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5081. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
      January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …

5082. Summary of Analyses of American Indian Field Test (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/about/PROD_AI_FieldTestRpt.pdf
      September 25, 2006 - Summary of Analyses of American Indian Field Test CAHPS® American Indian Survey Summary of Analyses of the Field Test September 25, 2006 Beverly Weidmer, Patrik Johansson, Debbie Dalpoas, David Wharton, Charles Darby, and Ron D. Hays Background The CAHPS® American Indian Survey was developed as part of a c…

5083. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
      September 18, 2011 - Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection Connie Savor Price, MD 2nd Annual AHRQ HAI Investigators Meeting September 18, 2011 Bethesda, Maryland HHSA-290-2006-00…

5084. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/016-ss-hand-hygiene-periop.pptx
      April 01, 2025 - PowerPoint Presentation AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgical Services Hand Hygien…

5085. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…

5086. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
      October 01, 2015 - Background for AHRQ Quality Indicators Tool A.2 Slide ‹#› Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool A.2 Slide ‹#› Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Toolkit Prepared by RAND and …

5087. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…

5088. Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/crctoolkit.pdf
      December 01, 2010 - This toolkit includes materials for planning the intervention, identifying a central entity to manage … We suggest considering these potential complications when planning your record review.

5089. Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/crctoolkit/crctoolkit.pdf
      December 01, 2010 - This toolkit includes materials for planning the intervention, identifying a central entity to manage … We suggest considering these potential complications when planning your record review.

5090. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
      May 01, 2016 - catheter(s) in the brain for delivery of therapeutic agent(s), including computerized stereotactic planning

5091. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
      January 01, 2020 - Analysis planning will include consideration of how to best synthesize available information.

5092. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
      June 01, 2005 - Recently, the author presented the essence of the curriculum at Loma Linda University and in the planning

5093. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
      January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II Surveys on Patient Safety CultureTM (SOPSTM) Ambulatory Surgery Center Survey: 2020 User Database Report Part II Appendix A—Overall Results by Facility Characteristics Appendix B—Overall Results by R…

5094. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
      December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report Part II: Appendix A—Results by Facility Characteristics Appendix B—Results by Respondent Characteri…

5095. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
      June 01, 2018 - Notes: Importance: Providing comprehensive, patient-centered discharge planning can help reduce

5096. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …

5097. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
      January 01, 2024 - developed under the direction of three committees formed specifically for this conference series: Planning

5098. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
      January 01, 2024 - the checklist was being implemented; motivation for implementation; conditions for implementation, planning

5099. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - Success is dependent upon appropriate resourcing, planning, and a sense of determination that begins

5100. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - site was visited by study personnel to engage the site staff in a collaborative, multidisciplinary planning … Quinn RE, Kimberly JR: Paradox, planning, and perseverance: guidelines for managerial