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4221. Final Progress Report: Solutions for Vertigo presentations in the Emergency Department (SOLVE) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kerber-report.pdf
      January 01, 2025 - Final Progress Report: Solutions for Vertigo presentations in the Emergency Department (SOLVE) Project Final Progress Report Title of Project: Solutions for Vertigo Presentations in the Emergency Department (SOLVE) Project Principal Investigator: Kevin A. Kerber, MD Team Members: Devin L. Brown, MD A. Mark Fendric…

4222. Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
      January 01, 2024 - Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department 1. TITLEPAGE Title: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department Co-Principal Investigators: Jesse M. Pines, MD, MBA, MSCE, George Washington Un…

4223. Candor-Impguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
      April 01, 2016 - Purpose: The Communication and Optimal Resolution (CANDOR) Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementation phases, resources, and responsibilities to support s…

4224. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
      January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …

4225. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix D. Falls Engineer Instructions Previous Page   Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…

4226. 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…

4227. Cerner-Q-A-Session (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
      June 02, 2025 - 1 EHR Q&A Sessions Introduction Prior to each EHR Q&A event, participants were asked to submit questions related to the implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians regar…

4228. Analyzing Short-Term Acute Care Hospitals’ Financial Measures Across Key Characteristics, 2016-2019 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-3-financial-measures.pdf
      March 01, 2024 - Analyzing Short-Term Acute Care Hospitals’ Financial Measures Across Key Characteristics, 2016-2019 1 Data Innovations Analyzing Short-Term Acute Care Hospitals’ Financial Measures Across Key Characteristics, 2016-2019 Melike Yildirim, Ph.D., Rhona Limcangco, Ph.D., Bernard Friedman, Ph.D., Frederick …

4229. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
      January 01, 2025 - Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Title of Project: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Principal Investigator and Team Members: Haut, Elliott (PI); Owodunni, Oluwafemi (Postdoc); Webster, Kristen Li…

4230. 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…

4231. Puh-Implementation-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
      July 01, 2016 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts Review of Self-Assessment Worksheet  Script Illustrating Change Team Meeting To Discuss an…

4232. Chartbook on Hispanic Health Care: Slide Presentation—Part 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
      May 01, 2018 - Chartbook on Hispanic Health Care: Slide Presentation—Part 3 2014 National Healthcare Quality and Disparities Report Trends in Access and Priorities of the National Quality Strategy Slide 1 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics Part 3: Trends in Acce…

4233. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
      April 01, 2013 - CUSP: A Framework for Success (Transcript) March 7, 2012 Operator: Excuse me, everyone, and thank you for holding, please be aware that each of your lines is in a listen-only mode. At the conclusion of today's presentation, we will open the floor for questions at that time. Instructions will be given as to t…

4234. Final Progress Report: Information about Quality in a Randomized Evaluation (INQUIRE) (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/romano-report.pdf
      January 01, 2024 - Final Progress Report: Information about Quality in a Randomized Evaluation (INQUIRE) 1 FINAL PROGRESS REPORT Information about Quality in a Randomized Evaluation (INQUIRE) Principal Investigator: Patrick S. Romano, MD MPH Professor of Medicine and Pediatrics University of California Davis School of Medicine …

4235. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
      April 01, 2022 - A Playbook for Preventing CLABSI and CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI A Playbook for Preventing CLABSI and CAUTI in the ICU Setting 2 Playbook AHRQ Safety Program for Intensi…

4236. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
      January 01, 2024 - Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes Title Page Title of Project. Safety Outcomes of Obese Residents in US Nursing Homes Principal Investigator and Team Members. Holly C. Felix, PhD (PI), Jennifer A. Andersen, PhD (CI), Christine K. Bradway, PhD (CI), Clare C. Brown, PhD (C…

4237. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
      January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids FINAL PROGRESS REPORT Risk of Acute Asthma Associated with the Pediatric Use of Opioids Principal Investigator: Hua Chen, MD, PhD1 Co-Investigator: Harold J. Farber, MD, MSPH2,3 Organization …

4238. Treating Tobacco Use and Dependence: A Quick Reference Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
      April 01, 2009 - Treating Tobacco Use and Dependence: A Quick Reference Guide for Clinicians FINAL Quick Reference guide NEW_FINAL Quick Reference guide 9/24/09 3:15 PM Page ii FINAL Quick Reference guide NEW_FINAL Quick Reference guide 9/24/09 3:15 PM Page a To All Clinicians The Public Health Service-sponsored Clinical …

4239. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - It will also allow us to look at common patterns like more falls at certain times of the day or types

4240. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
      January 01, 2024 - For a test of inter-rater reliability, two observers conducted both types of observations in 50 surgical