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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
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Prog…
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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 …
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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…
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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…
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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…
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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
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Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To Im…
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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 …
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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
…
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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
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Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cogniti…
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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 …
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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
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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…
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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
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Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediatel…
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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…
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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…
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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
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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
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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…
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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…
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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…