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1561. Pillars of a Smart, Safe Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
      April 07, 2008 - Technology can facilitate propagation of an initial action plan or alert a team to last minute plan

1562. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - transform these pieces of information into long-term memory, working memories will be lost within 1 minute

1563. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determine Surgical Site Infection Rates (continued) Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive S…

1564. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…

1565. Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
      May 01, 2017 - Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide Slide 1: Debrief Example Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few minutes I'll be talking to you about how to turn the work yo…

1566. Appendix-K-Debrief-Audio-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
      June 02, 2025 - AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix K. Quality Improvement Study Framework Debrief Example Audio Transcript/Facilitator Notes Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few m…

1567. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports Note: This part of the training primarily consists of exercises …

1568. CAHPS American Indian Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.pdf
      March 04, 2009 - CAHPS American Indian Survey CAHPS® American Indian Survey Version: Adult Language: English For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.com. File name: american-indian-eng-851.docx Last updated: March 4, 2009 mailto:cahps1@westat.com CAHPS America…

1569. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
      January 01, 2024 - Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety FINAL PROGRESS REPORT Systems Approach for Improving Region-Wide Patient Safety Carl A. Sirio, MD (Principal Investigator) Rober Weber, RPh Carlene Muto, MD Donna Keyser, PhD Jan Pringle, PhD Rangaraj Ramanujam, PhD John Jernig…

1570. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
      January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16, 2007 Using Barcode Technology to Improve Medication Safety Principal Investigator: Tejal Gandhi, tgandhi@partners.org Brigham and Women’s Hospital Tejal Gandhi MD, MPH, Principle Investigator Eric Poon, MD, MPH, …

1571. National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
      September 30, 2015 - National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medic…

1572. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
      July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …

1573. Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
      September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the…

1574. Learn From Defects Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
      December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…

1575. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety Slide presentation of the webinar held on August 1, 2016 The Agency for Healthcare Research and Quality (AHRQ) held a Webinar on August 1, 2016, to provide an overview of the AHRQ Quality Indicators (QIs…

1576. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commen…

1577. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…

1578. Christiana Care Health System: Safety Mentor Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
      March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…

1579. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard TITLE PAGE Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard Princip…

1580. Sample Telephone Script for the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sample-telephone-script.pdf
      April 17, 2017 - Sample Telephone Script for the CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions Sample Telephone Script for the CAHPS Child Hospital Survey (Child HCAHPS) Document No. 962 Updated 4/17/2017 Sample Telephone Script for the CAHPS® Child Hospital Survey (Child HCAHPS) The foll…