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4041. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

4042. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
      September 01, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions Patterns of Fall Interventions NPSD Data Spotlight: This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: NPSD Data Spotlight: Patterns of Fall Interventions, 2023.…

4043. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

4044. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…

4045. Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/backgroundrpt/discuss.html
      April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Discussion Previous Page Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Intro…

4046. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
      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…

4047. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Evaluation of Measures in the Scan Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Met…

4048. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
      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…

4049. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      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…

4050. Monitoring Progress for Sustainable Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
      June 02, 2025 - Monitoring Progress for Sustainable Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Monitoring Progress for Sustainable Impro…

4051. Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
      June 02, 2025 - Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments An Introduction to Safe Transitions for Patients to New Appointments Ambulatory Care Facility Team Presentation Overview Purpose and Benefits Toolkit Components Team Member Roles and Responsibilities Implementation Steps Resourc…

4052. Antibiotic-Time-Out-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
      November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use Antibiotic Time Out Tool Date: Patient Name or Identifier: Directions: This form should be completed by frontline clinicians on a daily basis for patients receiving antibiotics. Note: A table of commonly recommended durations of therapy can be found on the…

4053. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
      June 02, 2025 - 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 data, and pro…

4054. Hospital Survey on Patient Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
      June 02, 2025 - Hospital Survey on Patient Safety SOPSTM 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 producing re…

4055. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
      May 01, 2018 - Chartbook for Hispanic Health Care Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety N…

4056. SOPS® Nursing Home Survey on Patient Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
      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, and prod…

4057. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement AHRQ Safety Program for Perinatal Care Patient and Family Engagement for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Patient & Fam…

4058. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
      October 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF October 2017 1 Learning Objectives AHRQ Safety Program for Perinatal Care 2 Rapid Response Perinatal Safety 2 Rapid Respons…

4059. Spotlight on Pennsylvania -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
      January 01, 2018 - Spotlight on Pennsylvania -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program This brief highlights the major strategies, lessons learned, and outcomes from Pennsylvania’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare & Med…

4060. Blood Thinner Pills: Your Guide to Using Them Safely (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
      September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely Blood Thinner Pills: Your Guide to Using Them Safely AHRQ Pub. No. 15-0047-C Replaces AHRQ Pub. No. 09-0086-C September 2015 The name of my blood thinner is: _____________________________________________________________ Reminders: Call your doctor or phar…