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3401. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
      June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Private Sector Efforts in Value-Based Purchasing and Quality Improvement Previous Page   Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Qu…

3402. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
      February 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) Contents 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information On Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input from Stakeholders Refer…

3403. Final Progress Report: Measuring Mistrust in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
      January 01, 2024 - telephone survey of a random sample of residents of Baltimore City, Maryland, and interviewed a household member … We sampled households and selected the household member age 18 or older who had the most recent birthday

3404. Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
      January 01, 2024 - A nine-member planning committee that included representatives from the three states selected the research

3405. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
      June 02, 2025 - Then, the CANDOR Response Team or a member of the Event Investigation and Analysis Core Team should begin

3406. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid CHG and Showering With 4% CHG Liquid Soap (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.docx
      March 01, 2022 - escalation pathway may include asking an expert peer champion, a nurse manager or director, or another member

3407. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
      March 01, 2022 - escalation pathway may include asking an expert peer champion, a nurse manager or director, or other member

3408. Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
      April 01, 2022 - is best practice, not only for your patient but what you would also want for yourself or a family member

3409. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
      January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki Grant Number: R03 HS21583-01 AHRQ Grant Final Progress Report Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki, MD, MSCE Team Members: Vinay …

3410. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
      January 01, 2012 - approach Interventional radiology CUSP Resilience Connecting the dots * Holy Cross Hospital Member

3411. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
      January 01, 2024 - (2) Was this patient’s care handed off to you by another staff member?

3412. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
      February 01, 2023 - After reviewing the literature, a 15-member multidisciplinary panel used a standardized process to rate

3413. Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
      January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…

3414. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
      January 01, 2017 - Tool: SSA Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…

3415. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - The 10-member Health Maintenance Organizations (HMO) Research Network, through the support of the Agency

3416. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Another participant shared, “I picked cases that either I or my team member were involved in in- vestigating

3417. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - Data is gathered at each step of the health care visit as each member of the clinical team enters information

3418. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…

3419. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive …

3420. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…