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3521. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Issue Brief #26 Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Prepared for: Monika Haugstetter, M.H.A., M.S.N., R.N., CPHQ Contract Officer Representative Agency for Healthc…

3522. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - Final report: Realizing Improved Patient Care through Human-centered Design in the OR Title of Project: Realizing Improved Patient Care through Human-centered Design in the OR (RIPCHD.OR) Principal Investigator and Team Members: Clemson University Anjali Joseph, PhD, EDAC - PI Sahar Mihandoust, PhD - Co-I Sara …

3523. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - In addition, most hospitals had not implemented recommended practices. … Based on the findings, researchers recommended that AHRQ continue the National Implementation of TeamSTEPPS

3524. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - clinical or community resources, notifications sent to the primary care physician regarding the risk and recommended … passport to each subsequent healthcare setting, which in turn will review the passport and implement the recommended

3525. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - harms averted (defined as high risk drugs being programmed by the nurse 2.5 times or greater than recommended … Ferguson et al., 20104 Hospital was following all the patient-controlled analgesia (PCA) guidelines recommended

3526. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
      January 01, 2020 - Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety Pocket Guide Team Strategies & Tools to Enhance Performance and Patient Safety 2 Table of Contents TeamSTEPPS® • Framework and Competencies ....4 • Key Principles ...............................5 Team Structure • Multi-T…

3527. Operational-Adjustments-Event-Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
      July 02, 2020 - 1 Learning Community Affinity Group Summary-at-a-Glance: Operational Adjustments while Resuming In-Person Cardiac Rehabilitation Programs July 2, 2020 Event Purpose and Overview • Purpose: To share and acquire strategies for how to adjust operations while resuming in-person cardiac rehabilitation p…

3528. Section 2: Explanation and Value of the TeamSTEPPS Curriculum  | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
      July 01, 2023 - Section 2: Explanation and Value of the TeamSTEPPS Curriculum  This section contains explanations and illustrations to help you better understand and appreciate the structure and importance of the TeamSTEPPS curriculum and its key concepts. If you teach this content or want additional insights into how the mate…

3529. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
      January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD Workplace Safety Supplemental Item Set for the SOPS Nursing Home Survey Naomi Yount, PhD Senior Study Director Westat 31 Workplace Safety Supplemental Item Set • Designed as a supplemental item set that can be added towa…

3530. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
      January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) Contents Page 1 of 2 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle Page 2 of 2 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives References…

3531. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Publication No. 17-0003-2-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinata…

3532. AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication In Site Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postop-csection.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Postoperative Cesarean Section Complication In Situ Simulation Sample Scenario for Postoperative Cesarean Section Complication In Situ …

3533. E-Fetal-Monitoring Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety—Electronic Fetal Monitoring SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM). This bundle offers an approach to the us…

3534. AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Purpose of the tool: The Umbilical Cord Prolapse …

3535. Sample Scenario for Umbilical Cord Prolapse In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
      July 01, 2023 - Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Umbilical Cord Prolapse In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in…

3536. Behavioral Health Risk Assessment for Pregnant Women Measure Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/0085-tech-specs.pdf
      January 01, 2012 - Behavioral Health Risk Assessment for Pregnant Women Measure Technical Specifications Text Description for PCPI eSpecification Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved. Clinical Topic Maternity Care Measure Title Behavioral Health Risk…

3537. Resident Physicians as Safety Champions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Resident Physicians as Safety Champions Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…

3538. Clinical Topic (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdesc.pdf
      January 01, 2012 - Clinical Topic Text Description for PCPI eSpecification Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved. Clinical Topic Maternity Care Measure Title Behavioral Health Risk Assessment Measure # MC-3 Measure Description Percentage of pati…

3539. Measures: Family Experiences With Care Coordination Measure Set (FECC) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
      March 01, 2015 - Measures: Family Experiences With Care Coordination Measure Set (FECC) Measures: Family Experiences with Care Coordination Measure Set (FECC) Measure Developer: Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) Numerator Denominator Exclusions Data Source(s) The FECC Surv…

3540. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
      October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Model State Enhancement Efforts Previous Page Next Page Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Methods …