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3941. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…

3942. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
      January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation Prepared for: Agency for Healthcare…

3943. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
      March 01, 2017 - Module 5: Resident and Family Engagement: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 5: Resident and Family Engagement Say: The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility…

3944. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…

3945. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

3946. Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
      January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity Principal Investigator: Scott D. Halpern, M.D., Ph.D. Perelman School of Medicine, University of Pennsylvania Other key team …

3947. 6. Implementation (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidenc…

3948. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
      October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems New Models of Primary Care Workforce and Financing Case Example Cherokee Health Systems 7 New Models of Primary Care Workforce and Financing Case Example #7: Cherokee Health Systems …

3949. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety AHRQ TEAM TRAINING GRANT FINAL PROGRESS REPORT Project Title: Evaluating the Impact of Simulated Team Training on Patient Safety Principal Investigator: Daniel J. Scott Team Members: Rajiv Gala (Co-Investigator) John Fore…

3950. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
      April 01, 2013 - Sustaining Zero CLABSIs (Transcript) May 8, 2012 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…

3951. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…

3952. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Errors often occur during the transitional phase of any system, and one strategy for reducing errors

3953. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - This is useful, because previously discussed results showed this to be an effective strategy for avoiding

3954. Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
      January 01, 2025 - In exploring the impact of a broader sampling strategy, we did find a modest improvement in prediction

3955. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
      December 01, 2017 - So it's a great outcome but the strategy wasn't well accepted initially.

3956. Navigating-Hierarchy-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
      December 10, 2013 - So it’s a great outcome but the strategy wasn’t well accepted initially.

3957. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
      January 01, 2024 - A difference-in-difference strategy was adopted to adjust for pre-existing differences (i.e., prior

3958. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
      April 01, 2013 - What is a logical rollout strategy?

3959. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
      January 01, 2025 - Scientist, Center for Outcomes Research & Evaluation (CORE) Director, ED Quality and Safety Research and Strategy

3960. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training Facilitator Training Instructor Guide Slide 1: Introduction to Preventable Hospital and ED Visits Reports Say: In this session we will introduce you to the Preventable Hospital and ED Visits el…