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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
    January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care 57 A Clinical Assessment Program to Evaluate the Safety of Patient Care Richard J. Snow, Martin S. Levine, Dwain L. Harper, Sharon L. McGill, George Thomas, Joseph P. McNerney Abstract The American Osteopathic Association’s Clinical Asses…
  2. www.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
    April 01, 2018 - A common complication is colonoscopy perforation. Risk for perforation is .1%.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
    January 01, 2017 - Presentation: Program Overview Build a Business Case for Quality Improvement AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-38-EF January 2017 Build a Business Case ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, you w…
  4. www.ahrq.gov/talkingquality/resources/writing/index.html
    July 01, 2011 - Tips on Writing a Report on Health Care Quality for Consumers Information on health care quality is complicated, so it’s crucial to present this information as simply and clearly as possible. This section suggests ways to make the language in your printed or Web-based quality report cards easier for your inten…
  5. www.ahrq.gov/news/psnet.html
    March 01, 2025 - Highlights From AHRQ's Patient Safety Network AHRQ's Patient Safety Network (PSNet) which highlights journal publications, books, and tools related to patient safety, features a new set of articles including: Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 20…
  6. www.ahrq.gov/hai/clabsi-tools/guide.html
    January 01, 2020 - The goal should be that no patient suffers harm from a preventable complication while on your unit. … Your unit's goal should be that no patient suffers harm from a preventable complication while under your
  7. www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
    November 01, 2015 - CAUTI is important but it's not the only infectious complication.
  8. www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
    February 01, 2017 - Monitoring Ventilator-Associated Events: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Monitoring Ventilator-Associated Events Say: Today, we will discuss monitoring ventilator-associated events. Slide 2: Learning Objectives Say: After this session, you will…
  9. www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 2. Literature review search terms by category Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Intro…
  10. www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
    January 01, 2024 - primary outcome variables were examined: 30-day mortality and failure-to-rescue (death following a complication … 2.1 deaths per 1000 patients (p<0.01) and an average decrease in the number of deaths following a complication
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
    January 25, 2008 - resulting in 195 distinct clinical event types, classified by the three levels of descriptors (e.g., F, complicationComplication of procedure, treatment, and/or test G. Transfusion H. Skin integrity I. … , corrected with action U by provider type C in environment D, gets (or is prevented from getting) complication
  12. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-summ.html
    October 01, 2015 - Chartbook for Hispanic Health Care Priority Areas Identified by the U.S.-Mexico Border Commission: Summary & Definitions Previous Page   Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety Nation…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17C: Medicaid-Only HCBS Participants Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17B: Dually Eligible HCBS Participants Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators f…
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17D: Intellectual/Developmental Disabilities Subpopulation Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS …
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17A: National HCBS Population Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HC…
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17G: HCBS Population Age 65+ Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCB…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Populat…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
    April 01, 2022 - Central Venous Catheter Indications and Alternatives Indwelling Urinary Catheter Alternatives Avoiding Placement and Determining Appropriateness AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Avoid Unnecessary Urinary Catheter Placement1,2 Patel…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - Long-term Care Facilities Resources for long-term care facilities Improving Patient Safety in Long-Term Care Facilities Detecting and promptly reporting changes in a nursing home resident's condition are critical for ensuring the resident's well-being and safety. Such changes may represent a patient s…

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