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1001. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
      June 01, 2014 - Centers for Disease Control and Prevention.

1002. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - conditions, surgeries, medications, and allergies are paramount to high-quality patient care and the prevention … understand root causes and high-risk scenarios, and develop strategies for improvement and error prevention … Medical errors among LEP patients can be prevented by addressing their root causes and by targeted prevention … Burlington, MA: Coalition for the Prevention of Medical Errors; 2006. 59. … However, blame for this should not fall on the shoulders of one individual registrar.

1003. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
      September 01, 2009 - Things "fall between the cracks" when transferring patients from one unit to another.

1004. Module III: Can We Do It Here? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/innovations/will-work/guide3.html
      February 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention

1005. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - for top-quality care among 439 measures, ranging from common chronic and acute conditions to disease prevention … all but life-threatening illness is an example of what some practitioners have described as a “free fall … recognize and anticipate the trend and reorganize 7 described this situation as a feeling of “free fall … Barrier analysis and accident prevention. Aldershot, UK: Ashgate Publishing; 2004. p. 46. 3.

1006. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
      April 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … process and factors that are external to the process. 4-5 For example, in the setting of infection prevention … These characteristics broadly fall into the following categories: Patient sociodemographic characteristics … 30 days of surgery, using the definition of an SSI provided by the Centers for Disease Control and Prevention

1007. Applying CUSP To Promote Safe Surgery (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
      December 01, 2017 - For the technical component, please refer to the Surgical Complication Prevention Guide, the companion … using this guide and tools in your perioperative area simultaneously with the Surgical Complication Prevention … Briefing and Debriefing Audit Tool (Appendix C and Surgical Complication Prevention Guide) Assess … For the technical component, please refer to the Surgical Complication Prevention Guide, the companion

1008. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
      November 01, 2019 - Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in Adults: 2009 International

1009. Diagnostic Safety Resource List (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
      May 01, 2023 - Toolkit http://www.macoalition.org/Initiatives/CCTRToolkit.shtml The Massachusetts Coalition for the Prevention

1010. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Assessment Index published by the National Coordinating Council on Medication Error Reporting and Prevention … resulted in patient death NCC MERP = National Coordinating Council on Medical Error Reporting and Prevention … J Healthc Inf Manag 2001 Fall;15(3):199–205. 6. Barker KN, Flynn EA, Pepper GA, et al. … The impact of computerized physician order entry on medication error prevention. … National Coordinating Council for Medication Error and Reporting and Prevention.

1011. Implement-Facilitator-Guide (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Implement Teamwork and Communication for Perinatal Safety SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio…

1012. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - Agency for Healthcare Research and Quality (AHRQ, via https://psnet.ahrq.gov/glossary) The prevention … The prevention of harm to patients. … This criterion was intended to eliminate programs that did not fall within the patient safety spectrum …  Specific patient care issues—programs that focus on one specific area of patient safety, such as fall … prevention, medication safety, or surgical infection

1013. How are CHIPRA quality demonstration States improving perinatal care? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
      May 01, 2015 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … this Highlight comes from semi-structured interviews conducted during spring and summer 2012 and fall … demonstration, such as the March of Dimes, Illinois Hospital Association, and Centers for Disease Control and Prevention … In: Preterm Birth: Causes, Consequences, and Prevention.

1014. Module-10-Implementation-Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
      April 16, 2022 - If your main payment sources will reimburse you for CR provided through In the Fall of 2016, Steven … Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical … Journal of Cardiopulmonary Rehabilitation and Prevention. … Journal of Cardiopulmonary Rehabilitation and Prevention. … Journal of Cardiopulmonary Rehabilitation and Prevention.

1015. Strategy 3: Bedside Shift Report (Tool 3) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
      May 30, 2013 - initial nursing assessment, the nurse noticed a large bruise on his elbow and hip related to a recent fall

1016. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
      September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Why Should Your Practice Focus on Improving Antibiotic Prescribing? Ambulatory Care Slide Title and Commentary Slide Number and Slide Why Should Your Practice Focus on Imp…

1017. U.S. Department of Health and Human Services Health Literacy
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/health-literacy-education-presentation-tool-3a.pptx
      January 01, 2019 - U.S. Department of Health and Human Services Health Literacy Health Literacy: Making It Easier for Patients to Find, Understand, and Use Health Information and Services This presentation was created by the Agency for Healthcare Research and Quality (AHRQ) and intended for users to customize and share as par…

1018. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - and 3; pain medication management, 42 and 4; medication management in the pharmacy, 240 and 3; and fall … prevention, 55 and 2. … In Hospital B, the focus of the human factors visit was failure of staff to adhere to fall prevention … policies and procedures, including use of bed alarms, patient fall risk identifiers, and their staff … These redundancies in reporting interfered with staff compliance with our fall policy and procedures

1019. How To Manage Change
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
      November 20, 2014 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … recommendations into the action plan. 4 Expected Outcomes Begin to write a draft Pressure Injury Prevention … Links to quality improvement expertise Members who influence the areas involved in pressure injury prevention … Pilot Unit Manager 8 Multidisciplinary Team (2A) Tool 2A 9 QI Process Link the Pressure Injury Prevention

1020. EvidenceNow Executive Summary - Virginia Cooperative (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
      November 01, 2017 - practices have the evidence they need to help their patients adopt the ABCS of cardiovascular disease prevention … Focus groups and in-depth interviews with a variety of participating practices will be conducted this fall … Accessed August 16, 2017. 3 Centers for Disease Control and Prevention. … Accessed August 16, 2017. 5 Centers for Disease Control and Prevention.