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4201. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
      March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …

4202. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…

4203. Best Practices in the Diagnosis and Treatment of Sepsis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Sepsis AHRQ Safety Program for Improving Antibiotic Use 1AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Sepsis Acute Care Slide Title and Commen…

4204. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
      November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions FINAL REPORT Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions PREPARED FOR: Agency for Healthcare Resear…

4205. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
      November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions FINAL REPORT Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions PREPARED FOR: Agency for Healthcare Resear…

4206. Chsp-Bibliography-Update-091223 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
      September 01, 2023 - AHRQ Comparative Health System Performance Initiative Publications Updated September 2023 This page intentionally left blank Comparative Health System Performance Initiative Publications 1 Comparative Health System Performance Initiative Publications Journal Articles Agniel D, Haviland A, Shekelle P, Sc…

4207. Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hospital-linkage-techdoc-021224.pdf
      January 01, 2022 - Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health a…

4208. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/CHSP_2016_GPLF_tech_Dec2020.pdf
      January 01, 2016 - We tested the sensitivity of these decisions, and they had little impact on the ultimate TIN assignment

4209. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - o Since mupirocin resistance is not routinely tested by microbiology laboratories, most hospitals will

4210. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - Learn About CUSP, Facilitator Notes CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. CUSP Supports Kotter's…

4211. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…

4212. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…

4213. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
      January 01, 2024 - Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records Improving Quality of postoperative pain care through innovative use of electronic health records PrincipaI Investigator Tina Hernandez-Boussard Team members Catherine Curtin Stanford University…

4214. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
      January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) Contents On Page 1 of 2: 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input From Stakeh…

4215. Information to Help Hospitals Get Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
      February 08, 2018 - Information to Help Hospitals Get Started Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 How to Use the Guide to Patient and Family Engagement The Guide to Patient and Family Engagement in Hospital Quality and Safety is an evidence-based resource that hospitals can use to…

4216. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…

4217. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives 161 Prescribing Safety in Ambulatory Care: Physician Perspectives Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung, Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson, Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…

4218. RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
      June 02, 2025 - RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) Frequentl…

4219. Patient Safety Executive Walkarounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
      April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

4220. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - Using Patient Complaints to Promote Patient Safety Using Patient Complaints to Promote Patient Safety James W. Pichert, PhD; Gerald Hickson, MD; Ilene Moore, MD, JD, FCLM Abstract Patients can help promote safety and reduce risk in several ways. One is to make known their concerns about their health care e…