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1901. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
      March 01, 2013 - Sites of care (floor or unit) or services within the hospital (e.g., surgery, dialysis, post-CABG) that

1902. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      ce.effectivehealthcare.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 - from February to June 2006 on four units (neurology/ orthopedics, leukemia/lymphoma, gastrointestinal surgery

1903. Patient-Family-Centered-Care-Transcript (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
      April 09, 2013 - It was diagnosed as Stage III; it had spread through my lymph nodes and which required an extensive surgery

1904. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - unspecified) (n=64) Non-surgical medicine unit (n=43) Emergency department (n=27) Telemetry unit (n=26) Surgery … United States Taylor GJ, 1990 Determinants of hospital charges for coronary artery bypass surgery … before 2002 Weintraub WS, 1989 Determinants of prolonged length of stay after coronary bypass surgery

1905. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - Harm for Medicaid-Insured Children Medicaid beneficiaries are at greater risk for nursing-related, surgery-related … studies have identified specific triggers that have high yields for AE detection, such as “return to surgery … National trends in hospital- acquired preventable adverse events after major cancer surgery in the USA

1906. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1907. Personal Health Records to Improve Health Information Exchange and Patient Safety (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
      April 17, 2008 - Personal Health Records to Improve Health Information Exchange and Patient Safety Personal Health Records to Improve Health Information Exchange and Patient Safety James R. Fricton, DDS, MS; Diane Davies, MD Abstract The personal health record (PHR) is proposed as an innovative solution to the problems of f…

1908. PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - Abdominal Cardiac Hip fracture Other fracture Joint replacement Other major surgery, not listed above

1909. Care Coordination Quality Measure for Primary Care (CCQM-PC) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-survey-instructions.pdf
      July 01, 2016 - can include choices about tests and screenings, preventive health care (e.g., flu shot), medicine, surgery

1910. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
      May 01, 2017 - malpresentation · cord prolapse · prior classical uterine incision or previous transfundal uterine surgery

1911. Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
      April 01, 2013 - American Academy of Family Physicians, American Academy of Otolaryngology-Head Neck Surgery, American

1912. Slide 1
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      January 01, 2015 - Center - Primary Care Clinic & Diagnostics open 14 hours per day EMS Services Spring Hill Imaging, Surgery

1913. Slide 1
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
      January 01, 2017 - Service lines Pre/Post Anesthesia Care Unit Central Processing Unit Pre-Anesthesia Clinic Ambulatory Surgery

1914. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

1915. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
      September 01, 2017 - Say: NDNQI defines the fourth and fifth levels of injury as: Major : The fall resulted in surgery

1916. 6. Implementation | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
      May 01, 2018 - diabetes, end stage renal disease, chronic kidney disease, back pain, coronary artery bypass graft surgery

1917. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
      December 29, 2022 - observational study of hospital paging practices and workflow interruption among on-call junior neurological surgery

1918. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
      January 25, 2008 - Cohen); Department of Surgery, Drexel University, Philadelphia, PA (Dr. Clarke).

1919. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - Cesari); Division of Emergency Medicine, Department of Surgery, Patient Safety Office, Duke University

1920. Methods (continued, 3) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
      July 01, 2018 - and colleagues found that after receiving a preoperative instruction sheet on which extremity needed surgery … providers by providing guidance about questions to ask, mostly related to specific procedures (e.g., before surgery