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3301. Subcommittee Member: Nichola Davis | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/pcortf-snac/davis.html
      November 01, 2022 - Subcommittee Member: Nichola Davis Nichola Davis, M.D., M.S. Vice President and Chief Population Health Officer Office of Ambulatory Care and Population Health New York City Health + Hospitals Clinical Professor Department of Population Health NYU Grossman School of Medicine Dr. Davis is Vice Preside…

3302. Final Progress Report: Racial and Ethnic Variations in Medical Interactions (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
      January 01, 2024 - Phase 4: Medical Decision-Making Survey: The computerized decision aid for OA surgical preferences worked

3303. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports Note: This part of the training primarily consists of exercises …

3304. Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
      January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations FINAL PROGRESS REPORT 1. TITLE PAGE Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for Disease Control Guideline (CDC) guideline in the primary care HIV clini…

3305. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
      May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…

3306. Christiana Care Health System: Safety Mentor Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
      March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…

3307. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Teamwork and Leadership According to The Joint Commission, failures in communication and teamwork as well as consist…

3308. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
      July 01, 2023 - Section 2: Explanation of Key Team Leadership Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of team structure, leadership, and leadership tools. If you teach this content or want additional insights into how the material can b…

3309. Pressure Ulcer Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
      February 16, 2011 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 2 Tools 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C: Current Process Analysis 2D: Assessing Pressure Ulcer Policies 2E: Assessing Screening for Pressure Ulcer Risk 2F: Assessing Pressure Ulcer Care Planning 2I: Action Plan …

3310. Build a Business Case for Quality Improvement: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-slides.html
      February 01, 2017 - Build a Business Case for Quality Improvement: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Build a Business Case for Quality Improvement Slide 2: Learning Objectives After this session, you will be able…

3311. Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
      March 01, 2022 - Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 11-6 Nursing Protocol Training Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap AHRQ Pub. No. 20(22)-0036 March 2…

3312. Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
      October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Implementing Your Surgical Site Infection Prevention Bundle Slide 2: Learning Objectives After this session, you will be able to– …

3313. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
      April 01, 2022 - Strategy 6P: Service Recovery Programs Contents 6.P.1. The Problem 6.P.2. The Intervention 6.P.3. Implementing This Intervention 6.P.4. The Impact of Service Recovery Programs References    Download Strategy 6P:   Service Recovery Programs  (PDF, 748 KB)     6.P.1. The Problem No ma…

3314. Case Study: Improving Customer Service at Health Share of Oregon (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
      September 01, 2016 - Case Study: Improving Customer Service at Health Share of Oregon Case Study 1 Improving Customer Service at Health Share of Oregon Introduction There are many ways to evaluate the delivery of customer service in a health plan. Chief among these strategies is the assessment of enrollees’ experiences with cust…

3315. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
      January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief PATIENT SAFETY e Issue Brief 16 Current State of Diagnostic Safety: Implications for Research, Practice, and Policy This page intentionally left blank. e Issue Brief 16 Current State of Diagnostic Safety: …

3316. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
      January 01, 2024 - Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS AHRQ Grant Final Progress Report 12/2018 Title of Project: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue (Push Electronic Relay for Smart Alerts f…

3317. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/resources.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Additional Resources On-Time Prevention Program for Long Term Care: Clinical Decision Support . Case Studies : Illustrates use and benefits of the program. Publications: Olsho LEW, Spector WD, Williams CS, et al. Evaluation o…

3318. Beyond TAKEheart | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/beyond/index.html
      December 01, 2022 - Beyond TAKEheart Improving Cardiac Rehabilitation & Other Paths to Heart Health The work to increase participation in cardiac rehabilitation (CR) is far from done! AHRQ and our partner organizations remain committed to increasing CR participation while also aiming at the broader goal of improving heart health…

3319. Board Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
      December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …

3320. Boardchecklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
      June 02, 2025 - Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate. 2. Improve the safety and teamwork climate using valid measures. 3. Set expectation for unit-level culture assessment. 4. Require at least a 60 percent participation…