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1601. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
      January 01, 2024 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm Cynthia F. Corbett, PhD, RN: Principal Investigator Alice A. Dupler, JD, APRN-BC Stephen M. Setter, PharmD, DVM, CGP Ke…

1602. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
      February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Say: In this module, we will introduce the Hospital Survey on Patient S…

1603. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
      September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture How PSOs Help Health Care Organizations Improve Patient Safety Culture Developing a culture of safety is an essential task for health care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm, …

1604. On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
      April 16, 2013 - On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013 Sustaining Change 1 Eugene S. Chu, MD, FHM Director of Hospital Medicine Boulder Community Health Associate Clinical Professor of Medicine University of Colorado School of Medicine Learning Objectives 2 Differentiate between implementation and…

1605. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI The Science of Safety: Principles in Practice Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevent…

1606. Final Topic Refinement Document - Role of Liquid Biopsy in Detection and Management of Cancer in the Medicare Population (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
      July 29, 2021 - And last week the FDA approved a test developed by Thermo Fisher Scientific in collaboration with AstraZeneca … 14 Shares of Illumina, the leader in DNA sequencing, have dropped 13% since news leaked last week … firm Illumina, filed a preliminary prospectus for a $100 million initial public offering (IPO) last week … liquid biopsy results via Guardant360 were returned significantly faster than tissue, by almost a week

1607. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - patient’s first follow-up visit to Dana- Farber’s outpatient clinic, which generally occurs within 1 week

1608. The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
      May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 3: Are You Ready To Improve? Visit the AHRQ Website for the full Guide. May 2017 (updated) https://www.ahrq.gov/cahps/quality-improve…

1609. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience 131 Quantitative and Qualitative Analysis of Medication Errors: The New York Experience Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Abstract Objectives: In June 2000, the New Yo…

1610. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic…

1611. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…

1612. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…

1613. Implementation Coaching | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
      June 01, 2023 - Providing staff with a TeamSTEPPS “tip of the week” that facilitates use of a tool or strategy.

1614. Central Venous Catheter Insertion Bundle Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
      April 01, 2022 - processes are hardwired, should this topic be included in change of shift reports several times per week

1615. Final Progress Report: Rural Trial of Clinic Order Entry With Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/samore-report.pdf
      January 01, 2024 - troubleshoot problems. 4 Research coordinators contacted key clinic contacts three to five times per week … record for each provider the daily time in, time out, and number of patient visits during separate 2-week

1616. CAUTI Event Reporting Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
      April 01, 2022 - Patient’s sex: ☐ Male ☐ Female 4 Hospital admission date: ____________________ Day of week

1617. Final Progress Report: Development of an Education Intervention for Triage Interruption Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
      January 01, 2024 - total experience, years of ED experience, gender, highest degree, shift length, hours worked per week

1618. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
      January 01, 2024 - Attendees were also sent an online link 1 day and 1 week after the conference to complete the conference

1619. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
      June 02, 2025 - Provide staff with a TeamSTEPPS “tip of the week.” 52 52 Exercise: Effective Coaches Coaching

1620. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - Clinicians responded to 68% of patients' messages; 93% answered within 1 week.