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2881. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…

2882. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

2883. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…

2884. Resource List - AHRQ Nursing Home Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
      April 01, 2023 - Resource List - AHRQ Nursing Home Survey Improving Patient Safety in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture I. Purpose This document provides a list of references to websites and other publicly available resources that nursing homes can use to improve …

2885. Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
      December 01, 2016 - Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting QUALITY OF CARE Primary Care Physicians’ Experiences With and Attitudes Toward Pediatric Quality Reporting Joseph S. Zickafoose, MD, MS; Henry T. Ireys, PhD; Adam Swinburn, MPP; Lisa A. Simpson, MB, BCh, MPH From the Mathema…

2886. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
      September 01, 2015 - Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide AHRQ Safety Program for Reducing CAUTI in Hospitals Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Contents OVERVIEW .....................................................................…

2887. Depression Remission or Response for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
      December 01, 2019 - Depression Remission or Response for Adolescents and Adults: Report 1 Depression Remission or Response for Adolescents and Adults Section 1. Basic Measure Information 1.A. Measure Name Depression Remission or Response for Adolescents and Adults 1.B. Measure Number 0244 1.C. Measure Description Pleas…

2888. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
      September 01, 2015 - Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide AHRQ Safety Program for Reducing CAUTI in Hospitals Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Contents OVERVIEW .....................................................................…

2889. AHRQ Safety Program for Surgery: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
      December 01, 2017 - AHRQ Safety Program for Surgery: Final Report HAIs Healthcare- Associated Infections PREVENT CUSP AHRQ Safety Program for Surgery Final Report AHRQ Safety Program for Surgery Final Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services Contract …

2890. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
      December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Slide 1: Overview of On-Time Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training Say: Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training.  This 2-day Facilitator training …

2891. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
      June 02, 2025 - Overview Slide AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training: Overview of On-Time This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they h…

2892. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
      May 07, 2008 - Slide 1 Treating Tobacco Use and Dependence 2008 UPDATE U.S. Public Health Service Clinical Practice Guideline The following is a summary of the 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and dependence which was released May 7, 2008. PHS 2008 PHS Clinical Practice Guideline Update: T…

2893. The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
      March 11, 2008 - The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery Emily M. Campbell, RN, MS; Hong Li, MD, MSPH; Tomi Mori, PhD; Patricia Osterweil, BS; Jeanne-Marie Guise, MD, MPH …

2894. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …

2895. New Models of Primary Care Workforce and Financing - Case Example #4: Foresight Family Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
      October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #4: Foresight Family Physicians New Models of Primary Care Workforce and Financing Case Example Foresight Family Physicians 4 New Models of Primary Care Workforce and Financing Case Example #4: Foresight Family Physicians …

2896. Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
      January 01, 2024 - Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network Risk Assessment of the Testing Processes of Access Community Health Network Milton “Mickey” Eder, Ph.D., PI John Hickner, M.D., M.Sc., Co-Investigator Nancy Elder, M.D., Co-Investigator Sandy Smith, Ph.D., Co-Inve…

2897. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
      January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. Johnson, MD, MS (PI) Associate Professor, Biomedical Informatics Associate Professor, Pediatrics Vanderbilt Universi…

2898. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Act…

2899. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
      February 01, 2017 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Say: This module introduces and provides evidence for the lung protective…

2900. Module-10-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
      April 16, 2022 - 1 TAKEheart Hybrid Cardiac Rehabilitaton {CR) Implementation Guide - Module 10 Using Hybrid Cardiac Rehabilitation to Expand System Capacity and Patient-Centeredness Table of Contents This document is hyperlinked to facilitate ease of access to the information contained inside. Press "ctrl" and …