

1923. Slide Presentation: Contact Precautions for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
      October 01, 2024 - Slide Presentation: Contact Precautions for MRSA Prevention AHRQ Safety Program for MRSA Prevention Contact Precautions for MRSA Prevention ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Contact Precautions 1 | 2 Discuss the purpose behind using contact pr…

1924. Sensemakingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
      June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…

1925. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
      February 01, 2020 - Hypertension Screening for Children Who Are Overweight or Obese: Report 1 Hypertension Screening for Children Who Are Overweight or Obese Section 1. Basic Measure Information 1.A. Measure Name Hypertension Screening for Children Who Are Overweight or Obese 1.B. Measure Number 0232 1.C. Measure Description P…

1926. Communication of Weight Classification for Children Who Are Overweight or Obese (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
      February 01, 2020 - Communication of Weight Classification for Children Who Are Overweight or Obese 1 Communication of Weight Classification for Children Who Are Overweight or Obese Section 1. Basic Measure Information 1.A. Measure Name Communication of Weight Classification for Children Who Are Overweight or Obese 1.B. Measu…

1927. 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…

1928. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
      February 06, 2012 - Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) Attachment A: CHIPRA Pediatric Quality Measures Progra…

1929. Ncinqtobaccousehelpform (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
      August 01, 2012 - NCINQ Measure Submission: Tobacco Use and Help with Quitting Among Adolescents Attachment A: CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) Italics indicate instructions for how to complete a specific field. << >> indicates the name of a text field in the online version o…

1930. 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…

1931. 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…

1932. 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…

1933. 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.

1934. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/eval4.html
      May 01, 2016 - Process-related * 6 Documentation 4 Treatment-related 4 Discharge-related 3 Medication … errors 1 Failure to diagnose 1 Infection 1 Physical assault 1 Note

1935. 2014-Women-Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
      January 01, 2014 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov 2014 National Healthcare Quality and Disparities Report CHARTBOOK ON WOMEN’S HEALTH CARE This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated.…

1936. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
      December 31, 2015 - CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Manage…

1937. 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

1938. 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

1939. 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…

1940. 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