-
psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - prior administration of
meperidine hydrochloride (Demerol), but these had not been noticed in her chart
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - Situational (Un)Awareness
September 1, 2011
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/situational-unawareness
The Case
A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver
function tests, including a bi…
-
psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - documented as ‘full code’–quickly realizing that the patient’s DNR
wishes had not been reinstated in the chart
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Slide 2: On-Time Fall…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - Many care teams have found it useful to place a symbol on the resident's chart or in his or her room
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes:
On-Time Pressure Ulcer Healing Facilitator Training
Slide 2: On-Time Pressure Ulcer…
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-improving-support-women.pdf
May 01, 2021 - Based on the
experiences of event participants (see pie chart), logistical
challenges are the largest
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Ideally, all long-term care facility residents should have a POLST accepted form on the chart and have
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
April 01, 2021 - .
• Measure improvement in hand hygiene compliance over time and visualize it in a run chart that
the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
April 01, 2022 - Central Venous Catheter Maintenance
Central Venous Catheter Maintenance
Maintaining Awareness and Proper Care of Catheters in Place
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
1
Step 2. Maintenance
Disrupting the Life Cycle of a Catheter Device1…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
April 01, 2022 - Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Empowering Nurses To Implement Nurse-Driven Protocols
for Reducing CAUTI in the ICU Se…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - Family
Engaging From the Beginning1
Labor and delivery (L&D) unit staff should read the patient’s chart
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - If these
sources do not provide the needed data, you can use chart abstractions, surveys, new
administrative
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
January 01, 2018 - Practices
learned how to use patient chart data to track CMS’s
Core Set of Children’s Health Care Quality
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/qi-strategies.html
August 01, 2021 - Mobile App to improve care coordination, give directions in hospital, links to pharmacies, access mobile chart
-
www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
April 01, 2018 - the built environment to interrupt the transmission of pathogens
[D] Text Description: The flow chart
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Slide 8
Physicians and RN Collaboration
Image: Bar chart showing rates of collaboration between
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
June 02, 2025 - take medicines correctly and offer patients assistance setting up a system (e.g., pill box, medicine chart
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
November 01, 2017 - neither the
EHR nor the HIEO could generate satisfactory measures, the
Cooperative relied on manual chart