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1801. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - and-Huddles-Toolkit AHRQ HAI Daily Huddle Component Kit https://www.ahrq.gov/hai/tools/ambulatory-surgery … https://www.ahrq.gov/hai/cusp/videos/07c-debrief/index.html https://www.ahrq.gov/hai/tools/ambulatory-surgery

1802. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - with reduced self-care capability, the VHA units typically have temporary patients recuperating from surgery

1803. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - care delivery system includes primary care and specialty clinics, walk-in clinics, two outpatient surgery

1804. A Clinical Assessment Program to Evaluate the Safety of Patient Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
      January 01, 2010 - To Err Is Human focused primarily on errors of commission, such as wrong- site surgery.

1805. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
      January 01, 2025 - false- positive findings, patient labeling and anxiety (6), unnecessary treatment (including spinal surgery

1806. Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
      January 01, 2024 - conducted was internal medicine (n = 14, 26%), followed closely by family medicine (22%) and then by surgery

1807. Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
      January 01, 2024 - drug recombinant factor VIIa (NovoSeven)—approved for use in hemophilia patients but used widely in surgery

1808. Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
      January 01, 2025 - Surgery 2005;138(3):498-507. 13. Lorence DP, Ibrahim IA.

1809. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
      January 01, 2017 - Tidal Volume Implementation SAY: A 2013 study reviewed patients undergoing relatively major abdominal surgery

1810. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - The human factor in cardiac surgery: Errors and near misses in a high technology medical domain.

1811. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - Operative notes completion Operative notes dictated within 24 hours of surgery.

1812. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
      July 01, 2004 - AHRQ, postoperative pneumonia, is the second most frequent postoperative complication after major surgery

1813. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - For example, other themes might relate more specifically to the department of surgery, to issues of

1814. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/uti.html
      September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections After viewing or presenting this presentation, viewers will be able to— Distinguish asymptomatic bacteriuria (ASB) from a urinary tract infection (UTI). Discuss indications for sending urine cultures. …

1815. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
      January 01, 2025 - false-positive findings, patient labeling and anxiety (6), unnecessary treatment (including spinal surgery

1816. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
      October 01, 2024 - Recent nasal surgery or trauma: Discuss with your hospital’s ENT surgeons to establish guidelines for

1817. Access to Health Care Chartbook: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
      June 01, 2018 - Notes: The 24-hour coverage of surgery in level I facilities also provides trauma patients with many

1818. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.html
      August 01, 2017 - teamwork and a pre-selected list of clinical outcomes in L&D, acute myocardial infarction (AMI), and surgery

1819. Communicating With Patients and Families About Antibiotic Decisions | Agency for Healthcare Research and Quality
      www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/communicating-decisions.html
      September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions After viewing or presenting this presentation, viewers will be able to— Describe communication strategies to consider when discussing antibiotic use with patients. Learn how to effectively communicate about antibiotic use with patients.…

1820. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
      December 31, 2021 - Other areas of future focus are outpatient surgery and chemotherapy. … interdisciplinary research group drawing from the Departments of Biostatistics, Health Management and Policy, Surgery … events (ADEs); six types of hospital-acquired infections; seven types of adverse events associated with surgery