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1481. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
      January 01, 2025 - One way to  address this need for change is a transition toward Qualified Clinical Data Registries (QCDRs

1482. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
      January 01, 2025 - One way to  address this need for change is a transition toward Qualified Clinical Data Registries (QCDRs

1483. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…

1484. Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/case-studies/ncahec.html
      August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program Previous Page   Table of Contents Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Ove…

1485. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
      August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …

1486. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Issue Brief 15 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error PATIENT SAFETY e This page intentionally left blank. e Issue Brief 15 Strategies for I…

1487. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
      November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency NPSD Data Spotlight This document is in the public domain and may b…

1488. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
      July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…

1489. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…

1490. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

1491. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals Strategies for Improving Patient Safety in Small Rural Hospitals Judith Tupper, MS, CHES; Andrew Coburn, PhD; Stephenie Loux, MS; Ira Moscovice, PhD; Jill Klingner, PhD; Mary Wakefield, PhD, RN Abstract The Tennessee Rural Hospital Patient …

1492. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…

1493. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Final Progress Report Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Principal Investigator: Katherine J. Jones, PT, PhD1 Co-Investigators: MARobin High, MBA, 1 Roni Reiter-P…

1494. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
      October 01, 2014 - ultimate goal remains neither smoking nor using medication; the use of nicotine-containing medication is a transition

1495. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
      January 01, 2024 - responsiveness of hospital staff, pain management, communication about medicines, discharge information, and transition

1496. Scientific Rationale (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
      March 01, 2022 - experience with whole-unit practices for ensuring adequate supplies and staff training can help with the transition

1497. Ed-Catheter-Insertions-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
      September 10, 2013 - environment is really important in terms of identifying barriers to practice change and facilitating a smooth transition

1498. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - discuss the key concerns for the patient’s recovery and management so that the patient makes a safe transition

1499. Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
      November 01, 2016 - That's a difficult transition to make.

1500. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
      January 01, 2011 - of shift • Reduction in preventable readmissions by engaging patients and family members in the transition