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3541. Diagnostic Safety Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
      November 01, 2024 - Diagnostic Safety Research 1 Diagnostic Safety Research at the Agency for Healthcare Research and Quality Diagnostic Error Diagnostic error is a significant and underrecognized threat to patient safety. Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and prevent…

3542. On-Time Falls Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
      June 02, 2025 - On-Time Falls Prevention: Electronic Reports On-Time Falls Prevention: Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: • On-Time Falls High-Risk Report. • Quarterly Summar…

3543. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
      April 01, 2019 - Atkins noted the VA strategy of allowing “friends” of the Agency to conduct a forum on Capitol Hill to

3544. On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
      August 08, 2025 - None of the above A recommended strategy to triage residents who display on the Trigger Summary Report … False A recommended strategy to facilitate implementation of the Nurse/Rehab huddle is to: 12.

3545. Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
      January 01, 2025 - Safety Risk Assessment (SRA) toolkit that included a historical data capture tool, an organizational strategy … The first part of the launch strategy included an announcement in the Center’s emailed newsletter.

3546. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
      April 06, 2008 - Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act William Riley, PhD; Bryan A. Liang, MD, PhD, JD; William Rutherford, MD; William Hamman, M…

3547. On-Time Pressure Ulcer Healing: Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pr…

3548. 1. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1.html
      April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 1. Introduction Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Dispariti…

3549. Follow-up Practice Survey Codebook Including Core and Optional Items (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
      June 02, 2025 - Follow-up Practice Survey Codebook Including Core and Optional Items …

3550. Final Progress Report: Center for Safety In Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
      January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care Center for Safety In Emergency Care Final Progress Report Principal Investigator Robert L Wears, MD, MS Team Members Christopher Beach, MD Ravi Behara, PhD Patrick Croskerry, MD, PhD Shawna J Perry, MD Marc Shapir…

3551. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Patient and Family Engagement in the Surgical Environment Module Facilitator Notes SAY: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…

3552. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…

3553. Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gandhi_22.pdf
      February 01, 2007 - Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Tejal K. Gandhi, MD, MPH; Nancy L. Keating, MD, MPH; Matthew Ditmore; David Kiernan; Robin Johnson; Elisabeth Burdick, MS; Claus Ham…

3554. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading cause of injuries…

3555. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - Global Strategy for Asthma Management and Prevention; 2014. … Global strategy for the diagnosis and management of asthma in children 5 years and younger.

3556. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
      October 01, 2019 - Public Reporting as a Quality Improvement Strategy: A systematic review of the multiple pathways public … Public reporting as a quality improvement strategy.

3557. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
      February 01, 2018 - The current management strategy for treatment is goal-directed with institution of timely antimicrobial … The current management strategy for septic shock focuses on antimicrobial and hemodynamic goal-directed

3558. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts AHRQ’s Safety Program for Nursing Homes Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Completed Self-Assessment Worksheet …

3559. Puh-Implementation-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
      July 01, 2016 - Handouts: Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Com…

3560. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
      August 12, 2014 - Paul Tedrick AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesday, August 12, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speak…