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  1. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
    April 01, 2022 - practice is reporting on, find measure specifications, calculate and benchmark performance, conduct a fall-out
  2. 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
  3. 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…
  4. 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 …
  5. 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…
  6. 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…
  7. 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
  8. 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…
  9. 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
  10. 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
  11. 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
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
    December 01, 2014 - home staff generally do a good job of investigating and following up after an adverse event, such as a fall … we be sure to instruct the nursing assistant to stay close by when she was ambulating to prevent a fall
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2.html
    March 01, 2019 - Module 2: Communicating Change in a Resident's Condition Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of the SBAR and CUS Tools …
  15. www.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century AHRQ's Making Healthcare Safer reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the health…
  16. www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
    December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…
  17. www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
    January 01, 2024 - only were more likely to report struggling to stay awake, they also were 2.4 times more likely to fall
  18. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
    July 01, 2013 - to have an indwelling urinary catheter because they are afraid of soiling linens or incontinence or fall
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
    January 01, 2017 - (8 per 10,000 PT treatment) Dislodgement of orogastric tube (2) Dislodgement of arterial line (1) Fall
  20. www.ahrq.gov/talkingquality/measures/setting/physician/examples.html
    September 01, 2019 - Examples of Physician Quality Measures for Consumers Following are a few examples of physician quality measures that research evidence and practical experience suggest are appropriate for reporting to consumers. The list is categorized by the Institute of Medicine’s domains for a quality health care system; for…

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