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1521. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
      February 07, 2014 - Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU 1 Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospital Medicine Boulder Community Hospital Associate Clinical Professor of Medicine University of Co…

1522. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title of Project Creating Safe Ambulatory Care: The Path to Resilience Principal Investigator Christopher Nemeth, PhD Team Members James Walter, MD Robert Wears, MD, MS Richard Cook, MD Organization The University of Ch…

1523. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

1524. Assemble the Team, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
      December 01, 2012 - Assemble the Team, Facilitator Notes CUSP Toolkit The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.   Contents Slide 1. Cover Slide . Slide 2. Learning Objectives . Slide 3. The Unit-Based CUSP Team . Slide 4. CUSP Team Memb…

1525. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…

1526. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …

1527. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
      July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Hospital AIM Team Leads SPPC‐II Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) …

1528. Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-23-documenting-work-with-practices.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practices Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practicesith P Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Pr…

1529. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
      March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Key Takeaways Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement. Leaders make a commitment to patient and family engagement by: Modeling partnerships with patie…

1530. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - Advancing Patient Safety A Decade of Evidence, Design, and Implementation After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…

1531. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
      January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers Adaptation and pilot implementation of a validated, electronic real-time clinical decision support tool for the care of pne…

1532. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - Taxonomic Guidance for Remedial Actions 75 Taxonomic Guidance for Remedial Actions Bruce Thomadsen, Shi-Woei Lin Abstract Objectives: This project developed a taxonomy to provide guidance in selecting remedial actions to address problems uncovered during root cause analyses of events in a medical setting. M…

1533. 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 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…

1534. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
      January 01, 2024 - Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes Trial of Decision Support to Improve Diabetes Outcomes Randall D. Cebul, MD, PI, MetroHealth Medical System Neal V. Dawson, MD, Investigator Douglas Einstadter, MD, Investigator Peter Greco, MD, Investigator Thomas Love, PhD, Investi…

1535. Depression Screening and Follow-up for Adolescents and Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
      December 01, 2019 - Depression Screening and Follow-up for Adolescents and Adults 1 Depression Screening and Follow-up for Adolescents and Adults Section 1. Basic Measure Information 1.A. Measure Name Depression Screening and Follow-up for Adolescents and Adults (Health Plan) 1.B. Measure Number 0246 1.C. Measure Description P…

1536. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix F. Interventions Previous Page   Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of …

1537. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…

1538. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
      March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1. General Information 1.1. Background The Agency for Health Care Research and Quality (AHRQ) developed…

1539. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - fully automated, interactive, conversations to gather personal health data and counsel parents before scheduled

1540. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
      January 01, 2024 - reimbursed through Medicaid DSH are inefficiently delivered through ER visits and not through regularly scheduled