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3601. Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
      January 01, 2024 - We tested for seasonality using proc spectra in SAS against white noise of the residuals from the models

3602. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
      January 01, 2017 - A protocol of no sedation for critically ill patients receiving mechanical ventilation was tested in

3603. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
      January 01, 2024 - , and injuries --- as they have not been examined in older adults. 4 | P a g e The project team tested

3604. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
      April 27, 2004 - These descriptive studies tested the utility of VHA administrative datasets, especially the PBM datamart

3605. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - predicting patient safety in medical devices with integral information technology, then applied and tested

3606. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
      January 01, 2024 - The overall interview guide was then tested with two preliminary interviewees, and edits were made to

3607. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - published in an AHRQ report,34 which identified patient safety practices in other fields that should be tested

3608. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
      January 01, 2024 - Thus, our approach was tested with and without an SMS text messaging promotional component, understanding

3609. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - excludes” list16 of clearly defined reportable occurrences, which was developed and extensively field tested

3610. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
      October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Session 1 Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Introduction Cas…

3611. Snapshot: The IHA Bundled Episode Payment and Gainsharing Demonstration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/bozicstudysnapshot.pdf
      February 01, 2015 - Snapshot: The IHA Bundled Episode Payment and Gainsharing Demonstration AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT The IHA Bundled Episode Payment and Gainsharing Demonstration* M. Susan Ridgely, David De Vries, Kevin Bozic, and Peter S. Hussey Background Traditional fee-for-service (FFS) payment systems create…

3612. Teaching Implementation Planning | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
      January 01, 2024 - Teaching Implementation Planning     Present Slide 22, "Implementation Planning"; use this slide to transition to implementation planning. Note that you need to consider measurement when implementing TeamSTEPPS, but it is not the only thing. Explain that implementation planning will equip trainees with a 10-s…

3613. 1. Background and Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide1.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 1. Background and Introduction Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Backgroun…

3614. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients SAY: Today, we will give you an overview of the Science of Safety and identifying defects. Slide 1 Learning O…

3615. Final Progress Report: Reducing Harm to Patients from Diagnostic Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
      January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing Harm to Patients from Diagnostic Errors Eta S. Berner, EdD, Principal Investigator Team Members: Marcie H. Battles, MS, Project Assistant Mark L. Graber, MD, Consultant Gordon D. Schiff, MD, Consultant Pat …

3616. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
      January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A. Final Progress Report Title of Project: Organization of Care and Outcomes in Cardiac Surgery Principal Investigator: Elizabeth A. Martinez, MD, MHS T…

3617. Introduce CUSP
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
      April 01, 2011 - Introduce CUSP 1 Learning Objectives Review the impact of errors and patient harm and the underlying causes of errors Show how CUSP supports other quality and safety tools Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the CUSP Toolkit Demonstrate how to apply the CUSP T…

3618. Appendix C: Example Implementation Plan | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
      July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Appendix C: Example Implementation Plan Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary …

3619. Antibiotic Stewardship | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
      February 01, 2019 - Antibiotic Stewardship AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Antibiotic Stewardship Slide 2: Objectives Upon completion of this webinar, participants will be able to— Describe how antibiotic stewardship is linked to infection prevention. Explain how overtreating urinary tra…

3620. Opioids in Older Adults Compendium | Agency for Healthcare Research and Quality
      www.ahrq.gov/opioids/implementing-what-works/compendium.html
      November 01, 2024 - Opioids in Older Adults Compendium The purpose of this change package, known as the Compendium, is to support efforts by primary care practices and healthcare systems to improve opioid medication management and prevent opioid misuse and opioid use disorder in older adults in primary care. The Compendium offers …