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3501. Tool: I-PASS | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
      July 01, 2023 - Tool: I-PASS I-PASS has become the preferred handoff tool for patient transitions in many organizations. It is an example of an evidence-based option for conducting a structured handoff. Your facility should determine a standard protocol for delivering handoffs and make it known to everyone. Standard scrip…

3502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866526/psn-pdf
      August 14, 2024 - Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. August 14, 2024 Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and evaluating the frequency of adverse …

3503. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact6.html
      July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Conclusion Previous Page Next Page Table of Contents Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction on Diagnostic Documentation History of EHR…

3504. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/antibiotic-use/acute-care/improve/index.html
      June 01, 2021 - Develop and Improve Your Stewardship Program For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs  (PDF, 328 KB). Presentations A resourced and functio…

3505. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
      psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
      May 27, 2020 - Healthcare organizations shall have a system of evaluating pharmacist competency in reviewing PN orders, ensuring

3506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72589/psn-pdf
      December 23, 2020 - Ensuring structured inter-professional handoffs and closed-loop referrals are under-appreciated opportunities

3507. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet
      psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
      July 01, 2008 - This includes ensuring that appropriate metric scales (standing or weighted stretcher scales) are readily

3508. Module-10-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
      April 16, 2022 - Ensuring that your hybrid CR option is as successful as your onsite CR program is essential for your

3509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861738/psn-pdf
      January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray January 31, 2024 Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray Disclosure of Relevant Financial Relationships: As a provider accredited by t…

3510. Mod03-Gap-Analysis-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
      April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; ■ Identifying the existing process ■ Identifying the existing outcome(s) ■ Identifying the desired outcome(s) ■ Identifying and documenting the gap(s) Who should use t…

3511. Presentation: Turning Data Into Action
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
      December 01, 2017 - Presentation: Turning Data Into Action Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about using data as part of your team’s improvement efforts. 1 USING SAF…

3512. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
      December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …

3513. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section SAMPLE: Safe Cesarean Checklist for Planned/Routine Cesarean Section Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the frame…

3514. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
      July 01, 2023 - Labor and Delivery Unit Safety: Safe Cesarean Section AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the framework of the Comprehensive Unit-based Safety Prog…

3515. Understanding CancelRx: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
      January 01, 2022 - Understanding CancelRx: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes – Final Report Understanding CancelRx: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes Principal Investigator: Samantha Pitts, MD, MPH Funded Facu lty Team Members: Yushi Yang, …

3516. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-07/StakeholderCenter2023Q2Report.pdf
      January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT J U N E 2 0 2 3 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q8…

3517. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
      psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
      January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes Citation Text: Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

3518. An Interactive Preventive Care Record (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
      June 01, 2012 - managers, clinicians, and nurses), practice leaders responsible for selecting informatics systems and ensuring … Prevention delivery goes beyond ensuring that patients receive a service and includes educating patients … , generating longitudinal prevention plans, supporting self management, and ensuring incorporation … a sense of priority for implementing an IPHR, directing activities at the organization level, and ensuring

3519. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - attending webinars and engaging with front-line staff, efforts were made to make participation easier by ensuring … Developing an approach to ensuring the AHRQ Safety Program Toolkit content accurately reflects best … long-term should be solved by training more individuals in these fields and in AS in particular and ensuring … The Safety Program attempted to mitigate these concerns by ensuring that webinars were limited to 30

3520. Appendix V (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv3ab.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V (continued) 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 Methodology E…