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4241. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
      psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
      March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? Citation Text: Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. C…

4242. AHRQ_Brand_NameOnly (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
      March 01, 2017 - Sheet1 The purpose of this tool is to support the maintenance of your AHRQ Safety Program for Long-Term Care: CAUTI program efforts and its benefits to the improvement of resident safety culture overtime. This tool will help your team identify their current state, including what’s working and what’s not working, outl…

4243. Comparative Effectiveness and Safety of Analgesics for Osteoarthritis—An Update of the 2006 Report. (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-disposition-120516.pdf
      October 01, 2011 - starting line 38) to: “Understanding of the pharmacology of NSAIDs continues to evolve, but it is thought

4244. Case 1. Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
      November 01, 2014 - It had always been like the 15 th percentile and lower, so I thought, 'Alright, I'll wait and it's only

4245. Disposition of Comments for Screening of Methicillin-Resistant Staphylococcus Aureus (MRSA) (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mrsa-screening-2010_disposition-comments.pdf
      January 01, 2010 - Reviewer #2 (TEP) General General Comments: I thought the report’s methodological descriptions were

4246. Disposition of Comments Report for Imaging Tests for the Diagnosis and Staging of Pancreatic Adenocarcinoma (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_disposition-comments.pdf
      September 23, 2014 - Unfortunately, comparative effectiveness examines them head-to- head on specific questions, and critical … thinking and algorithms are lost. … were determined with input from Key Informants (including experts in pancreatic cancer), and they thought

4247. Treatments for Adults with Schizophrenia: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/schizophrenia-adult_research-protocol.pdf
      September 23, 2016 - Treating patients aggressively early in the disease is thought to improve long-term outcomes although … discontinuation) § Improvements in core illness symptoms (e.g., delusions, hallucinations, disorganized thinking … discontinuation) • Improvements in core illness symptoms (e.g., delusions, hallucinations, disorganized thinking

4248. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
      July 01, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care, Phase 2 Following the release of AHRQ’s Toolkit for Improving Perinatal Safety , a second bundle of AHRQ tools is available to improve the safety culture of labor and delivery (L&D) units. The second…

4249. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

4250. Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/accessibility-and-beyond-designing-consumer-health-it-disabled-individuals
      January 01, 2023 - Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals Project Final Report ( PDF , 423.59 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…

4251. Development of SMART on FHIR Interoperable Clinical Decision Support for Emergency Department Patients with Pneumonia and Pilot Deployment into Novel Epic Electronic Health Record Environments | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/development-smart-fhir-interoperable-clinical-decision-support-emergency
      August 01, 2023 - Development of SMART on FHIR Interoperable Clinical Decision Support for Emergency Department Patients with Pneumonia and Pilot Deployment into Novel Epic Electronic Health Record Environments Project Description Research Story Creating a SMART on FHIR version of an exist…

4252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33590/psn-pdf
      September 15, 2024 - Leadership Role in Improving Safety September 15, 2024 Leadership Role in Improving Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/leadership-role-improving-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and p…

4253. Who Could Partner in a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/partners/index.html
      May 01, 2019 - Who Could Partner in a Health Care Quality Reporting Project? In many cases, a quality reporting project is more effective when multiple organizations come together to make decisions, tackle the logistics, and combine money, talent, and other resources. This page discusses the benefits and challenges of collabo…

4254. 109-Performing-Premortem-Project-Assessment-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Mini Presentation: Performing a Premortem Project Assessment Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Mini Presentation: Performing a Premortem Project Assessm…

4255. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
      January 01, 2011 - Slide 1 Small and Rural Critical Access Hospitals July 19, 2011 Agenda Denise Flook and Lorna Martin Applying CUSP in the Small and Rural Critical Access Hospital Using CUSP Beyond CLABSI and CAUTI Critical Access Hospital Team Leaders Paul Frigoli, Grant Regional Health Center Illinois Critical Access Hos…

4256. 155-Performing-Premortem-Project-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Mini Presentation: Performing a Premortem Project Assessment ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Mini Presentation: Performing a Premortem Project Assessment SAY: Welcome to this mini presentation on why and how to use a Premortem Project Assessm…

4257. Module 1: Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1-slides.html
      February 01, 2023 - Module 1: Overview Preventing CAUTI in the ICU Setting Slide Presentation Slide 1 AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 1: Overview AHRQ Pub. No. 15-0073-4-EF September 2015 Slide 2 Learning Objectives At the end of this educational…

4258. PowerPoint Presentation: Premortem for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
      December 01, 2017 - PowerPoint Presentation: Premortem for Sustainability Sustainability and the Premortem Tool AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery -- Sustainability SAY: This module will cover Sustainability and the Premortem Tool. Projects can fa…

4259. Fuzzy Set Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysetsq-a.html
      July 01, 2013 - Fuzzy Set Analysis Presenters' Responses to Questions The following are written responses by Dr. Marcus Thygeson, Dr. Jodi Holtrop, and Dr. Michael Harrison to questions that were sent in during the webinar but could not be answered within the one-hour time frame. These responses were edited by the Moderator,…

4260. 5 Tk2 P1O-Comprehensive Antibiogram Toolkit Phase 1 Assessment And Planning Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase_1_Assessment_and_Planning_final.pdf
      May 01, 2014 - Phase 1 Assessment and Planning Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit Phase 1 Assessment and Planning To ensure the success of any new program, it is customary to assess the …