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1041. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - Once the facility was fully functional, it handled up to 4,300 cases each year on a site with two operating … rooms and a total space of under 6,000 square feet.

1042. On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide—Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/impguide.pdf
      June 02, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training Instructor Guide—Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention 1 Implementation of the Prevention Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Traini…

1043. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
      May 01, 2011 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 6: Care for the Caregiver Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…

1044. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
      January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi FINAL PROGRESS REPORT Title of Project: Addressing Preventable Medication Use Variance in Mississippi Principal Investigator: Brown, CA, MD, MPH Team Members: William Rudman, PhD, Calvin Hewitt, MBA, Honey Holman, MD, Kent Kirchn…

1045. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
      December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Slide Presentation Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality I…

1046. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
      February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References Appe…

1047. A Guide to Real-World Evaluations of Primary Care Interventions: Some Practical Advice (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/guide-to-real-world-evaluations.pdf
      October 01, 2014 - A Guide to Real-World Evaluations of Primary Care Interventions: Some Practical Advice c Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand, while also Chronic Care Model.…

1048. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

1049. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

1050. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection 181 “Near-miss” Reporting System Development and Implications for Human Subjects Protection Harvey J. Murff, Daniel W. Byrne, Paul A. Harris, Daniel J. France, Christa Hedstrom, Robert S. Dittus Abstract Background: R…

1051. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Toolkit: An Enhanced Protocol HAIs Healthcare- Associated Infections Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PREVENT Universal ICU Decolonization: An Enhanced Protocol …

1052. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
      December 01, 2024 - Three articles are included on the following topics: • Building a Culture of Operating Room Safety

1053. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - Communication failures in the operating room: an observational classification of recurrent types and

1054. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…

1055. Using-Health-It-To-Support-Qi (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
      March 01, 2015 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov W H IT E P A P E R Using Health Information Technology to Support Quality Improvement in Primary Care National Center for Excellence I N P R I M A R Y C A R E R E S E A R C H National Center for Excellence IN …

1056. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
      January 01, 2024 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating … room: report from the Pediatric Sedation Research Consortium.

1057. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
      January 01, 2025 - tube, did not have at least 24 consecutive hours of ventilation, and were admitted directly from the operating … room or recovery room following surgery without discontinuation of mechanical ventilation.

1058. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …

1059. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…

1060. Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
      November 01, 2016 - Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care May 11, 2015 Download accessible version of slides (PDF, 1.5 MB) The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve…