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2261. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - moving to Slide 20, I want to touch briefly on some of the physician and nursing barriers that may occur … They just need to know where to keep the bag positioned, and what will happen if that doesn’t occur.

2262. AHRQ Mastectomy SB Infographic v15 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/double-mastectomy.pdf
      February 01, 2016 - AHRQ Mastectomy SB Infographic v15 As this infographic shows, the rate of double mastectomies per 100,000 women more than tripled between 2005 and 2013. Mastectomies overall – both single and double mastectomies – increased 36 percent during that period. The rise in mastectomies occurred despite breast cancer…

2263. Cover slide
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
      May 01, 2013 - education Organizations should be prepared to respond and communicate proactively when adverse events occur

2264. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
      November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-00…

2265. Behavioral Health Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
      December 31, 2015 - the nature of the patient–physician relationship and the many opportunities for intervention that occur … (Not rated) Screening for IPV during obstetric care should occur at the first prenatal visit, at least

2266. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - The operating room is a high-acuity patient care environment in which critical events occur more commonly … Despite these improvements, intraoperative emergencies like cardiac arrest and massive hemorrhage do occur

2267. Weight Summary (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
      February 10, 2014 - · Limited Assistance (LA) · Extensive Assistance (EA) · Total Dependence (Total) · Activity Did Not Occur … Do no use Activity Did Not Occur (NO) to calculate weekly value.

2268. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - about the care plan, and strategize contingency plans for managing unforeseeable events should they occur … Larsen, anesthesiologist Beth, L&D Nurse SCRIPT Debriefs should occur following all clinical events

2269. Chapter 5 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
      August 01, 2022 - regarding the circumstances, caveats, and limitations for when public reporting should or should not occur … The systems could flag reports that occur significantly after the event, which may be used differently

2270. Depression Remission or Response for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
      December 01, 2019 - Prevalence Depressive disorders are common mental disorders that occur in people of all ages. … Agreement was measured using the kappa statistic (a measure of agreement adjusted for agreement that can occur

2271. AHRQ Physician and Physician Practice Research Database Methodology Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
      February 01, 2023 - Improbable date values such as dates that occur in the far past or future (i.e., a 2017 date in a 2016

2272. AHRQ Transforming Primary Care Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
      May 01, 2015 - at 12 months, indicating that improvements in patient experience, clinician burnout, and quality can occur

2273. 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/overviewhandouts2.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Self-Assessment Worksheet Section 1: Screening for Pressure Ulcer Risk Section 2: Pressure Ulcer Prevention Plan Section 3: Communication Practices Section 4: Investigations/Root Cause …

2274. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
      October 01, 2015 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur

2275. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
      February 01, 2017 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur

2276. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - The realization that adverse events often occur because of system breakdowns, not simply because of … therapeutic interaction.2 It also created a locked-in paralysis for all concerned when failure did occur … It is in the microsystem where the “sharp end” resides, where patient- caregiver interactions occur, … High- reliability designs are resilient even when unpredictable events occur. … care has developed many of these barriers, and usually several must be breached for patient harm to occur

2277. Adolescent Depression Remission/Response Measure Description (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
      June 02, 2025 - Adolescent Depression Remission/Response Measure Description Adolescent Depression Remission/Response Measure Description Percentage of patients 12 to 17 years of age with the diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-A score greater than 9 who achieved remission or response withi…

2278. Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease | Agency for Healthcare Research and Quality
      www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
      January 01, 2021 - Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease Pompe disease is a rare condition that is identified in about 1 in 40,000 births. It occurs from a defect in the GAA gene leading to the accumulation of lysosomal glycogen and, depending on the form and severity, can result in c…

2279. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
      February 01, 2017 - Errors also occur because systems frequently are not designed to catch mistakes before they reach the

2280. Chapter 3. Data Collection and Analysis Using TRIPS | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
      December 01, 2017 - Such details as location, time and activity may reveal that a large percentage of falls occur in one