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4021. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …

4022. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes Slide 1: Patient and Family Engagement in the Surgical Environment Module Say: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…

4023. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/crane.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commenta…

4024. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Error Disclosure Training and Organizational Culture Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in M…

4025. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

4026. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
      January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting 173 Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. Seger, Tejal K. Gandhi, Carol Hope, J. Marc Overhage, Michael D. Murray, David Weber, Julie Fiskio, Evgenia Teal,…

4027. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
      April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

4028. Measuring Safety Climate in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-SinghG_67.pdf
      April 14, 2008 - Measuring Safety Climate in Primary Care Offices Measuring Safety Climate in Primary Care Offices Gurdev Singh, MscEng, PhD; Ranjit Singh, MA, MB, BChir (Cantab), MBA; Eric J. Thomas, MD, MPH; Reva Fish, PhD; Renee Kee, MS; Elizabeth McLean-Plunkett, MA; Angela Wisniewski, Pharm D; Saburo Okazaki, MD; Diana Anders…

4029. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
      January 01, 2017 - Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanica…

4030. 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 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities Final Report 1. Title Page Principal Investigator: Ellen Taylor Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer healthcare facilitie…

4031. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care Final Progress Report HIV/HCV Support Team to Improve Medication Safety and Engagement in Care Principal Investigator: Stephen A. Berry, MD, PhD Team Members: David Thompson, PhD; Elizabeth Holmes, RN; Janessa M. Smith…

4032. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 4. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…

4033. Chapter-2 - Failure-To-Rescue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
      March 01, 2020 - Chapter-2 - Failure-To-Rescue Failure To Rescue 2-1 2. Failure To Rescue Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A. Introduction Background Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient experiencing complications from a disease p…

4034. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
      November 01, 2017 - Hospital surveillance criteria and Noranjo criteria WHO Medication- specific algorithms Recommended … dosing categories Recommended dosing categories Non-specified diagnosis C os t Cost or Charges

4035. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
      November 01, 2017 - Hospital surveillance criteria and Noranjo criteria WHO Medication- specific algorithms Recommended … dosing categories Recommended dosing categories Non-specified diagnosis C os t Cost or Charges

4036. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
      June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3 Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 3. Falls Prevention and Management Student Workbook These training materials were dev…

4037. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. Hospital Practice Insights: Challenges and Solutions Previous Page   Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Cha…

4038. Sustainability Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
      October 01, 2020 - Sustainability Module: Facilitator Notes Slide 1: Sustainability Module Say: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…

4039. Optimizing Environmental Cleaning (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
      October 01, 2024 - Optimizing Environmental Cleaning AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Optimizing Environmental Cleaning SAY: Welcome to this presentation on optimizing environmental cleaning and incorporating effective environme…

4040. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
      January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture Title of Project: Impact of state policies on nursing home patient safety culture Principal Investigator: Yue Li, Ph.D., University of Rochester Team Members: Helena Temkin-Greener, Ph.D., University of Rochester Xueya Cai, Ph…