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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
    March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…
  3. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
  4. www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
    November 01, 2008 - does not necessarily represent the views of individual reviewers, and service as a peer reviewer or member
  5. www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Screening After article identification, a member of the NORC team assessed each article’s relevance … Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions at least one staff member
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Screening After article identification, a member of the NORC team assessed each article’s relevance … Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions at least one staff member
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
    March 01, 2020 - Changing the culture to recognize that patient safety is everyone’s responsibility and each staff member … changing the culture to recognize that patient safety is everyone’s responsibility and each staff member
  8. Imp-Handouts (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
    June 02, 2025 - Once we had a case where the family complained to the State that their family member should have transferred
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training Facilitator Training Instructor Guide Slide 1: Introduction to Preventable Hospital and ED Visits Reports Say: In this session we will introduce you to the Preventable Hospital and ED Visits el…
  10. www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
    January 01, 2024 - was a community pharmacist, 2) reported practicing full time in a community pharmacy, and 3) was a member
  11. www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - observations of practice in the clinical setting, nurses were more apt to ask another healthcare team member
  12. www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors Improving Patient Safety by Reducing Medication Errors Brian Strom, MD, MPH, Principal Investigator: Director, Administrative Core; Director, Data Collection Core Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
    December 01, 2015 - Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles 1 Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality Implementation Programs Society of Critical Care Medicine William S. Miles, MD, FACS, FCCM, FAPWCA Director of Surgical Critical Care and the …
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
    March 01, 2019 - Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma 1 Education in Proper Use of New Asthma Medication Delivery Device for Children with Asthma Section 1. Basic Measure Information 1.A. Measure Name Education in Proper Use of New Asthma Medication Delivery Device for Child…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
    March 01, 2004 - provision is the most stringent, requiring that notification to the patient, or to an adult family member
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - organizations achieve high reliability, because they are preoccupied with failure, sensitive to how each team member
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - Registered Nurse and Licensed Practical Nurse Full-Time Equivalents) per adjusted patient day.15, 31 COTH-member
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
    November 01, 2019 - Jill Mhyre (an expert panel member), Andrea Fuller, and Brenda Bucklin, whose surveys support the salience … This decision was affirmed when upon their review of our specifications, no panel member questioned
  20. 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…

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