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3961. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…

3962. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
      January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…

3963. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

3964. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…

3965. “Safeware”: Safety-Critical Computing and Health Care Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
      May 27, 2008 - “Safeware”: Safety-Critical Computing and Health Care Information Technology “Safeware”: Safety-Critical Computing and Health Care Information Technology Robert L. Wears, MD, MS; Nancy G. Leveson, PhD Abstract Information technology (IT) is highly promoted as a mechanism for advancing safety in health care.…

3966. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…

3967. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
      July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…

3968. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
      August 12, 2014 - Paul Tedrick AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesday, August 12, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speak…

3969. Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
      December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) Webinar Transcript AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesd…

3970. Detailed Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Detailed Findings Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…

3971. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles 1 Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality Implementation Programs Society of Critical Care Medicine William S. Miles, MD, FACS, FCCM, FAPWCA Director of Surgical Critical Care and the …

3972. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - Presentation: Program Overview Program Overview AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: You have embarked on a unique journey. 1 Never doubt that a small group of thoughtful, committed citizens ca…

3973. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
      January 01, 2024 - As a result of this work, a national set of QMs were recommended for public reporting and quality improvement

3974. Final Progress Report: Pediatric Emergency Assessment Tool (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
      January 01, 2024 - However, further external validation of the RePEAT score is necessary before widespread adoption can be recommended

3975. CAHPS Moving Forward: Innovations in Tools and Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-webcast.pdf
      October 01, 2017 - Do we have a recommended end for data to be considered, quote, statistically valid?

3976. Optimizing Health and Function as We Age: Roundtable Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
      September 08, 2022 - Several members also emphasized the importance of going beyond identifying and providing recommended

3977. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - collection of the data and model procedures for the uniform registration of the events are developed and recommended

3978. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - National Healthcare Quality and Disparities Report Data Sources | 29 of events are developed and recommended

3979. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
      October 25, 2022 - For example, clinical recommendations often set new target levels or recommended frequencies for specific

3980. Guide for Safe Transitions to New Appointments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
      December 01, 2017 - Guide for Safe Transitions to New Appointments Guide for Safe Transitions to New Appointments Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be con…