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2281. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
      May 01, 2018 - We designed the measures to identify reduced availability for any reason, including geographic isolation

2282. High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
      October 01, 2019 - We designed the measures to identify reduced availability for any reason, including geographic isolation

2283. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
      September 01, 2019 - We designed the measures to identify reduced availability for any reason, including geographic isolation

2284. Final Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
      January 01, 2025 - With the PF’s assistance, it identified the reason – missing data in the “date” variable.

2285. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - Improving Patient Safety by Engaging Patients and Families AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Engaging Patients and Families Overview Research has shown that involving patients, as well as their families and caregivers, in the planning, delivery, and evaluation of their heal…

2286. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - Reason J. Human error. New York, NY: Cambridge University Press; 1990. 46. Gaither C.

2287. Making Healthcare Safer Practices: 14. Delirium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
      March 01, 2020 - Intensive care Delirium assessment improved post- intervention compared to baseline (likely the reason

2288. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sli…

2289. Chapter 2. Electronic Searchable Catalog | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
      April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Chapter 2. Electronic Searchable Catalog Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchab…

2290. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 3. What are the best practices in pressure ulcer prevention that we want to use? 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 ch…

2291. Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
      January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…

2292. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
      January 01, 2017 - Tool: SSA Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…

2293. NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
      March 01, 2023 - NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes Falls: Associated Factors and Clinical Outcomes NPSD Data Spotlight This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: NPSD Data Spotlight, Falls…

2294. Recovering After Emergency Laparotomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
      November 01, 2023 - Recovering After Emergency Laparotomy Recovering After Emergency Laparotomy e Emergency Laparotomy Patient Education Guide 1 Recovering After Emergency Laparotomy Patient Name ___________________________________________________________________ Surgeon Name ________________________________________________…

2295. Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apviia.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 (continued) Previous Page   Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services E…

2296. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …

2297. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …

2298. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…

2299. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis References Previous Page   Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic Stewards…

2300. Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
      January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Principal Investigator: Ronilda Lacson, MD, PhD Team Members: Ramin Khorasani, MD, MPH Katherine Andriole, PhD Luciano Prevedello, MD, MPH Tejal …