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3161. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
      July 23, 2008 - Discussing errors “We addressed system issues every month as a medical practice review of cases discussed

3162. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Pressure Ulcer Prevention Handouts (continued) Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…

3163. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises Contents Nutrition Risk Reports Information Exercises     Exercise #1: Risk Criteria and Rules     Exercise #2: Identify Residents Meeting High-Risk Criteria     Exercise #3: Identify Resi…

3164. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
      January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery 1. Title Page Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH Organization University of Chicago Dates of the Project 07/01/2018 - 04/30…

3165. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/016-ss-hand-hygiene-periop.pptx
      April 01, 2025 - PowerPoint Presentation AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgical Services Hand Hygien…

3166. 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…

3167. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
      October 01, 2022 - 2022 National Healthcare Quality and Disparities Report Executive Summary e 2022 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2022 Nat…

3168. Lessons from the Field: Identifying Measurement Challenges and Successes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
      January 01, 2019 - Lessons from the Field: Identifying Measurement Challenges and Successes Lessons from the Field: Identifying Measurement Challenges and Successes Prepared for the Agency for Healthcare Research and Quality by L&M Policy Research, LLC with guidance from the Pediatric Quality Measure Program (PQMP) Grantees …

3169. Approaches to Address Health Risks for Older Adults
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
      March 15, 2025 - Approaches to Address Health Risks for Older Adults National Center for Excellence in Primary Care 1 National Center for Excellence in Primary Care Research Presents Approaches to Address Health Risks for Older Adults January 16, 2025 Presented by: Lisa Kern, MD, MPH Alberta K. Tran, Ph.D., RN, CCRN Yu-J…

3170. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
      May 01, 2016 - Meeting Minutes, November 2015 National Advisory Council Minutes from the November 3, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 24, 2015, Summary Report Director's Update Health Information Technol…

3171. Meeting Minutes, July 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
      November 01, 2016 - Meeting Minutes, July 2016 National Advisory Council Minutes from the July 22, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of April 20, 2016, Summary Report Director's Update Update on the Synthesis of Evide…

3172. Meeting Minutes, July 24, 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
      December 01, 2015 - Meeting Minutes, July 24, 2015 National Advisory Council Minutes from the July 24, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 27, 2015, Summary Report Director's Update 2014 National Healthcare Q…

3173. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…

3174. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
      March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Amy J.H. Kind, MD; Maureen A. Smith, MD, MPH, PhD Abstract Objectives: The Joint Commission mandates that six c…

3175. Organizational Climate of Staff Working Conditions and Safety—An Integrative Mode (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
      January 01, 2004 - Work factors as predictors of sickness absence: a three month prospective study of nurses’ aides.

3176. A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
      January 01, 2004 - Six solicitations for focused research were issued over a 6-month period.

3177. AHRQ Hospital Pilot Study Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
      November 01, 2017 - AHRQ Hospital Pilot Study Final Report Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 290201300003C Manag…

3178. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
      July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report thInsert Cover Here AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants A Synthesis Report July 2015 AHRQ Infrastructure for Maintaining Primary …

3179. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - The online data were updated every month.

3180. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety FINAL REPORT SUMMARY Grant #: HS11375-03 Matthew B. Weinger 9/27/01 to 9/30/05 Center for Perioperative Research in Quality Vanderbilt University Medical Center 1211 22nd Avenue South, 526 MAB Nashville, TN 37212 Phone: 615…