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www.ahrq.gov/hai/tools/abate/index.html
March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients With Devices
This toolkit can help hospital infection prevention programs implement a decolonization protocol that was found to reduce bloodstream infections by more than 30 percent in adult inpatients who were not in intensive care units (ICUs) and who had specifi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - Specific Tools To Support Change
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool G.2
Specific Tools To Support Change
What is the purpose of this tool? This tool provides information on tools developed by other
organizations that may be used instead o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Specific Tools To Support Change
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool G.2
Specific Tools To Support Change
What is the purpose of this tool? This tool provides information on tools developed by other
organizations that may be used instead of or …
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Inpatient-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Medicaid Inpatient File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Medicaid Inpatient File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
L…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - or pain that could be attributed to
pressure damage.7-9
o Observe the skin for pressure damage caused
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www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
April 01, 2018 - Some infections are caused by organisms that patients harbor prior to hospital admission.
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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/module4/module-4-slides.pptx
March 01, 2017 - and Communication | ‹#›
27
Communicating Adverse Events
Adverse event: An injury to a resident caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
March 01, 2017 - The cloudy color of her urine could be caused by asymptomatic bacteriuria, changes in her medication,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - are attributed to inadequate understanding of the patient’s
previous medication history, which is caused … Information Handoffs
97
Narrow role definitions are not personal failures as much as imperatives
caused
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - important to determine whether the resident has fallen
down because of another medical problem that caused
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Nursing Home's Pressure Ulcer Prevention Implementation
Scripted Exercise #…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Errors appearing to have been caused by either the
failure or lack of a good system were reported in … necessary for the development and evaluation of specific interventions designed to reduce the
harm caused
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event, … While we cannot infer from these results that training caused the improved perceptions of culture, it
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - Third, although many
errors are caused by systemic failures or breakdowns in teamwork, nurses and
other … restrictions later were relaxed, and we began to include errors
that may have reached the patient but caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
January 01, 2001 - Introduction
The 2000 publication of the Institute of Medicine (IOM) report, To Err Is
Human,1 caused … that potentially preventable adverse events attributable to medical errors
during hospitalization caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - shows patient-centered communication can improve:
Patient safety
More than 70 percent of adverse events caused … For example, one study found that more than 70 percent of adverse events are caused by breakdowns in
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely
Blood Thinner Pills:
Your Guide to Using
Them Safely
AHRQ Pub. No. 15-0047-C
Replaces AHRQ Pub. No. 09-0086-C
September 2015
The name of my blood thinner is:
_____________________________________________________________
Reminders:
Call your doctor or phar…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
June 01, 2017 - A Frontline Management System To Sustain Improvement in Safety Practices
Contents
1. Why a Frontline Management System?
2. Components of the Frontline Management System
3. Interactions of Components
4. Using the Model for Improvement
5. Additional Resources
1. Why a Frontline Management System?
M…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Medicare Outpatient File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 4: Event Reporting,
Event Investigation and Analysis
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
1
Objectives
Define the key elements …