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www.ahrq.gov/sites/default/files/2024-04/naughton-report.pdf
January 01, 2024 - Final Progress Report: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders
TITLE PAGE
FINAL Progress Report for 1R03HS023656-01A1
FINAL REPORT Period: 08/01/2015 – 07-31/2017
Project Title: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/module-5-slides.pptx
March 01, 2017 - PowerPoint Presentation
Module 5: Resident and Family Engagement
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
AHRQ Pub. No. 16(17)-0003-03-EF
March 2017
Resident and Family Engagement | ‹#›
1
Objectives
Define resident- and family-centered care
Describe the key concepts of res…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
February 10, 2014 - Pressure Ulcer Healing Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Facilitator Training Instructor Guide
Slide 1: Introduction to Pressure Ulcer Healing Reports
SAY:
In this session we will introduce you to the pressure ulcer healing electronic reports.
Slide 2: Pressure Ulcer H…
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psnet.ahrq.gov/node/38269/psn-pdf
October 01, 2024 - Nursing Home Survey on Patient Safety Culture.
October 1, 2024
Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
Challenges to establishing and sustaining a safety culture in a nursing home include insufficient staffing
…
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digital.ahrq.gov/ahrq-funded-projects/maintaining-activity-and-nutrition-through-technology-assisted-innovation/citation/effect
January 01, 2023 - Effect of electronic health record-based coaching on weight maintenance: a randomized trial.
Citation
Conroy MB, McTigue KM, Bryce CL, Tudorascu D, Barone Gibbs B, Arnold J, Comer D, Hess R, Huber K, Simkin-Silverman LR, Fischer GS. Effect of Electronic Health Record-Based Coaching on Weight Maintenan…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/assess
January 01, 2023 - Assess Workflows
1. Examples of flowcharts
Physician Assistant (PA) Office Visit ( PDF , 21KB)
Nurse Only Visit ( PDF , 21KB)
2. Why and how do we assess workflow using flowcharts postimplementation?
You have now implemented your health IT system.
If you incur workflow-re…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/comparison
January 01, 2023 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
Citation
Garabedian PM, Wright A, Newbury I, Volk LA, Salazar A, Amato MG, Nathan AW, Forsythe KJ, Galanter WL, Kron K, Myers S, Abraham J, McCord SK, Eguale T, Bates DW, Schiff GD. Comparison of a prot…
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psnet.ahrq.gov/node/44073/psn-pdf
April 15, 2015 - Clinician support: five years of lessons learned.
April 15, 2015
Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
This magazine article relates insights from an academic health care system that developed a…
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www.ahrq.gov/sops/resources/data-entry-analysis-tools.html
September 01, 2022 - Data Entry and Analysis Tools
The Data and Entry and Analysis Tools may be used after you administered your SOPS survey to assist with analyzing your survey data. These Microsoft® Excel® Tools have macros enabled to automatically create tables and graphs of your survey results. You can either manually enter you…
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psnet.ahrq.gov/node/43827/psn-pdf
January 14, 2015 - The surprising way to stay safe in the hospital.
January 14, 2015
https://psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital
This news article summarizes the results of a survey exploring how patients' perceptions of respect from
hospital staff corresponds with the potential for medical error. Recommended strat…
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psnet.ahrq.gov/node/43008/psn-pdf
November 21, 2014 - Understanding safety culture in long-term care: a case
study.
November 21, 2014
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J
Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…
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psnet.ahrq.gov/node/836935/psn-pdf
April 13, 2019 - Root Cause Analysis: The Core of Problem Solving and
Corrective Action, Second Edition.
April 13, 2019
Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. ISBN: 9780873899826.
https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
Root cause analysis is a widely use…
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psnet.ahrq.gov/node/838929/psn-pdf
October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care.
October 26, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
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psnet.ahrq.gov/node/48041/psn-pdf
July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a
meta-analysis.
July 10, 2019
Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol.
2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375.
https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
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psnet.ahrq.gov/node/38728/psn-pdf
June 09, 2011 - Between choice and chance: the role of human factors in
acute care equipment decisions.
June 9, 2011
Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute
care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0b013e3181a974d9.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45637/psn-pdf
February 17, 2017 - Opportunities to enhance laboratory professionals' role
on the diagnostic team.
February 17, 2017
Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the
diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/865493/psn-pdf
April 03, 2024 - Implement strategies to prevent persistent medication
errors and hazards: 2024.
April 3, 2024
ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
Systemic failures can perpetuate unsafe care if a lack of p…
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psnet.ahrq.gov/node/46882/psn-pdf
May 23, 2018 - How health care changes when algorithms start making
diagnoses.
May 23, 2018
Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018.
https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses
Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…
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psnet.ahrq.gov/node/47739/psn-pdf
February 20, 2019 - Artificial intelligence, bias and clinical safety.
February 20, 2019
Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf.
2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370.
https://psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety
Artificial intell…
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psnet.ahrq.gov/node/42355/psn-pdf
February 11, 2015 - Advancing Successful Care Transitions to Improve
Outcomes.
February 11, 2015
Society of Hospital Medicine
https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
This Web site provides resources associated with the Better Outcomes for Older adults through Safe
Transitions project, called Projec…