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5641. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - A “project scan,” in which the research team reviewed the literature and research on HAI prevention … were underway to reduce HAIs, but much of this work had not yet been well documented in the peer-reviewed … We interviewed multiple key informants at each site, ranging from 14 to 38 interviewees per site; reviewed … Additional information about this project can be found in both the peer-reviewed and trade literature

5642. Patient Safety Data Sharing and Protection from Legal Discovery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
      January 01, 2001 - could be made that a defendant could be required to disclose protected information if that defendant reviewed … including the committee members, physician reviewers, and other resident surgical trainees who were reviewed … peer review committee records did not lose their immunity from discovery simply because they were reviewed … waiver by all those protected by §1157—including committee members, physician reviewers, and physicians reviewed—must

5643. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - Fischer, et al.,10 reviewed incident reports from eight primary care clinics affiliated with an academic … Since all unexpected deaths and quality- related patient complaints were reviewed, this category was … In order to identify patterns of similar issues, cases for each individual were re- reviewed. … As mentioned above, cases are cross-referenced to individual providers and reviewed at time of recredentialing

5644. Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
      September 01, 2022 - two or three clinicians who can meet regularly (e.g., monthly, quarterly) are ideal to discuss cases reviewed

5645. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
      January 01, 2017 - Results – Details in Annotated Bibliography Literature Review (Li Bassi, 2011)12 Literature review: Reviewed … PRO: Systematic review – This review did not specifically focus on HOB elevation, but reviewed use of … Three studies that evaluated comparative risks associated with semirecumbent positioning were reviewed

5646. ADAPT to Adult-Focused Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
      September 01, 2011 - ADAPT to Adult-Focused Health Care ADolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Detailed Measure Specifications Center of Excellence for Pediatric Quality …

5647. G. Kaiser Permanente: Evolution of Data Collection on Race, Ethnicity, and Language Preference Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapg.html
      May 01, 2018 - The Code Sets are reviewed on an on-going basis primarily to ensure alignment with changing demographic … The Spoken/Written Language Code Sets are reviewed on an on-going basis primarily to ensure alignment

5648. How to Use This Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
      July 01, 2018 - For this reason, surge facility plans and prearrangements must be reviewed periodically to ensure that … Timeframe: Once surge facility preparedness plans and arrangements are finalized, they should be reviewed

5649. Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities May 13, 2014 Download accessible version of slides (PDF, 1.1 MB) Introducing Nine Levers to Support the Aims and Priorities [Slide 1] Ann Gordon: Welcome to today's event featuring t…

5650. 5. Impacts of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
      June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …

5651. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…

5652. "CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Survey on the Experiences with Care of Children Age 17 and Younger, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 47 states) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/health-plan-5.1-child-composite-measures.pdf
      January 24, 2024 - "CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Survey on the Experiences with Care of Children Age 17 and Younger, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 47 states) 1 Table CPC-CH. Consumer Assessment o…

5653. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…

5654. 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…

5655. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Introduction to Preventable Hospital and ED Visits Reports Preventable Hospital and ED Visits Electronic Reports Electronic Reports Transfer Risk Report – High Risk Transfer Risk Report – Medium Ris…

5656. CHCANYS Participation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
      August 01, 2017 - CHCANYS Participation Guide HealthyHearts NYC Primary Care Partnerships Advancing Heart Health Initiative CHCANYS Participation Guide [Insert Health Center Name] This research was supported by grant number 1R18HS023922-01 from the Agency for Healthcare Research and Quality (AHRQ). The contents of this p…

5657. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
      January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study 65 Organizational Climate, Stress, and Error in Primary Care: The MEMO Study* Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams, Ann Maguire, Julia McMurray, Mary Beth Plane* Abstract Background: The impact of organizatio…

5658. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…

5659. Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Hickner (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
      January 01, 2011 - patientsafetyculture/ 4 4 Medical Office SOPS • Same development steps as the hospital survey o Reviewed

5660. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
      October 01, 2014 - panel underwent an external peer review process, and key findings will be disseminated broadly via peer-reviewed