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2741. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed Analysis in Ambulatory Primary Care Final Report September 30, 2009 Principal Investigator: Donald Kennerly, MD, PhD Team Members: David Ballard, MD, MSPH, PhD, Co-Investigator S. Quay Mercer, BS, MT (ASCP…

2742. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/appendix-a8.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

2743. Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.pdf
      June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention a…

2744. Recognizing and Supporting Nurses in Diagnostic Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety3.html
      September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Recognizing and Supporting Nurses in Diagnostic Safety Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recomme…

2745. OUTLINE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-measures-framework_research.pdf
      April 01, 2010 - OUTLINE The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care Program. It is a collaborative network of research centers that support the rapid development of new scientific information and analytic tools. The DEcIDE network assists health care p…

2746. OUTLINE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-quality-indicator-framework_research.pdf
      April 01, 2010 - OUTLINE The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care Program. It is a collaborative network of research centers that support the rapid development of new scientific information and analytic tools. The DEcIDE network assists health care p…

2747. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…

2748. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
      April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…

2749. Lean | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/lean
      January 01, 2023 - Lean Also Known As Toyota Production System (TPS) Examples Smith M, Cunningham S. Case study: using lean principles, how Charleston area medical center ED was able to reduce wait time by 95%. 2007 Society for Health Systems Conference; 2007; New Orleans, LA; 2007. Description L…

2750. Phase 2 “Deep Dive”: Practice participation to decrease ED rates for patients with asthma (based on using the PQMP asthma measure) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pqmp-data-process-flow.pdf
      June 02, 2025 - Phase 2 “Deep Dive”: Practice participation to decrease ED rates for patients with asthma (based on using the PQMP asthma measure) Step 1: Does the practice have an asthma registry? Phase 2 “Deep Dive”: Practice participation to decrease ED rates for patients with asthma (based on using the PQMP asthma measure) C…

2751. 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-transcript.html
      December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Webinar Transcript On the CUSP: Stop CAUTI in ICU July 8, 2015 ICU Content Call Travis:  Excuse me, everyone. We now have all our speakers in conference. Please note that participation on this call …

2752. Cauti-Sustainability-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
      January 01, 2014 - On the CUSP: Stop CAUTI in ICU July 8 ICU Content Call Travis: Excuse me, everyone. We now have all our speakers in conference. Please note that participation on this call by written invitation from the AHA for AHA members only. Unauthorized participants and/or any part in the aid of unauthorized participants may be s…

2753. Qualitative Interview Questions for Electronic Health Record Implementation (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/qualitative-interview-ehr-implementation.pdf
      June 16, 2021 - Qualitative Interview Questions for Electronic Health Record Implementation Qualitative Interview Questions for Electronic Health Record Implementation Michigan Public Health Institute, Ann Arbor MI This is an interview guide designed to be conducted with administrators, clinical staff, implementers, and office st…

2754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33605/psn-pdf
      March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

2755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49687/psn-pdf
      August 21, 2013 - Emergency Error August 21, 2013 Symons NRA. Emergency Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/emergency-error Case Objectives State that emergency surgery is high risk and has high mortality. Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of …

2756. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
      February 01, 2017 - The Four Es of Early Mobility: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: The Four Es of Early Mobility Say: This module explains how to apply the Four Es of the TRIP framework to Early Mobility: engage, educate, execute, and evaluate. Slide 2: Learning Objecti…

2757. Scaling, Measurement, and Dissemination Workgroup: (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory%20User%20Guide_FINAL_9.19.23.pdf
      January 01, 2023 - Scaling, Measurement, and Dissemination Workgroup: Scaling, Measurement, and Dissemination Workgroup: PC CDS Performance Measurement Inventory User Guide Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: Prashil…

2758. Scaling, Measurement, and Dissemination Workgroup: (pdf file)
      digital.ahrq.gov/sites/default/files/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory%20User%20Guide_FINAL_9.19.23.pdf
      August 01, 2023 - Scaling, Measurement, and Dissemination Workgroup: Scaling, Measurement, and Dissemination Workgroup: PC CDS Performance Measurement Inventory User Guide Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: Prashil…

2759. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet
      psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
      November 01, 2023 - Newspaper/Magazine Article Patient death tied to lack of proper escalation process for barcode scanning failures. Citation Text: Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3. Cop…

2760. Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. | PSNet
      psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
      December 14, 2010 - Book/Report Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. Citation Text: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. Joseph A, Quan X, Taylor E, Jelen M. Co…