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4021. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

4022. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/mincer.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming t…

4023. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
      April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium 411 Lessons in Safety Climate and Safety Practices from a California Hospital Consortium Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert, David M. Gaba, Kathryn M. McDonald, Laurence C. Baker Abstract…

4024. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders 299 Creating a Curriculum for Training Health Profession Faculty Leaders Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad Abstract Objectives: An interprofessional, collaborative group of educators, patient safety officers, and Federal …

4025. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - The Role of Patient Safety in the Device Purchasing Process 341 The Role of Patient Safety in the Device Purchasing Process Todd R. Johnson, Jiajie Zhang, Vimla L. Patel, Alla Keselman, Xiaozhou Tang, Juliana J. Brixey, Danielle Paige, James P. Turley Abstract To examine how patient safety considerations a…

4026. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
      January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depar…

4027. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …

4028. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
      September 03, 2014 - PowerPoint Presentation Using Checklists and Audit Tools To Improve Care in Hemodialysis Facilities 1 Objectives Describe the importance of using data in the Quality Assurance and Performance Improvement (QAPI) process Describe methods for using the National Opportunity to Improve Care in End Stage Renal Disease (…

4029. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
      April 01, 2008 - surveys (mail, phone, or e-mail), observational studies (at clinics, pharmacies, or hospitals), and chart reviews

4030. Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician & Group Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
      January 01, 2017 - think many of you know that growing numbers of Americans are increasingly seeking and finding online reviews

4031. TeamSTEPPS Pocket Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
      May 01, 2023 - TeamSTEPPS Pocket Guide Pocket Guide Team Strategies & Tools to Enhance Performance and Patient Safety Table of Contents TeamSTEPPS® ................................................. 1 Framework and Competencies ........................1 Key Skills .........................................................…

4032. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
      January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

4033. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
      April 01, 2022 - Engage the Team and Applying CUSP in the ICU Setting Slides CUSP Module: Engaging the Team and Applying CUSP in the ICU Setting Facilitator Guide Slide Number and Image This module, titled “Engaging the Team and Applying CUSP in the ICU Setting” is part of the Agency for Healthcare Research and Quality, or AHRQ…

4034. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
      November 01, 2019 - Making Effective Behavior Changes Around Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use 1AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care S…

4035. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

4036. Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Rating_the_Raters_2011_06_15_Transcript.pdf
      January 01, 2011 - Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports Transcript release date 6/15/11 www.talkingquality.ahrq.gov Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports Moderator: Lise Rybowski, Consultant, TalkingQuality; President, …

4037. Toolkit 1. Suspected UTI SBAR Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
      October 01, 2016 - Toolkit 1. Suspected UTI SBAR Toolkit Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 1. Suspected UTI SBAR Toolkit Tool 4. Training Modules: Urinalysis and UTIs Improving Care Overview These training modules are designed to be flexible to meet your needs. Training coord…

4038. Audio and Video Products | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/pubcomguide/pcguide-avdevelopment.html
      July 01, 2024 - Publishing and Communications Guidelines Audio and Video Products Previous Page Next Page Table of Contents Publishing and Communications Guidelines Section 1: Product Development Audio and Video Products Appendix 1-A. Release Forms Appendix 1-B. Trademarks Appendix 1-C. YouTube Submission…

4039. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
      June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Previous Page Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality …

4040. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI How To Integrate a Comprehensive Unit-based Safety Program (CUSP) Approach in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide How To Integ…