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4361. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - A recent review of 53 autopsy studies found an average rate of 23.5% for major missed diagnoses (range

4362. 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 - The inevitable rate of misclassification using automation might be offset by better consistency compared

4363. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - lead to cultural changes, as manifested in more open discussion of adverse events and an improved rate

4364. Appendix III: Compendium of Measures and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiii.html
      June 01, 2010 - Items include both bivariate (yes/no) items as well as those requiring residents to rate satisfaction

4365. Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
      January 01, 2025 - and span of each entity. 6 Training samples were then applied to the NER model, with a dropout rate

4366. AHRQ Comparative Health System Performance Initiative: Annual Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
      September 29, 2016 - dominance and expectations – Local payer dominance, reimbursement models/ payment arrangements – Payer rate

4367. Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
      January 01, 2024 - Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs Factors Associated with Quality of Care Delivered to Children in US EDs PI: James P. Marcin, MD Co-Investigators: Madan Dharmar, MBBS, PhD; Patrick Romano, MD; Nathan Kuppermann, MD, MPH Organization: Regents of the Uni…

4368. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

4369. 7. Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

4370. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
      November 01, 2016 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Introduction to Pressure Ulcer Healing Reports 1 Electronic Reports Existing Pressure Ulcers Report Pressure Ulcers at Risk for Delayed Healing Weekly Wound Rounds Report Weekly Pressure Ulcer Treat…

4371. Module 6: Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
      March 01, 2017 - Module 6: Sustainability: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 6: Sustainability Say: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. Slide 2: Objectives Say: In this module we wi…

4372. SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-SPANISH-508.pdf
      January 01, 2022 - SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey - Spanish 1 SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the e…

4373. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
      November 01, 2019 - Making Effective Behavior Changes Around Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use 1AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care S…

4374. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
      January 01, 2017 - Presentation: Program Overview Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-43-EF January 2017 Evidence Behind PAD ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Ob…

4375. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
      September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Ambulatory Care Slide Title …

4376. Information to Help Hospitals Get Started
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
      July 23, 2010 - Information to Help Hospitals Get Started The Guide to Patient and Family Engagement in Hospital Quality and Safety: Engaging Patients and Families to Improve the Quality and Safety of Care We Provide [Hospital Name | Presenter name and title | Date of presentation] Insert hospital logo here Information to Help Ho…

4377. 7. Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

4378. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
      November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF…

4379. Measuring and Benchmarking Clinical Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-13-measuring-and-benchmarking.pdf
      September 01, 2015 - Measuring and Benchmarking Clinical Performance Primary Care Practice Facilitation Curriculum Module 13: Measuring and Benchmarking Clinical Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

4380. 005-Ss-Preop-Chlorhexidine-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Use of Preoperative Chlorhexidine Antisepsis Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Use of Preoperative Chlorhexidine Antisepsis SAY: This presentation will …