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3981. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
      January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…

3982. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events ORIGINAL ARTICLE Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events Andrea Bradford, PhD,*† U…

3983. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
      October 01, 2020 - Coaching Clinical Teams Module: Facilitator Notes Slide 1: Coaching Clinical Teams Module Say: The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching mo…

3984. Coaching-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Coaching Clinical Teams Module Facilitator Notes SAY: The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching module…

3985. Quality Improvement in Action Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
      April 01, 2022 - Quality Improvement in Action Facilitator Guide CUSP Module: Quality Improvement in Action Facilitator Guide Slide Number and Image This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…

3986. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - Any improvement will require that people change, and that may not be taken well by those who are comfortable

3987. Engaging-Nurse-Physician-Patient-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
      June 02, 2025 - Any improvement will require that people change, and that may not be taken well by those who are comfortable

3988. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
      October 01, 2014 - Treating Tobacco Use and Dependence Quick Reference Guide for Clinicians This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…

3989. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description…

3990. Health and economic outcomes of newborn screening for infantile-onset Pompe disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
      January 01, 2020 - Health and economic outcomes of newborn screening for infantile-onset Pompe disease ARTICLE Health and economic outcomes of newborn screening for infantile-onset Pompe disease John S. Richardson, PhD1,2, Alex R. Kemper, MD, MPH3, Scott D. Grosse, PhD4, Wendy K. K. Lam, PhD5, Angela M. Rose, MPH 6, Ayesha Ahmad, MD7,…

3991. 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 …

3992. Qdr2015-Chartbook-Access (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qdr2015-chartbook-access.pdf
      January 01, 2020 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov CHARTBOOK ON ACCESS TO HEALTH CARE National Healthcare Quality and Disparities Report This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. S…

3993. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in 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-Cunningham_11.pdf
      January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Thomas R. Cunningham, MS, and E. Scott Geller, PhD Abstract Medical errors continue t…

3994. Clinical Inertia and Outpatient Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
      January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …

3995. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five sample reports are provided here. The reports are: • High-Risk Transfer Report (a medium-risk rep…

3996. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
      June 30, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation The Joint Commission Journal on Quality and Patient Safety 2024; 50:95–103 The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation Kisha J. Ali, PhD, MS…

3997. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - Using the Opportunity Estimator (Transcript) July 20, 2010 Operator: Good day, ladies and gentlemen, and welcome to the CUSP supplemental conference call. At this time, our participants are on a listen-only mode. Later, we'll conduct a question-and-answer session and instructions will be given at that time. …

3998. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
      January 08, 2008 - Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives Inga Adams-Pizarro, MHS; ZeAmma Walker, MHSA, PMP; Jan…

3999. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
      January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Resear…

4000. Webinar Lean Redesigns-Slides
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
      March 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care October 28, 2016 Presenter: Dorothy Hung, Ph.D., Associate Scientist Palo Alto Medical Foundation Research Institute Moderator: Michael Harrison, Ph.D., Senior Social Scientist Center for Delivery, Organization, and Markets, AHRQ Discussant: Arlene Bierman…