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1261. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
      January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator: David M. Studdert, LLB, ScD Team Members: Harvard School of Public Health: Allison Nagy, BA Ann Louise Puo…

1262. Implementing the SPPC-II Teamwork Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
      July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit Hospital AI Tea Lea SPPC‐ M m ds II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implement…

1263. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
      July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit Hospital AIM Team Leads SPPC‐II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implementation…

1264. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Appendix: State Overviews (continued) Previous Page   Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engagi…

1265. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation SAY: This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…

1266. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - Strategy 3: Bedside Shift Report (Tool 3) Insert hospital logo here Nurse Bedside Shift Report Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 3: Nurse Bedside Shift Report (Tool 3) Guide to Patient & Family Engagement If you have conducted trainings for other strategies in …

1267. Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
      January 01, 2024 - Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) Title: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) PI: E. Camille Vaughan, MD, MS Team Members Emory/Grady: Ann…

1268. 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 …

1269. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic…

1270. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

1271. Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
      June 09, 2020 - Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients Evidence-based Practice Center Systematic Review Protocol Project Title: Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients I. Backgrou…

1272. Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
      January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Effectively engaging practices in a primary care quality improvement (QI) initiative, including both the initi…

1273. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data 195 The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data William J. Rudman, Jessica H. Bailey, Carol Hope, Paula Garrett, C. Andrew Brown Abstract This paper examin…

1274. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…

1275. 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…

1276. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices Creating Safety in the Testing Process in Primary Care Offices Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD; Jennie J. Gallimore, PhD Abstract Background: The testing process in primary care is complex, and it varies from o…

1277. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - The Use of Surgical Simulators to Reduce Errors 165 The Use of Surgical Simulators to Reduce Errors Marvin P. Fried, Richard Satava, Suzanne Weghorst, Anthony Gallagher, Clarence Sasaki, Douglas Ross, Mika Sinanan, Hernando Cuellar, Jose I. Uribe, Michael Zeltsan, Harman Arora Abstract The training of…

1278. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…

1279. A Clinical Assessment Program to Evaluate the Safety of Patient Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
      January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care 57 A Clinical Assessment Program to Evaluate the Safety of Patient Care Richard J. Snow, Martin S. Levine, Dwain L. Harper, Sharon L. McGill, George Thomas, Joseph P. McNerney Abstract The American Osteopathic Association’s Clinical Asses…

1280. National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
      June 16, 2016 - National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov CHARTBOOK ON CARE COORDINATION National Healthcare Quality and Disparities Report This document is in the public domain and…