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6201. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data 195 The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data William J. Rudman, Jessica H. Bailey, Carol Hope, Paula Garrett, C. Andrew Brown Abstract This paper examin…

6202. Creating Psychological Safety in Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/psychological-safety.pdf
      June 02, 2025 - Creating Psychological Safety in Teams Creating Psychological Safety in Teams Creating Psy…

6203. Protecting Patients from Drug-Drug Medication Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
      September 01, 2023 - Grantee Profile Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. Professor of Pharmacotherapy Skaggs College of Pharmacy University of Utah Daniel C. Malone, Ph.D. “With funding from AHRQ, I’ve helped ensure that warnings for drug-drug interactions are appropria…

6204. Designing Care Management Entities for Youth with Complex Behavioral Health Needs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/index.html
      September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs) Part 2: Assessing State Readiness to Design and…

6205. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
      June 01, 2023 - PowerPoint Presentation AHRQ Safety Program for Improving Surgical Care and Recovery Engaging the Senior Executive Presentation Template AHRQ Pub. No. 23-0052 June 2023 Purpose and Use of This Presentation Template Purpose of tool: To engage a senior leader to bridge the gap between senior management and frontline …

6206. Hospital Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
      December 01, 2017 - Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Sign up: CAHPS Database - Hospital Component Email updates Sign up: Hospital Survey on Patient Safety Culture Email updates Sign u…

6207. ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/index.html
      December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Da…

6208. Urinary Incontinence Pocket Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/ucsd-pocket-guide.pdf
      June 02, 2025 - Urinary Incontinence Pocket Guide ``` OPTIMA Team – University of California San Diego This project was funded under grant number U18HS028740 from the Agency for Healthcare Research and Quality (AHRQ),…

6209. What's Available for the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/whats-available.pdf
      March 20, 2017 - What's Available for the CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions What’s Available for the CAHPS Child Hospital Survey Document No. 91 Updated 3/20/17 What’s Available for the CAHPS® Child Hospital Survey What Materials Are Available?..........................................…

6210. Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-it2.pdf
      July 01, 2025 - Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women Project Overview This intervention implements screening for urinary incontinence using a questionnaire sent through the pati…

6211. SSI Investigation Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
      January 01, 2017 - SSI Investigation Tool Surgical Site Infection Investigation Tool Introduction Problem Statement Your team cannot always predict which patients will develop a surgical site infection, but you can learn from them when they occur. To improve, perioperative teams need a structured approach to investigate infections at …

6212. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
      October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Eliminating CLABSI, A National Patient Safety Imperative Final Report on the National On the CUSP: Stop BSI Project A Project of: Health Research & Educational Trust Johns Hopkins Medicine Armstrong Institute for Patient Safet…

6213. Apcd-Inventory (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
      October 01, 2015 - Sheet1 Measure Characteristics Overall Measure Inventory Details Deep Dive Measure Inventory Details Condition of Focus Measure Condition Subcategory Measure Type (Cost, Quality, or Utilization) Quality Category (Process, Outcomes, Structure, Not Applicable) Measure Name or Paper Name (From Lit Review) …

6214. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
      June 10, 2014 - Paul Tedrick AHA – Chicago June National Content Call June 10, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick June National Content Call with the American Hospital Association on Tuesday, June 10, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speakers in c…

6215. Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
      June 02, 2025 - Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary 1 National Collaborative for Innovation in Quality Measurement (NCINQ) Measures to Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary This report sum…

6216. Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
      January 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? Principal Investigator: Thamer, Mae FINAL REPORT TITLE PAGE Title: Do Safety Warnings Change Prescribing among the US Dialysis Population? Principal Investigator and Team Members: M Thamer, PI, and other team members (…

6217. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - In cases in which there was recovery, as in a near miss, the antecedent activities and decisions provide

6218. Puh-Electronic-Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
      February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Electronic Reports On-Time Existing Pressure Ulcers Report Table 1: Sample On-Time Existing Pressure Ulcers Report On-Time Existing Pressure Ulcers Report Unit: A Date: 02/10/14 Resident Name (last, first) Room Number Days …

6219. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

6220. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
      January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care Final Progress Report Reducing Adverse Drug Events from Anticoagulants, Diabetes Agents and Opioids in Primary Care Principal Investigator: Andrea M. Wessell, PharmD Team Members: Steven M. Orns…