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4881. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report PATIENT SAFETY e Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Preliminary Report This page intentionally left blank. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022:…

4882. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
      January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 PATIENT SAFETY e This page intentionally left blank. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Authors: David Rodrick, Ph.D.; Andre…

4883. Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
      May 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs Invest Trustin 2 Contents Introduction 3 Summary 4 Section 1: How We Approached This Project 6 Section 2: What Is …

4884. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
      January 01, 2024 - examples of actual patient safety improvements and access to information gleaned from safety rounds, peer reviews

4885. Continuity of Insurance: Duration of Newborns' First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-fullreport.pdf
      August 01, 2018 - Evidence may include rigorous systematic reviews of research literature and high-quality research studies

4886. Community Pharmacy Survey on Patient Safety Culture: User's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
      July 01, 2018 - Chapter 5—Analyzing Data and Producing Reports: Discusses the steps needed to prepare the data file, reviews

4887. Access to Outpatient Specialty Care for Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
      September 01, 2018 - Evidence may include rigorous systematic reviews of research literature and high-quality research studies

4888. Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
      June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Executive Summary This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…

4889. AHRQ_HHS Brand_Color (doc file)
      www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
      March 01, 2017 - Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Accelerating Change and Transformation in Organizations and Networks II Contract No. HHSA2902010…

4890. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
      December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

4891. Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
      September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the qual…

4892. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
      February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients Say: In this module, we will discuss the Learning From Defects tool. It is a very useful proc…

4893. Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
      January 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care AHRQ Grant Final Progress Report Title of Project: Challenges and Innovations in Evaluation of Quality of Care Measures Based on Small Counts “National Conference on Small Numbers” Principal Investigators and Team Members: …

4894. Engageexecnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
      June 02, 2025 - SAY: The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …

4895. Webinar Transcript - Advancing the National Quality Strategy: An Introduction to the Stakeholder Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-introduction-to-the-stakeholder-toolkit.html
      November 01, 2016 - Webinar Transcript - Advancing the National Quality Strategy: An Introduction to the Stakeholder Toolkit April 25, 2013 Download accessible version of slides (PDF, 2.6 MB) Advancing the National Quality Strategy: An Introduction to the Stakeholder Toolkit [Slide 1] Ann Gordon: Good afternoon and w…

4896. Hand Hygiene
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
      March 01, 2017 - Hand Hygiene The How-To’s of Hand Hygiene Training Module 1 AHRQ Pub. No. 16(17)-0003-8-EF March 2017 AHRQ Safety Program for Long-term Care: HAIs/CAUTI AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI Welcome to the first training module for the Agency for H…

4897. Building an Engaged CUSP Team Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
      April 01, 2022 - Building an Engaged CUSP Team Facilitator Guide CUSP Module: Building an Engaged CUSP Team Facilitator Guide Slide Number and Image This module, titled “Building an Engaged CUSP Team,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…

4898. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
      September 14, 2023 - Innovative Use of Technology in Primary Care Delivery - Slide Presentation National Center for Excellence in Primary Care Research Presents Innovative Use of Technology in Primary Care Delivery September 14, 2023 Presented by: Anjana Estelle Sharma, MD, MAS Adrian Aguilera, PhD Ryan J Coller, MD, MPH Nicole…

4899. Improving Nonsurgical Management of Urinary Incontinence in Women (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/managing-urinary-incontinence-slides.pdf
      October 14, 2022 - Improving Nonsurgical Management of Urinary Incontinence in Women Improving Nonsurgical Management of Urinary Incontinence in Women Friday, October 14, 2022 2:30pm – 4:00 pm ET / 11:30am – 1:00pm PT 2 Webinar Agenda • Welcome • The Challenge & Opportunity: Patient & Provider Perspect…

4900. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
      February 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) Contents 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information On Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input from Stakeholders Refer…