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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 3. Data Collection and Analysis Using TRIPS Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Prog…
  2. www.ahrq.gov/opioids/implementing-what-works.html
    February 01, 2024 - Implementing What Works Tools and strategies to implement what works for practice improvement and patient safety. Once effective interventions have been identified, AHRQ projects and grants develop and test tools and strategies to implement what works for practice improvement and patient safety. Opioid Use …
  3. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
    July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Describe the rationale for the use of c…
  4. www.ahrq.gov/news/newsletters/e-newsletter/904.html
    March 01, 2024 - AHRQ Views: Commemorating 35 Years as an Independent Science Agency Issue Number 904 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. March 12, 2024 AHRQ Stats: Electronic Nicotine Use and Mental Health 44.1 percent of young adults in fair or poor mental hea…
  5. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
    June 01, 2023 - Tool: STEP STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Foundations of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Im…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
    December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention Menu of Implementation Strategies The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix L. Intensive Care Unit Infographic Poster …
  9. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
    August 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Fundamental Concepts for Understanding Cognitive Load Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cogniti…
  10. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
    July 01, 2023 - Safe Medication Administration: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Safe Medication Administration Say: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of …
  11. www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
    April 01, 2018 - Keeping the board of directors aware of the project by addressing some of the barriers and concerns as
  12. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - Safe Medication Administration: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Safe Medication Administration Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Define high-alert medications. Identif…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Conclusions and Next Steps Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediatel…
  14. www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Grantee Profile Using Digital Health Tools to Improve Patient Safety during Acute Care Anuj Dalal, M.D. Associate Physician, Brigham and Women's Hospital Associate Professor of Medicine, Harvard Medical School Anuj Dalal, M.D. “If we want to ensure safe, seamless care transitions for patient…
  15. www.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
    October 01, 2024 - TeamSTEPPS Diagnosis Improvement Course TeamSTEPPS® is an evidence-based program built on a framework composed of four teachable, learnable skills—communication, leadership, situation monitoring, and mutual support. The TeamSTEPPS for Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
    February 01, 2015 - observed in tubing       18 Execution: Lack of Awareness Those who insert catheters may not be aware
  17. www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
    January 01, 2013 - CMS and developed a short series of national calls with QIOs to explain the CUSP model and make QIOs aware
  18. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
    July 25, 2023 - Involving Patients and Families in Safety: Slide Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Involving Patients and Families in Safety July 25, 2023 2:00-3:00 PM ET Special Guest Speakers Sue Sheridan, MIM, MBA, DHL Founding Member, Patients For Patient Safety U…
  19. www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/wu-stlouis-grantee-profile.pdf
    January 01, 2024 - The St. Louis Long COVID Initiative Geographic Service Area St. Louis and rural communities across Missouri The St. Louis Long COVID Initiative has developed group visits for the delivery of Long COVID–related physical, occupational, and speech therapy to patients whose Medicaid insurance would otherwise not cover t…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/134-clabsi-prevention-central-line-maintenance.docx
    October 01, 2024 - Central Line Maintenance: Maintain Awareness and Proper Care of Catheters in Place · Once a central line is inserted, it must be maintained and cared for meticulously to prevent introduction of pathogens. · Step 2 of CLABSI prevention is to maintain awareness and proper care of catheters in place. Best practices shoul…

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