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1821. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - improvements reflected discipline, rigor and cadence: • Discipline—Every project began with the definition

1822. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - Differences relate to method of data collection, study design, and definition of disclosure.

1823. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - QI initiatives within health care are, by definition, developed to benefit the patient through improved

1824. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience W O R K I N G P A P E R Improving Hospital Inpatient Nursing Care A Case Study of One Hospital’s Intervention to Improve the Patient’s Care Experience …

1825. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - (A complete definition of medication reconciliation is available in the Appendix at pg. … discrepancies. 46 Table 3: Critical Thinking Process to Identify and Clarify Discrepancies Category Definition … Health Literacy The definition of health literacy is neither simple nor universally well understood. … 5 Week 6 Example Timeline: Hospital-Wide Rollout by Discipline A-25 Medication Reconciliation Definition

1826. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
      December 01, 2023 - and U.S. dependent areas report cases of HIV infection to CDC by using a uniform surveillance case definition … The original definition has been modified several times. … The most recent modification was in 2008 when the surveillance case definition for HIV infection among … National Healthcare Quality and Disparities Report 19 Primary Content Mode of exposure to HIV, case definition

1827. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - A new definition of patient engagement: what is engagement and why is it important?

1828. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…

1829. 2021 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
      December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Introduction and Methods 2021 National Healthcare Quality and Disparities Report Introduction and Methods This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citati…

1830. Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
      January 01, 2012 - Moreover, the definition of new enrollee can be varied.

1831. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
      January 01, 2024 - describe interprofessional work; we therefore opted to keep this terminology and included a descriptive definition

1832. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
      January 01, 2023 - The definition of a fall event is “a sudden, unintended, uncontrolled, downward displacement of a patient

1833. Chapter 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision2.html
      October 01, 2002 - Chapter 2 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Applying the Framework to Vision Rehabilitation The American Occupational Therapy Association (AOTA) 28 describes two national systems that exist to serve people with visual impairments—the blindness system and the health ca…

1834. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Review of Self-Assessment Worksheet Say:   Y…

1835. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
      October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Training Guide Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify the overall objectives…

1836. Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
      March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane …

1837. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Worksheet Purpose The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…

1838. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
      January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection Prevention in Emergency Care: A Systems Approach Principal Investigator: Jeremiah D. Schuur, MD, MHS Team Members: Conference Co-Chair: Connie Price, MD Project Coordinator: Corine Sinnette, MA Organization: Brigh…

1839. 170-Cusp-Science-Safety-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.” As you consider esta…

1840. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care SAY: Thank you for joining us. This…