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4461. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action PATIENT SAFETY e Issue Brief 11 Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action This page intentionally left blank. e Issue …

4462. Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
      January 01, 2025 - sized cuff, and 3) interpreting the BP based on burdensome age, sex, and height tables.7 A study by a member

4463. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
      January 01, 2004 - Introduction A recent survey found that at least 10 percent of adults reported that they or a family member

4464. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - the amount of time standing in the pharmacy area waiting for nurses to administer IVs, the physician member

4465. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …

4466. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
      June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…

4467. 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…

4468. 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…

4469. CHIPRA quality demonstration States help school-based health centers strengthen their medical home features | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
      June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features Evaluation Highlight No. 8 Authors: Mynti Hossain, Rebecca Coughlin, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes …

4470. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events Weingart, 1 K08 HS11644 Partnering with Patients to Find Adverse Events Saul N. Weingart, MD, PhD VP for Patient Safety Dana-Farber Cancer Institute, and Associate Professor of Medicine Harvard Medical School 44 Binney St. Boston, MA 02…

4471. Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
      January 01, 2024 - Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities PROJECT TITLE: Building the Evidence Base for Vomit Clean-Up Procedures in Long-term Care Facilities PRINCIPAL INVESTIGATOR AND TEAM MEMBERS: Angela M. Fraser, Ph.D. (PI)1 Xiuping Jiang, Ph.D.1 (coPI) Jan…

4472. Finding Sustainable Funding for Primary Care Extension Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
      February 01, 2023 - Finding Sustainable Funding for Primary Care Extension Programs NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH 1 FINDING SUSTAINABLE FUNDING FOR PRIMARY CARE EXTENSION PROGRAMS Finding sustainable funding for primary care extension programs is a challenge. This resource shares information about pote…

4473. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…

4474. ampe_2_107.38_48.tp (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
      February 01, 2002 - PEDIATRICS40 Bethell et al and more than a dozen times by teleconference, beginning in June 1998 (task force member

4475. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - AHRQ-Funded Patient Safety 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Research has shown that health information technology (HIT)i and health information exchange (HIE)ii make it …

4476. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training—Handouts: On-Time Falls Prevention Training   Implementation Scripted Exercise – Change Team Meeting for Self-Assessment Implementation Scripted Exercise – Selecting Falls Prevention Reports and Meetings in W…

4477. Fallspximpl-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Handout 1: Implementation Scripted Exercise – Change Team Meeting for Self-Assessment Team consists of: Facilitator [Jim]. Program Champion [Mary]. Nursing Assistant A [Allison]. Nursing Assistant B [Jolene]. Nurse Manager A [Miranda]. Nurse M…

4478. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - Assisted fall A fall in which any staff member (whether nursing service employee or not) was with

4479. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
      December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) Webinar Transcript AHA – Chicago June National Content Call June 10, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick June National Content Call with the American Hospital Association on …

4480. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
      June 10, 2014 - Paul Tedrick AHA – Chicago June National Content Call June 10, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick June National Content Call with the American Hospital Association on Tuesday, June 10, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speakers in c…