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201. Exhibit 4. Roles of staff interviewed at each site visit | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraexh4.html
     April 01, 2018 - Estimates References Outpatient Surgery Center Roles of Staff Interviewed Pediatric … Note : ASC = ambulatory surgery center; OR = operating room; PACU = pediatric acute care unit; pre-op

202. 1b.4_Input_File_Specifications_508 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
     January 01, 2014 - Pediatric Medical Complexity Algorithm: A New Method to Stratify Children by Medical Complexity. … Pediatric Medical Complexity Algorithm: A New Method to Stratify Children by Medical Complexity. … Pediatric Medical Complexity Algorithm: A New Method to Stratify Children by Medical Complexity. … Pediatric Medical Complexity Algorithm: A New Method to Stratify Children by Medical Complexity. … Pediatric Medical Complexity Algorithm: A New Method to Stratify Children by Medical Complexity.

203. Children's Health Insurance Program Reauthorization Act (CHIPRA) | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/index.html
     March 01, 2019 - Contents Overview Improving the Initial Core Set: The CHIPRA Pediatric Quality Measures Program … Implementing the CHIPRA Pediatric Quality Measures Program . … Return to Contents Improving the Initial Core Set: The CHIPRA Pediatric Quality Measures Program … Excellence As part of the PQMP, AHRQ and CMS awarded cooperative agreement grants to seven CHIPRA Pediatric … health information technology applications, provider-based delivery models, use of a model format for pediatric

204. Research on Improving Patient Experience | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/research/index.html
     March 01, 2025 - Associations of pediatric nurse burnout with involvement in quality improvement. … Journal of Pediatric Nursing 70, e9-e16. doi: 10.1016/j.pedn.2022.11.001. … Pediatric Quality and Safety 8(3): e648. DOI: 10.1097/pq9.0000000000000648.  … Journal of Pediatric Nursing  2022. Nov 16:S0882-5963(22)00270-6. … Pediatric Quality and Safety 8(3): e648. DOI: 10.1097/pq9.0000000000000648. 

205. C2 Prioritization Worksheet Example (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
     June 02, 2025 - C2 Prioritization Worksheet Example Prioritization Matrix Pediatric Toolkit for Using … PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0 $61,991 $ - 0 N 6 6 6 Y Y Y Y Y PDI 06 RACHS-1 Pediatric … Heart Surgery Mortality Rate 36.9 0 $ - 0 N 1 5 5 Y N Y Y N PDI 07 RACHS-1 Pediatric Heart Surgery … 0 N 10 10 10 Y Y Y Y Y PDI 13 Transfusion Reaction 0.0 0 $86,698 $ - 0 N 4 10 8 Y Y Y Y Y Pediatric … Safety Composite Indicator PDI 19 Pediatric Safety for Selected Indicators Tool C.2

206. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pptx
     January 01, 2006 - INSTRUCTIONS FOR USING THIS TOOL – DELETE THIS SLIDE BEFORE PRESENTATION Pediatric Toolkit for Using … the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.3b Slide ‹#› The Pediatric … Toolkit for Using the AHRQ Pediatric Quality Indicators Results and Discussion of Data Analysis … Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool … Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool

207. Measure: Overuse of Imaging for Headache and Seizure, Policy for ALARA Specific to Imaging Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-15-p004-ef.pdf
     April 01, 2015 - Excellence for the Agency for Healthcare Research and Quality-Centers for Medicare & Medicaid Services Pediatric … computed tomography (CT) imaging and committed to imaging pediatric patients with appropriate radiation … Measure Fact Sheet – The AHRQ-CMS Pediatric Quality Measures Program (PQMP) 2 ● Although imaging … imaging, representing general pediatrics, pediatric radiology, pediatric neurology, pediatric neurosurgery … , pediatric emergency medicine, general emergency medicine, and family medicine

208. Section 8, Table 6 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-section-8-table-6.pdf
     June 02, 2025 - Section 8, Table 6 Table 6: Reported Pediatric Sepsis Protocols at Hospitals with Emergency Departments … in Michigan and Ohio Number Facilities reporting existence of a pediatric sepsis protocol in … their ED 11 Facilities reporting no pediatric sepsis protocol 16 Facilities reporting an electronic

209. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
     May 16, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality … Rates of postoperative hemorrhage or hematoma have been reported to range from 1.3 to 2.7 per 1,000 pediatric … Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety … Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety … Pediatric patient safety in hospitals: a national picture in 2000.

210. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/overview.html
     July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Overview Previous Page Next Page Table … of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About … specialist, and community, many of which must be considered in trying to reduce inappropriate ED use for pediatric … The goal of this toolkit is to provide an overview of the measure: Pediatric Asthma Emergency Department … Measure Description The Pediatric Asthma Emergency Department Use measure estimates the rate of ED

211. Chipra205-Materials Via (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIA.pdf
     January 01, 2010 - residency program and fellowships in Pediatric Critical Care and Pediatric Cardiology Children … ’s Hospital with pediatric residency program and fellowships in Pediatric Critical Care and Neonatology … ED Combined Pediatric/Adult ED; Pediatric ED MD always available Separate Pediatric ED attached … Pediatric ED MD available 24/7. … Free standing separate Pediatric ED, Pediatric ED MD available 24/7 None There’s a place for children

212. Chipra204-Materials Via (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIA.pdf
     January 01, 2010 - residency program and fellowships in Pediatric Critical Care and Pediatric Cardiology Children … ’s Hospital with pediatric residency program and fellowships in Pediatric Critical Care and Neonatology … ED Combined Pediatric/Adult ED; Pediatric ED MD always available Separate Pediatric ED attached … Pediatric ED MD available 24/7. … Free standing separate Pediatric ED, Pediatric ED MD available 24/7 None There’s a place for children

213. PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2a_pdi_ratesgenbysas.pdf
     March 01, 2016 - PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Pediatric Toolkit for Using the AHRQ Quality Indicators … To work with the Pediatric Quality Indicators (PDIs) for assessing its own performance, a hospital needs … Also note that this tool was updated based on the test software available at the time of the Pediatric … http://www.qualityindicators.ahrq.gov/software Pediatric Toolkit for Using the AHRQ Quality Indicators … Identify pediatric populations at risk. 3. Calculate observed (raw) indicator rates. 4.

214. C1 Prioritization Worksheet (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
     June 02, 2025 - Laceration Rate PDI 02 Pressure Ulcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric … Heart Surgery Mortality Rate PDI 07 RACHS-1 Pediatric Heart Surgery Volume PDI 08 Perioperative … Dehiscence Rate PDI 12 Central Venous Catheter-Related Blood Stream Infection Rate Sentinel Events (Pediatric … 03 Retained Surgical Item or Unretrieved Device Fragment Count PDI 13 Transfusion Reaction Count Pediatric … Safety Composite Indicator PDI 19 Pediatric Safety for Selected Indicators Tool C.1

215. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/overview.html
     July 01, 2021 - The survey asks questions that are designed to understand the needs and experiences of pediatric patients … Using core domains of the Adult HCAHPS survey, Child HCAHPS focuses on aspects of pediatric inpatient … The Child Hospital Survey was developed by the Center of Excellence for Pediatric Quality Measurement … administration and use of the CAHPS Child Hospital Survey to assess the inpatient care experiences of pediatric … tracking of quality improvement within individual hospitals and for the comparison of quality across pediatric

216. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
     April 01, 2008 - Results: After PRRT/Rover Team implementation, non-intensive care unit pediatric codes dropped from … The children’s hospital also includes two inpatient pediatric intermediate care units, a nine-bed pediatric … , and pediatric critical care nurse practitioners and fellows. … Pediatric rapid response teams in the academic medical center. … Pediatric intensive care unit bounce-backs – Are we evaluating them?

217. Provider Contact Information (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
     June 02, 2025 - The nurse will help forward your call to the appropriate Pediatric Specialty doctor or Pediatric doctor … • After hours, weekends, or holidays: remain on the line and request to speak with the appropriate Pediatric … The nurse will help forward your request to the appropriate Pediatric doctor or Pediatric Specialty

218. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
     January 01, 2012 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality … pressure ulcers can be a significant iatrogenic problem for chronically ill infants and children in pediatric … Pediatric patients on continuous positive airway pressure (CPAP) need particular attention to their … Pediatric patient safety in hospitals: a national picture in 2000. … How-to guide: preventing pressure ulcers, pediatric supplement.

219. Chipra205-Materials Vib (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIB.pdf
     January 01, 2013 - Comment Participants Summary of Respondents to Public Comment Process: G R O U P S A to Z Pediatric … Sinai Pediatrics Murray State University National Association of Pediatric Nurse Practitioners Naval … Oregon Department of Education Oregon Pediatric Improvement Partnership Oregon Pediatric Improvement … Partnership, Oregon Health & Science University Oregon Pediatric Society PeaceHealth Medical Group … Medical Director Pediatric Neuropsychologist Pediatric Nurse Practitioner Pediatric Physician Assistant

220. Chipra204-Materials Vib (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIB.pdf
     January 01, 2012 - Comment Participants Summary of Respondents to Public Comment Process: G R O U P S A to Z Pediatric … Sinai Pediatrics Murray State University National Association of Pediatric Nurse Practitioners Naval … Oregon Department of Education Oregon Pediatric Improvement Partnership Oregon Pediatric Improvement … Partnership, Oregon Health & Science University Oregon Pediatric Society PeaceHealth Medical Group … Medical Director Pediatric Neuropsychologist Pediatric Nurse Practitioner Pediatric Physician Assistant