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3381. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - released Advances in Patient Safety: From Research to Implementation as a way to share the progress occurring

3382. Procedure Manual Section 6. Methods for Arriving at a Recommendation | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-6-methods-arriving-recommendation
      July 06, 2017 - Procedure Manual Section 6. Methods for Arriving at a Recommendation Share to Facebook Share to X Share to WhatsApp Share to Email Print Table of Contents  6.1 Overview 6.2 Assessing Evidence at the Key Question and Linkage Levels 6.3 Dealing…

3383. Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
      April 17, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication Apr…

3384. Prevention of Contrast Media Induced Nephropathy | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/nephropathy-contrast-induced/research-protocol

3385. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
      September 01, 2022 - A complicated UTI is any UTI in an adolescent or adult male or a UTI occurring in the presence of obstruction

3386. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - In Situ Simulation: Challenges and Results In Situ Simulation: Challenges and Results Mary D. Patterson, MD; George T. Blike, MD; Vinay M. Nadkarni, MD Abstract In situ simulation, simulation that is physically integrated into the clinical environment, provides a method to improve reliability and safety in h…

3387. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance Principal Investigator:  Geb W. Thomas, Ph.D. Professor of Mechanical & Industrial Engineering The Universit…

3388. Ztmgupsekcuuupvpegum45 (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZTMgupsEkCUuuPVpeGUm45
      September 01, 2013 - Screening for Hepatitis C Virus Infection in Adults: U.S. Preventive Services Task Force Recommendation Statement Virginia A. Moyer, MD, MPH, on behalf of the U.S. Preventive Services Task Force* Description: Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for and treatment …

3389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74021/psn-pdf
      October 25, 2021 - organizations or collaborative practitioners and say, “Hey, we're seeing that these are the errors that are occurring

3390. 2012 04 (pdf file)
      hcup-us.ahrq.gov/reports/methods/2012_04.pdf
      January 01, 2012 - HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahrq.gov or Phone: 1-866-29…

3391. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
      January 01, 2024 - first apology, often a considerable period of time had elapsed in the disclosure without an apology occurring … Other teams offered an apology for the event occurring without linking it to their actions (see #3 and

3392. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - Hospital staff are asked to complete PRFs for a systematic random sample of patient visits occurring … Schedule Fielded periodically (1960-1994); annually beginning in 1999, with data releases occurring … Population Targeted NPCR registries collect data about cancer cases occurring in approximately 96% of … The 2005 linked file contains a numerator file that consists of all infant deaths occurring in 2005 … All deaths occurring in those areas are included (approximately 2.4 to 2.5 million annually).

3393. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - Hospital staff are asked to complete PRFs for a systematic random sample of patient visits occurring … Population Targeted NPCR registries collect data about cancer cases occurring in approximately 97% of … TIMS was officially retired for case completion in December 2010 for cases occurring in 2008 and prior … The 2005 linked file contains a numerator file that consists of all infant deaths occurring in 2005 … All deaths occurring in those areas are included (approximately 2.4 to 2.5 million annually).

3394. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
      August 01, 2025 - ■ A post-hospital discharge project examined adverse events occurring when nursing home residents … return from hospitals, finding that events occurred in 37.3 percent of discharges with over half occurring … research suggest that image-guided radiotherapy is generally very safe, with misalignment errors occurring … Key findings include that up to 67% of specimens are “defective,” with diagnostic errors occurring … disclose, the perceived loss of confidence will remain a significant barrier to those conversations occurring

3395. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
      May 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case May 2005 Diagnosing Diagnostic Mistakes Source and Credits This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert McNutt, MD; Richard A…

3396. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
      October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…

3397. TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
      February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool TeamSTEPPS® Team Assessment Tool for Improving Diagnosis – Instructions How to use this Team Assessment Tool This tool assesses the maturity level of your healthcare setting in five critical teamwork domains: Team Structure, Communication, Leadership, Situat…

3398. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
      March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix B. Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results The purpose of this guide is to provide you with information on h…

3399. Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/939.html
      November 01, 2024 - Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units Issue Number 939 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. November 26, 2024 AHRQ Stats: Trends in Healthcare-Associated Infections Between 2020 and 2021, the rate of inpatie…

3400. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4g Selected Best Practices and Suggestions for Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory fail…