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3441. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
      January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing Elaine M. Fle…

3442. TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
      January 13, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                        …

3443. Module 3: Communication
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
      January 13, 2022 - Module 3: Communication Module 3 Communication To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator. Individuals who plan to take the …

3444. Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
      January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Final Progress Report Project Title: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Principal Investigator: Shaun Grannis, MD, MS, FAAFP Team Membe…

3445. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…

3446. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
      January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer 1 Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer Principal Investigator: Rita Secola, RN, PhD, CPON Organization: University of California Los Angeles, NIHAward@research.ucla.e…

3447. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…

3448. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 3. Description of Methods Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter…

3449. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - Making Health Care Safer II, Executive Summary Evidence-Based Practice Evidence-based Practice Program The Agency for Healthcare Research and Quality (AHRQ), through its Evidence- based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and priv…

3450. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …

3451. Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/911.html
      April 01, 2024 - Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors Issue Number 911 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 30, 2024 AHRQ Stats: Average Healthcare Expenditures Among Persons With High Expenses In…

3452. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=7
      January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…

3453. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=14
      January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…

3454. 133-Clabsi-Prevention-Central-Line-Insertion (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/133-clabsi-prevention-central-line-insertion.docx
      October 01, 2024 - Central Line Insertion: Ensuring Aseptic Placement · The ideal is to avoid catheter placement in the first place. We consider this Step 0 of CLABSI prevention.1 · Step 1—if a central line is necessary—is to ensure aseptic placement. Best practices should be implemented to prevent CLABSI infection during the insertion.1…

3455. Urinary Incontinence EHR Materials (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/ui-ehr-materials.docx
      June 02, 2025 - Urinary Incontinence EHR Materials ``` Urinary Incontinence EHR Materials WI-INTUIT Team – University of Wisconsin Resource Description: This document contains options for note text and after visit summary language to be included in your EHR. This project was funded under grant n…

3456. Evaluating the CHIPRA Quality Demonstration Grant Program: An Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qtag-presentation.pdf
      September 01, 2015 - Evaluating the CHIPRA Quality Demonstration Grant Program: An Overview Quality Technical Advisory Group, CMS Presentation by Henry T. Ireys, PhD Senior Fellow, Mathematica Policy Research July 22, 2015 Evaluating the CHIPRA Quality Demonstration Grant Program: An Overview http://www.urban.org/index.cfm …

3457. State at a Glance: Pennsylvania | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
      March 01, 2019 - State at a Glance: Pennsylvania Learn more about the CHIPRA quality demonstration projects being implemented in Pennsylvania. Pennsylvania is featured in the following reports from the National Evaluation: Evaluation Highlight No. 1: How are CHIPRA demonstration States approaching practice-level quality …

3458. Preventing-Cauti-Icu-Setting-Module 3-Speaker-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_3-speaker-notes.docx
      September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 3: Conversations Around Device Necessity SAY: In Module 1, we discussed the indications for an indwelling urinary catheter, the causes of catheter-associated urinary tract infections, or CAUTI, in the intensive care unit…

3459. Implementation Module Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-module-handouts.docx
      July 01, 2023 - Implementation Module Handouts Implementation Module Handouts Use these handouts to help your team implement the Safety Program in Perinatal Care. For each tool, follow the actions listed to develop information to fill in the tables. Hospital AIM Team Staff List Actions: Select members for a multidisciplinary Hospit…

3460. Smoking Cessation in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-detail-aid.pdf
      January 01, 2015 - Smoking Cessation in Primary Care Smoking Cessation in Primary Care Aspirin when appropriate Blood pressure control Cholesterol management Smoking cessation Healthy Hearts for Oklahoma (H20) The Oklahoma Cooperative for AHRQ's EvidenceNOW I - -----~-•- - , ADVANCING . #,-.,, HEART HEALTH.:' r·' '!,\ '…