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1681. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
      January 01, 2024 - CRP Certification: Promoting Accountability and Learning After Adverse Events FINAL PROGRESS REPORT 1. Title Page Title of Project: CRP Certification: Promoting Accountability and Learning After Adverse Events Principal Investigator and Team Members: Thomas H. Gallagher, MD, Principal Investigator Karen Brigham…

1682. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
      January 01, 2024 - Final Progress Report: Building Consensus Among States on Patient Safety Reporting Final Report “Building Consensus Among States on Patient Safety Reporting” William E. Golden, M.D. Vice President for Quality Improvement Health Care Quality Improvement Programs Office of Projects and Analysis Arkansas F…

1683. Case Example #2: The Health Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
      July 01, 2019 - Case Example #2: The Health Center This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contr…

1684. Final Progress Report: Incorporating Temporary Health States into Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
      January 01, 2024 - Final Progress Report: Incorporating Temporary Health States into Decision Support AHRQ Grant Final Progress Report Title Page Title of Project: Incorporating Temporary Health States into Decision Support Final Report submitted by: Maine Medical Center 22 Bramhall Street Portland, ME 04102 Principal Investigator…

1685. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
      January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice 1 Title Page Title of Project: Quality Factors in Nursing Home Choice Principal Investigator: JoAnn G. Congdon Team Members: Co-Principal Investigator: Joan K. Magilvy Investigator: Mary A. Blegen Investigator: Katherine R. Jones Investigator: Nor…

1686. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication Errors Principal Investigator: Grant T. Savage, PhD (University of Missouri) Team Members: Jonathon R.B. Halbesleben, PhD (U…

1687. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
      January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care Title: Medication Reconciliation: Bridging Communications Across the Continuum of Care Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh, Melissa Blanchard, MP, Amy Caster-Winegeart, …

1688. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
      December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking Slide Title and Commentary Slide Number and Slide Learning From Defects Through Sensemaking SAY: This module focuses on the process of Learning From Defects Through Sensemaking. Slide 1 Learning Objectives SAY: At the end of this module, you will …

1689. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
      December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Learning From Defects Through Sensemaking Say: This module focuses on the process of Learning From Defects Through Sensemaking. Slide 2: Learning Objectives Say: At the end of this module, you w…

1690. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

1691. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
      April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD Abstract The Califo…

1692. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
      January 01, 2025 - The minute I put it in there, I mean it’s their responsibility. . .It’s like, well, they may not get

1693. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prep…

1694. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
      December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prepare to leave the hospital. A Health Coach h…

1695. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
      June 01, 2017 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performanc…

1696. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…

1697. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …

1698. Vascular Access Device (VAD) Policy, Adult (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
      March 01, 2008 - Vascular Access Device (VAD) Policy, Adult Version 3.0 Policy Number IFC035 Effective Date 03/01/2008 The Johns Hopkins Hospital Interdisciplinary Clinical Practice Manual Infection Control Approval Date N/A Page 1of 16Subject Vascular Access Device (VAD) Policy, Adult Supercedes 08/01/2007 Keywords: Vascula…

1699. 2016 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
      January 01, 2016 - 2016 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2016 CAHPS Clinician & Group Survey Database 2016 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices The content of this document may be used and reprinted without permi…

1700. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
      January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance AHRQ Grant Final Progress Report Title of Project: Analysis of Factors Associated with Clinical Checklist Compliance Principal Investigator: Aleksandra Sarcevic, PhD Associate Professor, College of Computing and Informatics, D…