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  1. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - A resident was admitted to the hospital for a fall.
  2. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - Promoting the most effective prevention and treatment practices for the leading causes of mortality … • The three initial targets of the HHS National Action Plan for Adverse Drug Event Prevention are: … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.
  3. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
    April 01, 2023 - Because the Center’s Culture of Safety is based on prevention, not punishment, RCA teams investigate … Patient Education Materials Assessment Tool (PEMAT) and User’s Guide http://www.ahrq.gov/professionals/prevention-chronic-care … https://www.pcpcc.org/webinars http://www.ahrq.gov/professionals/prevention-chronic-care/improve/self-mgmt … /pemat/index.html http://www.ahrq.gov/professionals/prevention-chronic-care/improve/self-mgmt/pemat/index.html
  4. ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=3
    January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure Ulcers (28) Prevention
  5. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
    January 01, 2014 - American Foundation for Suicide Prevention. … American Foundation for Suicide Prevention. … /in-the-news/suicide-prevention-investment-needed-to-reverse-trend-of- increasing-suicide. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.
  6. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - Systems (CAHPS®) Database – CAHPS® Health Plan Survey Database Centers for Disease Control and Prevention … The trends fall into one of three categories: • Improving = The difference in the AAC of the priority … Office of the Assistant Secretary for Planning and Evaluation • CDC: Centers for Disease Control and Prevention … Federal Sources of Data Agency for Healthcare Research and Quality Centers for Disease Control and Prevention
  7. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (F4R) Things “fall between the cracks” when transferring patients from one unit to another. … (F4R) Things “fall between the cracks” when transferring patients from one unit to another.
  8. ahrqpubs.ahrq.gov/evidencenow/tools/keydrivers/description.html
    October 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … The demands on primary care practices mean that sometimes non-urgent, non-clinical activities can fall
  9. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - Measures used in the NHQDR fall into two categories: • Core measures are used in the main NHQDR, or … Community Living, Assistant Secretary for Planning and Evaluation, Centers for Disease Control and Prevention … 10 | 2019 National Healthcare Quality and Disparities Report Centers for Disease Control and Prevention … Federal Sources of Data Agency for Healthcare Research and Quality Centers for Disease Control and Prevention
  10. ahrqpubs.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - The responsibilities of caring for someone with dementia often fall to women.
  11. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 -  “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Things “fall between the cracks” when transferring patients from one unit to another ............... … Things "fall between the cracks" when transferring patients from one unit to another.
  12. ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - J Rural Hlth 2004 Fall; 20(4):355-362.
  13. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022 RE…
  14. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - understand and improve diagnosis.18 Principles of distributed cognition cross disciplinary boundaries and fall
  15. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
    March 28, 2006 - really paying attention to these pitfalls and making sure that we are strategizing to make sure we don't fall
  16. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
    January 01, 2011 - • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org
  17. ahrqpubs.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Key questions that can help you improve the workflow of your informed consent process fall into three
  18. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
    February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support Module 6: Mutual Support Online Master Trainer Course Welcome to the Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module. What comes to mind when you hear the…
  19. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - The demands on primary care practices mean that sometimes non-urgent, non-clinical activities can fall
  20. ahrqpubs.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
    April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…

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