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3561. Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
      December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) Webinar Transcript 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 Tuesd…

3562. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, EdM, PhD Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker, PhD; Jonathan Young; O…

3563. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief PATIENT SAFETY e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy This page intentionally left blank. e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy Prepared for: Agency for…

3564. 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 - Development and implementation of an information management and information technology strategy for

3565. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
      January 01, 2021 - demonstration project funded by the Centers for Medicare & Medicaid Services (CMS) represent the report-card strategy

3566. Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
      January 01, 2024 - Moreover,   our   developed   system   adopted   a one‐time   password   strategy  to   block   illegal

3567. 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 - improve quality, including the cultural shift needed to effectively use simulation as an improvement strategy

3568. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - that is available for clinical consultation to support patient safety, but few RCAs cited this as a strategy

3569. 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 - Care • Seminar—Contemporary Issues in Health Care • Introduction to Health Services Research • Strategy

3570. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
      October 01, 2016 - For a cohesive strategy to centralize improvement, a Care Team Forum of system leaders discusses how

3571. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
      July 01, 2019 - For a cohesive strategy to centralize improvement, a Care Team Forum of system leaders discusses how

3572. Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
      February 01, 2019 - In general, commenters noted the measure is understandable and represents a reasonable strategy to assess

3573. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - would lead to appropriate interventions (dose reduction, medication change) irrespective of cause, a strategy

3574. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - Our analytic strategy was based on the literature on patient safety and organizational behavior.

3575. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
      July 01, 2023 - Section 2: Explanation of Key Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS communication concepts and tools. If you teach this content or want additional insights into how the material can be more fully learned,…

3576. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management SAY: In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…

3577. Nurse-Driven Early Mobility Protocols: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
      January 01, 2017 - Nurse-Driven Early Mobility Protocols: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Nurse-Driven Early Mobility Protocols Say: This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to esta…

3578. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Nurse-Driven Early Mobility Protocols SAY: This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to establish and sustain a…

3579. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 1 Educational Objectives Describe the patient safety risks tha…

3580. Catheter Types and Being Part of the Insertion Team
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/unlicensed-catheter.pptx
      March 01, 2017 - Catheter Types and Being Part of the Insertion Team Urinary Catheter Types and Care for Residents With Catheters AHRQ Pub. No. 16(17)-0003-11-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s session on how to care for residents with urinary catheters. This training is part of …