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4141. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
      January 01, 2003 - large) is defined in the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample documentation

4142. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - resulted in missed medications; (3) users had to exit one system and log into another to complete documentation

4143. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - patients with chest pain, issues of communication between resident and attending staff, insufficient documentation

4144. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - Documentation of this cleaning schedule was kept as if the facility were in the United States.

4145. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
      December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Overview of On-Time AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time Slid…

4146. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
      October 01, 2017 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time On-Time Falls Prevention Facilitator Training 2-day training provides: Overview of On-Time. Instruction on the role of a Facilitator. Introduction to On-Time reports and implementation…

4147. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
      June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety (continued) Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurem…

4148. Previous Announcements About SOPS Surveys | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/news/previous-announcements.html
      March 01, 2025 - Previous Announcements About SOPS Surveys 2022 Announcements Date Announcements December 2022 AHRQ Post-Webcast Materials for “Understanding SOPS Surveys: A Primer for New Users” This webcast provided an overview of the Surveys on Patient Safety Culture (SOPS) Surveys. Speakers described the SOPS program, surve…

4149. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
      November 01, 2016 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time On-Time Pressure Ulcer Healing Facilitator Training Two-day training provides: Overview of On-Time. Instruction on the role of a Facilitator. Introduction to On-Time reports and …

4150. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
      January 01, 2021 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital Survey Version: 2.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing dat…

4151. Hospital Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
      June 02, 2025 - Hospital Survey on Patient Safety SOPS TM Hospital Survey Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and prod…

4152. Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
      January 01, 2013 - Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze? Preventing CAUTI: What to Do When it’s Time for Plan B Sanjay Saint, MD, PhD George Dock Collegiate Professor of Internal Medicine Division of General Medicine University of Michigan Health Systems Associate Chief of Medicine, Ann Arbor VA Medical Cent…

4153. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
      May 01, 2017 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training Overview of On-Time On-Time Preventable Hospital and ED Visits Facilitator Training 2-day training provides: Overview of On-Time. Instruction on the role of a Facilita…

4154. SOPS Nursing Home Survey Version 2.0 - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish-2.0.pdf
      June 05, 2025 - SOPS Nursing Home Survey Version 2.0 - Spanish SOPS® Nursing Home Survey Version: 2.0 Language: Spanish • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, …

4155. SOPS Nursing Home Survey Version 2.0 - Spanish (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish-2.0.docx
      June 05, 2025 - SOPS Nursing Home Survey Version 2.0 - Spanish SOPS® Nursing Home Survey Version: 2.0 Language: Spanish · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…

4156. SOPS® Nursing Home Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
      September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety SOPS® Nursing Home Survey Version: 1.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, a…

4157. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
      July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety: Electronic Fetal Monitoring Slide 2: Learning Objectives Image: This slide sh…

4158. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
      December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day training provides: Overview of On-Time Instruction on the role of a Facilitator Introduction to On-Time reports an…

4159. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
      August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos U N C H E A L T H C A R E S Y S T E M U N C H E A L T H C A R E Culture of Safety Improvement Project UNC Medical Center 29 U N C H …

4160. 7 Things You Should Know About Urinary Leg Bags (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
      March 01, 2017 - 7 Things You Should Know About Urinary Leg Bags AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Infographic: 7 Things You Should Know About Urinary Leg Bags The infographic flier on page 5 of this PDF can be printed and posted in patient care areas, meeting rooms, or nurse stations, to educate clinicians, …