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5201. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - The specific aims are to (1) measure the occurrence of prescribing-related errors, (2) determine the … In early 2000, the Quality Interagency Coordination Task Force (QuIC), Advances in Patient Safety … Measure the occurrence of preventable medication prescribing errors in physician office-based practices … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Quality Interagency Task Force.

5202. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - several have already incorporated changes to their disciplinary policies and procedures and taken measures … VSamples [1 1 1 1] >> /JPEG2000ColorACSImageDict << /TileWidth 256 /TileHeight 256 /Quality … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> / … /VSamples [1 1 1 1] >> /JPEG2000GrayACSImageDict << /TileWidth 256 /TileHeight 256 /Quality … 30 >> /JPEG2000GrayImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /AntiAliasMonoImages

5203. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - The Agency for Healthcare Research and Quality (AHRQ), through its Risk Assessment Challenge Grant … Brennan offers five recommendations for improving quality through regulation. … The models provide important insights and describe causal relationships missing from global measures … The role of regulation in quality. Milbank Qtrly 1998;76;709–32 22. Comden SC, Rosenthal J. … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /

5204. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
      August 01, 2017 - How do we measure our pressure ulcer rates and practices? 6. … Reference: Quality Partners of Rhode Island. Pressure Ulcers: Facility Assessment Checklists. … Reference: Quality Partners of Rhode Island. Pressure Ulcers: Facility Assessment Checklists. … Massage of bony prominences is essential for quality skin care.       44. … Massage of bony prominences is essential for quality skin care.   False 44.

5205. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
      August 01, 2017 - How do we measure our pressure ulcer rates and practices? 6. … Reference: Quality Partners of Rhode Island. Pressure Ulcers: Facility Assessment Checklists. … Reference: Quality Partners of Rhode Island. Pressure Ulcers: Facility Assessment Checklists. … Massage of bony prominences is essential for quality skin care.       44. … Massage of bony prominences is essential for quality skin care.   False 44.

5206. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - Indicators, allows for comparisons of patient safety-related measures to be made at the state, regional … A report of the Committee on Quality of Healthcare in America. Institute of Medicine. … Agency for Healthcare Research and Quality. National healthcare quality report. … The quality of health care in the United States: a chartbook. … Agency for Healthcare Research and Quality.

5207. NAA National Webinar October 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
      January 01, 2024 - CXOs, VPs, Executive VPs, Executive Directors Heads of Safety, Quality, Risk, Human Resources, Org … Characteristics of top performers 2010 Characteristics of rapid improvers 2012 Structures to support quality … technology 2018 The roles of modern-era CQO and CSO 2020 Sustainers • Abbreviations: CQO = chief quality

5208. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
      September 01, 2013 - Safety and Adverse Events Assessing the Quality of the Evidence There are several factors … In assessing the quality of evidence underpinning a new strategy, well-conducted, randomized controlled … The REDUCE MRSA Trial has the following high quality features: Randomized controlled trial. … This means that the intervention was studied in the way it would generally be applied to patients for quality … Comprehensive Estimate: The infection measure used in the REDUCE Trial was the number of ICU patients

5209. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
      September 01, 2013 - Safety and Adverse Events Assessing the Quality of the Evidence There are several factors … In assessing the quality of evidence underpinning a new strategy, well-conducted, randomized controlled … The REDUCE MRSA Trial has the following high quality features: Randomized controlled trial. … This means that the intervention was studied in the way it would generally be applied to patients for quality … Comprehensive Estimate: The infection measure used in the REDUCE Trial was the number of ICU patients

5210. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
      September 01, 2022 - Center for Innovations in Quality, Effectiveness and Safety, Michael E. … under contract number HHSP233201500022I/75P00119F37006 from the Agency for Healthcare Research and Quality … Rockville, MD: Agency for Healthcare Research and Quality; September 2022. … This step requires understanding Bayes Theorem, which integrates measures of test accuracy into the … Meta-analysis: audit and feedback features impact effectiveness on care quality.

5211. Appendix C. Article Exclusion List with Reason for Exclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
      January 01, 2013 - Published before 2002 Misset B, 2004 A continuous quality-improvement program reduces nososcomial … to calculated attributable CLABSI cost estimates Waters HR, 2011 The business case for quality

5212. SOPS™ Best Practices for Web-based SOPS Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
      June 12, 2019 - Director, CAHPS Division Center for Quality Improvement and Patient Safety Agency for Healthcare Research … and Quality (Presenter) Naomi Yount, Ph.D. … We develop these tools and these other kinds of products to measure the progress of the U.S. healthcare … Surveys on Patient Safety Culture Program develop and support, as you know, state-of-the-art surveys to measure … sops/index.html 10 You would calculate your percent positive scores for the items, the composite measures

5213. 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 - hazardous situations associated with a process or activity.26 The FMEA is a widely used engineering quality … FMECA method, specifies the phase in which each FMECA step(s) occurs, and identifies the key outcome measures … FMECA Steps 5 and 6 The final steps of identifying patient risks, frequency, and consequence measures … Quality of interhospital transport of critically ill patients: a prospective audit. … Quality & Safety in Health Care 2004;13:330-334 15 Sutclife KM, Lewton E, Rosenthal MM.

5214. 029-Ss-Review-Ssi-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
      April 01, 2025 - phases there are opportunities for antimicrobial prophylaxis and evidence-based infection prevention measures … developed based on practical strategies successfully implemented by other hospitals and leading large-scale quality … Remember, the goal is to build patient safety and quality capacity with every defect that is learned

5215. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - The use of ACH as a care outcome measure presents some particular difficulties for home health providers … and are likely contributors to recent national improvement trends observed in more narrowly focused measures … Quality Improvement/Hospitalization Reduction Study. … American Healthcare Quality Association’ s Annual Meeting. … Quality Improvement Organizations – 8th Scope of Work.

5216. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - Lisa Lubomski, an Assistant Professor in the Quality and Safety Research Group Department of Anesthesiology … are pretty central to the work that you're going to be doing in this project, as well as any other quality … You're going to measure performance with the data that you'll be collecting. … can complete the safety survey which would be the HSOPS is the Hospital Survey on Patient Safety to measure

5217. The Integration of Hospitalists into U.S. Academic Medical Centers
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
      March 07, 2014 - MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality … MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality … treatment algorithms Integrate algorithms into our “systems” 72 hour time-out to review urine cultures Measure … American Hospital Association with contract funding provided by the Agency for Healthcare Research and Quality

5218. Chapter 3. Linking With a Community Partner | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
      March 01, 2014 - Step 1: Establish Motivation and Interest of Practice Literature on practice change and quality … While the physician champion of a quality improvement project could also be the financial and organizational … Most practices have probably conducted a quality improvement project that requires the identification … These steps need to be factored into the overall quality improvement project, which can make it seem … Similar QI projects: Has our practice conducted other quality improvement projects similar to this one

5219. Compendium of U.S. Health Systems, 2023, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
      January 01, 2023 - Health Systems, 2023, Technical Documentation Prepared for: Agency for Healthcare Research and Quality … Introduction In 2015, the Agency for Healthcare Research and Quality (AHRQ) created the Comparative … Definition of a Health System The Agency for Healthcare Research and Quality (AHRQ) uses the following … systems serving low-income and potentially underserved populations, the systems list draws on two common measures … Product We used the 2022 American Hospital Association (AHA) Annual Survey Database to construct measures

5220. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
      April 01, 2025 - Agency for Healthcare Research and Quality Patient Safety. … Agency for Healthcare Research and Quality. What Is Patient Safety Culture? … Rockville, MD: Agency for Healthcare Research and Quality. … April 2008. https://archive.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/hroadvice … Agency for Healthcare Research and Quality, Patient Safety Network.