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3941. Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
      February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) December 18, 2019 Summary Speakers and Presentation Slides Recording Transcript Summary On Wednesday, December 18, 2019, AHRQ hosted a webcast that highlighted an event reporting initiative from the Uni…

3942. Defining Health Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/chsp/defining-health-systems/index.html
      January 01, 2023 - Defining Health Systems The first step in studying health systems is to develop a definition of what constitutes a "health system," which is expected to evolve over time. Below, each Center of Excellence has contributed its own definition as a starting point, as has AHRQ and the Coordinating Center, which it us…

3943. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - One participant stated, “Most likely it would be assigned to a review nurse or one of the risk management … nurses, and I think they could do a lot of it, but some of these ques- tions…might boil down to a judgment

3944. Affinity-Group-Improving-Support-Women (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-improving-support-women.pdf
      May 01, 2021 - Polling Question 2 12 Solutions that Help Women Complete CR 13 • Lessons learned as a CR program nurse

3945. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
      October 01, 2022 - current practice, develop guidance for specific prescribing situations, and execute interventions Nurse

3946. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/brock.html
      August 01, 2017 - At most organizations, this resulted in a mix of physicians, medical directors, nurse managers, risk

3947. Risk-Based Patient Safety Metrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
      March 25, 2008 - any consequences of reporting), and the competing demands on a potential reporter.16 For example, nurses … A nurse might be directed to administer a diuretic to a patient who is in congestive heart failure on … While attempting to obtain the dose of diuretic, the nurse might inadvertently obtain a dose of potassium

3948. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
      October 01, 2024 - Across the board, there are significant improvements in safety climate, teamwork climate, and nurse turnover … Identify Defects Through Sensemaking · Implement Teamwork and Communication · Apply CUSP · The Role of the Nurse

3949. Module 2: Senior Leader Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
      March 01, 2017 - Module 2: Senior Leader Engagement AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 2: Senior Leader Engagement Slide 2: Objectives Identify characteristics of successful senior leaders. List five practices of effective leaders. Describe the responsibilities of senior leaders. …

3950. New Guideline Illuminates Path for Managing Genitourinary Syndrome of Menopause | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/965.html
      July 01, 2025 - New Guideline Illuminates Path for Managing Genitourinary Syndrome of Menopause Issue Number 965 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. July 8, 2025 Today’s Headlines: New Guideline Illuminates Path for Managing Genitourinary Syndrome of Menopause . …

3951. 5 Tk2 T3-Concise Antibiogram Toolkit Using Whonet To Create Your Antibiogram (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T3-Concise_Antibiogram_Toolkit_Using_WHONET_to_Create_Your_Antibiogram.doc
      May 01, 2014 - Concise Antibiogram Toolkit Using WHONET to Create your Antibiogram 4 Concise Antibiogram Toolkit Using WHONET to Create Your Antibiogram WHONET is free Windows-based database software developed in 1989 by the World Health Organization (WHO). The software is used in laboratories worldwide for the management and…

3952. CAHPS: Assessing Healthcare Quality From the Patient's Perspective (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/cahps-program-brief.pdf
      July 01, 2022 - CAHPS: Assessing Healthcare Quality From the Patient's Perspective 1 CAHPS: Assessing Healthcare Quality From the Patient’s Perspective The CAHPS Program Patient-centered care is well-established as a critical facet of healthcare quality, valued both for its own sake and as a key contributor to other aspects of …

3953. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
      January 01, 2024 - Dorothy Rector Clinical Skills Center at Thomas Jefferson University trains tomorrow's clinicians and nurses

3954. Mod5-Comm-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
      April 01, 2016 - Toward the end of the procedure, the nurse notices that Mary has become “blue” and stops the procedure … The nurse calls for a “code blue” response while the team involved in the procedure begins to administer … The nurse involved in monitoring Mary appears visibly shaken and states that she was distracted during … (tall/short) are not counted, nor are descriptions of the other person’s age or social role (mom, nurse

3955. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - 400,000 KPCO members in the Denver-Boulder area and involved all KPCO physicians, pharmacists, and nurses … these interventions are integrated into the usual work flow of pharmacy staff and of physicians and nurses

3956. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
      February 01, 2019 - be administered to all staff as appropriate such as physicians and those can be contract physician, nurses … , nurses’ services, technicians, management, basically everyone including business staff and clerical

3957. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - the next day’s multidisciplinary team rounds; and (iv) the error was discovered when one of the ICU nurses

3958. AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/pcor/pcortf-di.html
      January 01, 2016 - materials to educate health educators across several disciplines (certified health education specialists, nurse … practitioners, nurses, physician assistants, and medical assistants) about PCOR.

3959. CAHPS Elicitation Protocol Webcast (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rabson.pdf
      January 01, 2017 - The nurse did the EKG before seeing Dr. X. He came right in after. He was well prepared.

3960. Maximizing-Physician-Support-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/maximizing-physician-support-slides.pdf
      January 01, 2022 - Bryant, BSN RN Cardiac Rehab/Heart Failure Nurse Manager Prairie Heart Institute at HSHS St.