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1561. Learn from Defects Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
      December 01, 2012 - Learn from Defects Tool CUSP Toolkit Health care organizations can increase the extent to which they learn from defects. Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…

1562. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 4. Long Term Management Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…

1563. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for N…

1564. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 2. Fall Response Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. F…

1565. Chapter 3. Data Collection and Analysis Using TRIPS | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Prog…

1566. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Ove…

1567. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C. Case Study and Program Examples Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Over…

1568. Appendix A. References and Equipment Sources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix A. References and Equipment Sources Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Ove…

1569. Chapter 6. Environment and Equipment Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 6. Environment and Equipment Safety Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Over…

1570. Appendix B. Forms and Training Materials (Appendix Contents) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B. Forms and Training Materials (Appendix Contents) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…

1571. Improving Patient Safety in Long-Term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc.html
      November 01, 2018 - Improving Patient Safety in Long-Term Care Facilities Training Modules 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 safety problem, and they can be a signal tha…

1572. White Paper - Redefining Primary Care for the 21st Century (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
      January 01, 2020 - staff Staff Experience; Staff burnout Gallup, Baldrige, Maslach Burnout Inventory Equity Health Disparities

1573. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
      January 01, 2024 - Healthcare Research and Quality. (2010). 2009 national healthcare quality report and national Healthcare Disparities

1574. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…

1575. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…

1576. Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
      January 01, 2025 - Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting Evaluating and Improving Present-On-Admission for Performance Reporting L. E lizabeth Goldman, MD, MCR, Principal Investigator Andrew Bindman, MD, Peter Bacchetti, PhD, Co-Investigators University of California, San …

1577. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Principal Investigator Saul N. Weingart, MD, PhD Co-Investigators Maureen Connor, RN, MPH Syl…

1578. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
      January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study 65 Organizational Climate, Stress, and Error in Primary Care: The MEMO Study* Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams, Ann Maguire, Julia McMurray, Mary Beth Plane* Abstract Background: The impact of organizatio…

1579. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…

1580. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
      February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS; Patricia Ruddick,…