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2641. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…

2642. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

2643. Highlight03 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
      September 08, 2015 - The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). Funded by the Children’s Health I…

2644. Final Progress Report: The National Quality Forum Fall Policy Conference 2008 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
      January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality Forum Fall Policy Conference 2008 Principal Investigator: Dwight McNeil Team Members: S. Callahan, L. Gorban, D. McNeill, and B. Yelin 9/30/08-9/29/09 Federal Project Official: Karen Ho Supported by: Agen…

2645. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
      August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …

2646. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
      October 01, 2016 - PowerPoint Presentation Toolkit 3. Minimum Criteria for Common Infections Toolkit [Name] [Organization] AHRQ Pub. No. 17-0006-5-EF October 2016 Tool 5. Nursing Staff Training on Importance and Use of SBAR Forms Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Welcome, everyone, to today’s t…

2647. Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
      May 11, 2023 - Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity   IMPORTANT NOTE RE: ACCESSING LINKS in the PPT presentation: Links embedded in SLIDE portion are hyperlinks Links shown in the NOTES portion must be copied into a…

2648. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - These errors in triage and treatment for ACI are clinically critical to the patient and occur on a scale

2649. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - the proper cleaning of these litters to ensure that cross-contamination between patients did not occur

2650. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
      January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A 2018 National Healthcare Quality and Disparities Report | A.6-1 APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES A.6. Disparities: Residence Location Measures included in Figure 128. Number and percentage of quality measures for wh…

2651. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
      January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology Improving Medication Management Practices and Care Transitions through Technology Penny H. Feldman, Ph.D. – Principal Investigator Liliana E. Pezzin, Ph.D. – Co-Investigator Timothy R. Peng, Ph.D. – Co-Inv…

2652. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
      April 01, 2008 - For a small project that includes a few patients on a team, the orientation can occur with one-on-one

2653. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Errors often occur during the transitional phase of any system, and one strategy for reducing errors

2654. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care Title: Caregiver innovations to reduce harm in Neonatal Intensive Care (P30HS024459);…

2655. Final Report: GestureClean: A Touchless Interaction Language for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
      January 01, 2024 - As such epidemic outbreaks occur, newer and alternative forms of interaction with health-related technologies

2656. Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Agency for Healthcare Research and Quality Advancing Excellence in Healt…

2657. Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
      January 01, 2009 - Bioequivalence of Different Chemical Forms of Nutrients Many nutrients occur in multiple forms that

2658. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - need to be mindful of related changes in accreditation and compliance policies that are certain to occur

2659. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - care by decreasing wait times at the pharmacy and by eliminating a step wherein drug diversion could occur

2660. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
      July 05, 2023 - Future considerations The framework still needs adoption for further progress to occur and there are