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421. Participating in the 2021 CAHPS Home and Community-Based Services (HCBS CAHPS) Survey Database: What You Need To Know (AHRQ-CMS Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/webinar-042121.html
     May 01, 2021 - Participating in the 2021 CAHPS Home and Community-Based Services (HCBS CAHPS) Survey Database: What You Need To Know (AHRQ-CMS Webcast) Wednesday, April 21, 2021 Contents Summary Speakers and Presentation Slides Recording Summary CAHPS Database team held a webcast about participating in the 202…

422. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
     December 01, 2012 - than in the overall population, and in both the I/DD and the SMI subpopulations, Hispanics tend to fall

423. 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/factraining.html
     September 01, 2017 - home staff generally do a good job of investigating and following up after an adverse event, such as a fall … It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or

424. Appendix B. Advisory Panel Members | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/appendixb.html
     July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Appendix B. Advisory Panel Members Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter 3. Methods Ch…

425. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
     June 01, 2017 - When we get a CLABSI, CAUTI, VTE fallout, skin breakdown, or a fall with injury, it is presented as … We haven't had a fall with injury for I think 7 months.

426. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - staff generally do a good job of investigating and following up after an adverse event, such as a fall … • It is more difficult for staff to identify which residents are at risk for a fall or pressure

427. PCOR Trust Fund Investments At-A-Glance | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/at-a-glance/index.html
     October 01, 2024 - AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Improvement , launched in Fall

428. Centers of Excellence and Coordinating Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/about-chsp/centers/index.html
     July 01, 2019 - results will be published as they become available, culminating in the release of final findings in fall

429. Useful Online Tools for CAHPS Survey Users - FISHER-SANGRIA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-sangria.pdf
     January 01, 2022 - CAHPS Health Plan Survey Database ► Aggregated survey results since 2019 ► Updated annually in the fall

430. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1concl.html
     October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources In Summary The …

431. Module 1: Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1.html
     March 01, 2019 - Module 1: Detecting Change in a Resident's Condition Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Improving Patient Safety in Long-Term Care F…

432. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA The Importance of Safety Culture in Nursing Homes Nicholas Castle, Ph.D., M.H.A., FGSA Nicholas.Castle@HSC.WVU.edu mailto:Nicholas.Castle@HSC.WVU.edu The Importance of Safety Culture • The 1999 Institute of Medicine (IOM) rep…

433. East Alabama Medical Center TAKEheart Profile | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/about/initiative/partner-hospitals/east-alabama.html
     November 01, 2022 - East Alabama Medical Center TAKEheart Profile "For EAMC, TAKEheart served as a catalyst to improve processes and refine elements of our automatic referral and care coordination systems, which will ultimately improve patient outcomes." CR Challenges at East Alabama Medical Center (EAMC) East Alabama Medi…

434. Engineering Safe Care Journeys for Vulnerable Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/safe-care-journeys-long-desc.html
     January 01, 2025 - Reducing fall-related revisits for elderly diabetes patients in emergency departments: a transition flow

435. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
     June 02, 2025 - Things "fall between the cracks" when transferring patients from one unit to another.

436. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults1.html
     September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety i…

437. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
     December 01, 2017 - ED nurse is assigned to an 87 year old female patient being seen for possible wrist fracture after a fall

438. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
     April 02, 2008 - For example, searching on “medication reconciliation” (the third most common search term as of fall

439. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
     January 01, 2014 - preliminary comparative results  Technical assistance  Comparative Database  Voluntary data submission Fall

440. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - These projects typically fall into one or more of the following categories: measure selection, surveillance … care processes and reduce falls incidence and fall-related injuries. … Key Findings/Impact: This project evaluated the impact of fall prevention interventions in 91 participating … In the fall of 2009 and early 2010, the study team hosted a series of webinars designed to train population … racial disparities emerged in both event occurrence and reporting accuracy—White residents had higher fall