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1461. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
      January 01, 2024 - dose changes, to keep the instructions near the medication, to call the doctor if they don’t hear back … the doctor about the strength on hand if the daily dose changes, call the doctor if they don’t hear back … However, leaders (88%) were more confident than staff (65%) that recovery and back-up plans associated … differences in scores may also suggest that leaders need to apprise frontline staff of technology failure back-up

1462. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
      February 18, 2021 - Teach staff how to change the workflow if it is not working for them. … opioid management policy and workflow implementation and to get those who have reverted to old ways back … • Look back at what your team learned during the Prepare and Launch Stage about: − What happens when

1463. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - Note that the closed loop of arrows through the six steps and back … 2004, the hospital refined its action plan for improving emotional support; the hospital QI team went back … The hospital QI team went back to the drawing board and reexamined the data to discover how it might … Administrative support (secretaries in the nursing nuts) was also cut back half an hour per day. … Similarly, cutting back on nursing assistant hours and staffing meant nurses had less time to provide

1464. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
      January 01, 2024 - analysis in the previous year, 79% dispensed the majority of oral medications in unit-dose form, 73% read back … independent double checks of insulin prior to administration o 20 implemented writing down and reading back … fully during project Very important Somewhat important Written policy to write down and read back

1465. Systems Change: Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
      December 01, 2012 - (ROI) is a frequently used tool to estimate the amount of time it takes for an expenditure to earn back

1466. Qualitative Methods Used in AHRQ-Funded Primary Care Research - Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/qual-methods-pcr-080323.pptx
      January 01, 2025 - When facing difficult decisions, I find it’s typically more helpful to come back to the best choice possible

1467. Value of Imaging-Related Information Technology (VIRIT) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs014891-gazelle-final-report-2008.pdf
      January 01, 2008 - display functions, has tipped the scales so strongly in favor of PACS that it is hard to imagine going back

1468. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
      July 01, 2012 - How did your time in Washington inform your day job now when you got back to Harvard?

1469. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - How did your time in Washington inform your day job now when you got back to Harvard?

1470. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
      May 01, 2013 - AJ : Two things that have really held us back on progress on patient safety: one is incentives, which

1471. Ensuring Safe Performance of Electronic Health Records - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023696-bates-final-report-2019.pdf
      January 01, 2019 - and use this information to improve the critical safety aspects of their EHR systems and feed it back

1472. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
      January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? 291 Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? Debra Quinn, Mary Cooper, Lynn Chevalier, Jerry Balentine, Lawrence Kadish, Steven Walerstein, Fredric Weinbaum, Mark Ca…

1473. Mental-Illness-Adults-Prisons Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-adults-prisons_executive.pdf
      August 01, 2013 - detained in a jail, prison, or forensic hospital or who are transitioning from one of these settings back … are usually initiated within 3 months of an inmate’s release date and continue once he or she is back

1474. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
      October 01, 2024 - Once an area for improvement has been addressed, go back to your priority list, and move onto the next … essential steps, optimizes the roles and methods of environmental cleaning monitoring, and feeds data back

1475. High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2013%20(4).pdf
      November 01, 2013 - I Low Back Pain: Counseling for Adults The USPSTF concludes that the evidence is insufficient to recommend … for or against the routine use of interventions to prevent low back pain in adults in primary care

1476. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
      January 01, 2018 - We end up whispering back and forth while the next presenter comes up.”

1477. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1478. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - Ulcer Healing Electronic Reports This training will provide you with the information you need to teach … Ulcer Location Code Ulcer Location Description HEAD Back of head EAR Ear: R/L

1479. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
      July 22, 2015 - the Pennsylvania Chronic Care Commission and efforts to improve diabetes care in the State dating back

1480. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - research conducted in healthcare setting that provides what a handoff is, how to perform it, and how to teach … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back