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5541. Table 10: Health Risk by Health Status and Project Site. Fiscal Year 2010. | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab10.html
      December 01, 2017 - Table 10: Health Risk by Health Status and Project Site. Fiscal Year 2010. ARRA Grants Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research. Proje…

5542. Table 1: Project Population Age and Gender. All project sites. Fiscal year 2010. | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab1.html
      December 01, 2017 - Table 1: Project Population Age and Gender. All project sites. Fiscal year 2010. ARRA Grants Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research. …

5543. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
      January 01, 2005 - focused on diagnosis error, and none of the 20 evidence-based AHRQ Patient Safety Indicators directly measures … Is there a general rule, or are there measures that can be implemented to ensure this is reliably done … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Section 1: evidence-based quality improvement, principles, and perspectives. … Computer reminders, the quality of care and the nonperfectability of man.

5544. Mod01-Grand-Rounds-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
      April 01, 2016 - Facilitator Notes - Grand Rounds Presentation Say: All of us in health care want to provide excellent, high-quality … Organizations have quality and safety programs, but many struggle to ensure that solutions to errors … providers as they see that this entire process is core to everyone’s mission, which is to improve quality … In addition to the organization Medically Induced Trauma Support Services (or MITSS), the National Quality

5545. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
      June 01, 2021 - Through a test of alternative wording conducted with Massachusetts Health Quality Partners (MHQP), the … When you think about the things that are most important to you, how did this provider and their staff measure

5546. Volume 6. Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Citation Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
      May 01, 2013 - significance of the difference in the summary effects from epidemiological studies and from RCTs (a measure … evidence base is adequate to justify launching a large-scale RCT, with hard endpoints as the outcome measure … to a sink vertex in a citation network, and include vertices and arcs with the highest traversal weights … We calculated transversal weights using the Search Path Link Count (SPLC) method implemented in the … These measures may identify “key” papers in the corpus of citations.

5547. Exhibit 9. Top five minimal cut sets for the basic case | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraexh9.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 9. Top five minimal cut sets for the basic case Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Int…

5548. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
      September 14, 2023 - Department of Health and Human Services or the Agency for Healthcare Research and Quality. 2 Welcome … use of technology in primary care delivery advances AHRQ’s mission (to make healthcare safer, higher quality … Care Use CMC 49 Modifiable Root Causes MRCI = Medication Regimen Complexity Index – a weighted measure

5549. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Evidence Into Practice Summarize the evidence in a checklist Identify local barriers to implementation Measure … Partner with senior executive Learn from defects Improve teamwork and communication tools Prework: Measure … Review those defects with your CUSP team or a surgical site infection quality improvement team. … Office of Quality Monitoring. … But once they were in the packs, the quality was poor.

5550. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
      January 25, 2008 - Introduction The Federal Patient Safety and Quality Improvement Act of 2005, signed on July 29, 2005 … Although there was no direct measure of inter-rater reliability, in addition to the consensus meetings … This presumes no universal quality control. … National Quality Forum. Standardizing a patient safety taxonomy. … Washington, DC: National Quality Forum; 2006. 3.

5551. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - Consultant with the Michigan Health and Hospital Association, Keystone Center for Patient and Safety Quality … ’s a term that’s very much in vogue, and we hear a lot about on a number of process improvement and quality … Again, remember back to the Institute of Medicine report, one of the key elements of having a quality … understand why you’re doing what you’re doing with them, or why you’re asking them to do certain self care measures … On Slide 30, the fourth step that you can do is an individual team measure, is to use a “teach back”

5552. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - The ultimate goal of PSOs is to identify patterns of system failures and to recommend measures that … The patient safety and quality improvement act of 2005. … Evaluating the quality of medical care. Milbank Q 1966; 44: 166-206. 11. Donabedian A. … An introduction to quality assurance in health care. … Rockville, MD: Agency for Healthcare Research and Quality; 2001.

5553. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
      April 01, 2025 - FiO2 (80%) decreased SSIs among patients with general anesthesia with tracheal intubation (moderate quality … of evidence) No increased risk of major adverse events (low quality of evidence) Conclusion: Surgical … Perioperative Infection Prevention 23 Preoperative Glycemic Control Optimization Hemoglobin A1c can be a measure

5554. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
      April 01, 2025 - FiO2 (80%) decreased SSIs among patients with general anesthesia with tracheal intubation (moderate quality … of evidence) No increased risk of major adverse events (low quality of evidence) Conclusion: Surgical … Perioperative Infection Prevention 23 Preoperative Glycemic Control Optimization Hemoglobin A1c can be a measure

5555. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
      June 04, 2008 - a risk manager and a biomedical or clinical engineer from each site, but many sites also include quality … Due to the success of this model, the FDA explored avenues for increasing the number and quality of … Preliminary efforts to measure the program’s success demonstrate that for the 6-month period prior to … OIVD finds LabNet a valuable resource because of the quality of the signals it generates. … Rockville, MD: Agency for Healthcare Research and Quality; 2005.

5556. Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
      January 01, 2024 - National Conference On Health Care Journalism Final Grant Report for Agency for Healthcare Research and Quality … Federal Project Officer: Karen Migdail Acknowl. of Agency Support: Agency for Health Care Research and Quality … of news coverage of health and healthcare, particularly as it relates to the quality of healthcare. … This evidence and the need for quality of media coverage of health and medical topics highlight the … Are hospitals learning from patient-centered quality efforts?

5557. Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
      January 01, 2025 - There is an assumption that these issues are being addressed with no means to measure or manage decisions … Measures Data was collected both by direct observation via the study moderator as well as review of … A video tutorial offering suggestions as to how to handle projects of different scales was added to … order to help teams consider the most efficient way to utilize the SRA with projects at different scales … Rockville, MD: Agency for Healthcare Research and Quality; 2017 Jul [cited 2017 Oct 29].

5558. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - : Consumer-Led Workshop To Advance Patient Safety Report to the Agency for Healthcare Research & Quality … An earlier iteration of the report was prepared for the Quality Interagency Coordination Task Force’ … Increase in redesign processes, demonstrating success in safer processes  Decrease in lawsuits  Survey/measures … Pilot test these measures. 7. Promote them at a national level. … Clinical Quality Improvement Analyst M.D.

5559. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
      November 11, 2019 - Agency for Healthcare Research and Quality. … Institute of Medicine Committee on Quality of Health Care in A. … Crossing the Quality Chasm: A New Health System for the 21st Century. … Physical and mental health summary scales increased from 65.8 to 82.7 (p<0.0001) and 66.2 to 81.1 ( … Institute of Medicine Committee on Quality of Health Care in A.

5560. Final Progress Report: Center for Safety In Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
      January 01, 2025 - 31 December 2004 Marge Keyes, Project Officer Funded by the Agency for Healthcare Research and Quality … A more objective measure of the success of the new research team is given by the number of competitive … Quality & Safety in Health Care 2004 (in review). Shapiro MJ, Morey JC, Small SD, et al. … Quality & Safety in Health Care 2005 (in press). Wears RL. … Taylorism redux: the role of authoritarian high modernism in healthcare safety and quality.