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5561. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
      March 15, 2004 - A Study of Adverse Occurrences and Major Functional Impairment Following Surgery 275 A Study of Adverse Occurrences and Major Functional Impairment Following Surgery Mary Rojas, Alan Silver, Christine Llewellyn, Lenora Rances Abstract Objective: The authors sought to ascertain whether adverse occurrences (AOs…

5562. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…

5563. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? 199 Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? Dean Schillinger, Edward L. Machtinger, Frances Wang, Lay-Leng …

5564. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …

5565. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Final Report APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Principal Investigator: Wilson D. Pace, MD* Key Personnel: David West, PhD * Deborah S. Main, PhD* John Westfall, MD* Daniel Harris, PhD** Organizational Aff…

5566. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk Assessment of Primary Care of the Elderly Principal Investigator and Team Members: Ben-Tzion Karsh, PhD (PI) Brian Arndt, MD John Beasley, MD Vicki Bier, PhD Roger Brown, PhD Pascale Carayon, PhD Sue Dovey, P…

5567. 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…

5568. Draft Interview Protocol: HH4M Interviews With Cooperative Members Round 1 of 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/115-michigan-hh4m-coop-1st-round-interview-protocol.pdf
      June 02, 2025 - Draft Interview Protocol: HH4M Interviews With Cooperative Members Round 1 of 2 Draft Interview Protocol HH4M Interviews with Cooperative Members – Round 1 (of 2) Focus: (1) Strengths and weaknesses of the HH4M Cooperative, (2) Perceptions of the Cooperative’s ability to achieve it’s early goals, (3) Perceptions…

5569. Appendix D. Sample Production Agenda for the In-Person Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix D. Sample Production Agenda for the In-Person Training Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. R…

5570. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=3
      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…

5571. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=6
      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…

5572. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=2
      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…

5573. Health Care-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/hais/index.html
      June 01, 2018 - Health Care-Associated Infections This page features helpful links to information, tools, and resources on healthcare-associated infections (HAIs), which are the most common complication of hospital care and are one of the top 10 leading causes of death in the United States. AHRQ-funded research and initiatives…

5574. Data and Impact from the National Nursing Home COVID-19 Network | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/nursing-home-network.html
      November 01, 2021 - Data and Impact from the National Nursing Home COVID-19 Network The AHRQ ECHO National Nursing Home COVID-19 ACTION Network, through the University of New Mexico ECHO Institute, contracted or subcontracted with 99 academic medical centers, healthcare delivery systems, and quality improvement organizations to …

5575. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
      August 01, 2022 - Case Scenarios: Handling Challenging Communications AHRQ Communication and Optimal Resolution Toolkit Purpose : To help you prepare for disclosure communications by using four scenarios to practice challenging interpersonal communications. Who should use this tool? Disclosure Lead(s). How to use this too…

5576. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey - Spanish (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-22-SPANISH.docx
      November 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey - Spanish SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical offices asses…

5577. Personal Protective Equipment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-slides.html
      March 01, 2017 - Personal Protective Equipment AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Personal Protective Equipment Training Module 3 Slide 2: Learning Objectives Upon completion of this training, long-term care facility staff will be able to— Describe when to use personal protective equipme…

5578. Appendix C: "Long List" of Delivery System Research Areas | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
      February 01, 2014 - Identifying Key Areas for Delivery System Research Appendix C: "Long List" of Delivery System Research Areas Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References…

5579. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/systems/system/delivery-system-initiative/casalino/paper/idkeydsr1.html
      February 01, 2014 - Identifying Key Areas for Delivery System Research Executive Summary Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References Appendix A: Priority Topics Appendi…

5580. Strategy 4: IDEA Discharge Planning (Tool 2b) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.docx
      June 02, 2025 - Strategy 4: IDEA Discharge Planning (Tool 2b) Be Prepared to Go Home Booklet Before you leave the hospital, we want to make sure you feel ready to be at home. During your hospital stay, your doctors and nurses will make sure to answer your questions and address your concerns. We want you to have all the information …