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2481. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - inclusion on the diagnostic team as described in Improving Diagnosis in Health Care.60 Nonetheless, MDOs occur … Further, the reports also generated insights about where in the diagnostic process errors often occur

2482. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - These changes reflect cumulative disadvantages that occur throughout an individual’s life, requiring

2483. 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

2484. 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 …

2485. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-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

2486. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - 2007–2009 $163,969 Final Report Purpose: To identify the types of errors and adverse events that occur … Safety 2003–2004 $200,000 Final Report Purpose: To identify actual and latent medical errors that occur

2487. Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
      June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Executive Summary This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…

2488. AHRQ_HHS Brand_Color (doc file)
      www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
      March 01, 2017 - Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Accelerating Change and Transformation in Organizations and Networks II Contract No. HHSA2902010…

2489. Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
      January 01, 2024 - Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference 1. TITLE PAGE Pediatric Quality Improvement Methods, Research, and Evaluation Conference Jonathan Finkelstein, MD, MPH, Principal Investigator Team Members: Denise Dougherty, PhD Alex Kemper, MD, MPH, MS Lawrence K…

2490. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
      January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research TITLE PAGE Project Title: Addressing methodological and ethical issues in pediatric medication safety research Principal Investigator: Delesha M. Carpenter Organization: University of North Carolina at Chapel …

2491. Appendix C. Article Exclusion List with Reason for Exclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix C. Article Exclusion List with Reason for Exclusion Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods P…

2492. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
      November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? Evaluation Highlight No. 5 Author: Leslie Foster Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstration …

2493. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
      December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Slide Presentation Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospi…

2494. Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
      January 01, 2024 - Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents Final Progress Report for AHRQ Grant 1R13HS017577-01 Title: Developing Metrics For Measuring Hospital Response Capability For Mass Casualty Incidents Principal Investigator: Melissa L. McCarthy, ScD Te…

2495. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
      December 01, 2017 - Facilitator Guide: Auditing Your Briefings and Debriefings Slide Title and Commentary Slide Number and Slide Auditing Your Briefing and Debriefing Process SAY: Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defining them…

2496. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
      December 01, 2017 - Auditing Your Briefings and Debriefings Process: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Auditing Your Briefing and Debriefing Process Say: Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defini…

2497. NAA National Webinar July 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
      August 20, 2024 - NAA National Webinar July 2024 Making Healthcare Safer by Design: Redesigning for Safety, Efficiency, and Burden Reduction NATIONAL WEBINAR SERIES July 16, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website. • Please use the ‘Chat’ function to engage wit…

2498. Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
      January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T Advances in Patient Safety: Vol. 4 Development of a Research Dissemination Tool Development of a Planning Tool to Guide Research Dissemination Deborah Carpenter, Veronica Nieva, Tarek Al…

2499. Module-5-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
      June 02, 2025 - TAKEheart Automatic Referral Implementation Guide - Module 5 Module 5 Implementation Guide: Building and Implementing a Successful Automatic Cardiac Rehab Referral System Purpose and Overview This implementation guide is designed to help you think through the steps you will need to address in designing and i…

2500. Daily-Care-Processes-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-tool.docx
      January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients Daily Care Processes Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Daily Care Data Tool 17 Hospital ID# ___________ Unit ID#___________ Date (mm/dd/yyyy) ___________ Fill out for all beds Comple…