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1541. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
      January 01, 2024 - Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records Improving Quality of postoperative pain care through innovative use of electronic health records PrincipaI Investigator Tina Hernandez-Boussard Team members Catherine Curtin Stanford University…

1542. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
      December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Primary Care Practice Facilitation Curriculum Module 11: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Agency for Healthcare Research and Quality …

1543. 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…

1544. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/cahps-database-2017-hp-chartbook.pdf
      January 01, 2017 - 2017 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2017 CAHPS Health Plan Survey Database 2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care The content of this document may be used and reprinted without permission except for the f…

1545. Information to Help Hospitals Get Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
      February 08, 2018 - Information to Help Hospitals Get Started Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 How to Use the Guide to Patient and Family Engagement The Guide to Patient and Family Engagement in Hospital Quality and Safety is an evidence-based resource that hospitals can use to…

1546. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_hp-chartbook.pdf
      January 01, 2017 - 2017 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2017 CAHPS Health Plan Survey Database 2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care The content of this document may be used and reprinted without permission except for the f…

1547. Tool 3 Continued | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…

1548. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
      December 29, 2022 - Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda Jennifer F. Sloane, PhD1,2 , Chris Donkin, PhD2,3, Ben R. Newell, PhD2, Hardeep Singh, MD MPH1, and Ashl…

1549. Eliminating CLABSI, A National Patient Safety Imperative: A Progress Report on the National 'On the CUSP: Stop BSI' Project, Neonatal CLABSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
      October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: A Progress Report on the National 'On the CUSP: Stop BSI' Project, Neonatal CLABSI Prevention Eliminating CLABSI, A National Patient Safety Imperative A Progress Report on the National On the CUSP: Stop BSI Project, Neonatal CLABSI Prevention A Pr…

1550. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…

1551. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…

1552. 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 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA; Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD; …

1553. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…

1554. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - Using Patient Complaints to Promote Patient Safety Using Patient Complaints to Promote Patient Safety James W. Pichert, PhD; Gerald Hickson, MD; Ilene Moore, MD, JD, FCLM Abstract Patients can help promote safety and reduce risk in several ways. One is to make known their concerns about their health care e…

1555. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…

1556. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
      January 01, 2024 - Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative R18HS019531 Final Progress Report 9-30-14; Gallagher TH, PI. 1 Title Page Title of Project: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative Principal Investigator and Team Memb…

1557. Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
      September 01, 2018 - Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department 1 Inhaled Corticosteroids for Children with Persistent Asthma Prescribed at Time of Discharge from the Emergency Department Section 1. Basic Measure Information 1.A. Measure Name Inhaled…

1558. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
      April 01, 2022 - A Playbook for Preventing CLABSI and CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI A Playbook for Preventing CLABSI and CAUTI in the ICU Setting 2 Playbook AHRQ Safety Program for Intensi…

1559. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - AHRQ Safety Program for Improving Antibiotic Use: Final Report AHRQ Safety Program for Improving Antibiotic Use Final Report AHRQ Safety Program for Improving Antibiotic Use Final Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Servic…

1560. Appendix 3: Data Abstraction (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
      June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…