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581. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - of Registration in Medicine, the Massachusetts Bar Association, the Massachusetts Coalition for the Prevention … study period ended in December 2015, and analysis continues with publication of the data expected in Fall … Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. 3.

582. Create a Safe Medicine List Together (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
     June 02, 2025 - taken as prescribed Presenter Presentation Notes According to the Centers for Disease Control and Prevention … Martin – 63-year-old female following up after reconstructive surgery for fractured skull from a fall

583. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - operational event or situation that you would not want to happen again—an unsafe condition, a patient fall

584. 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

585. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
     June 01, 2023 - Massa S, Wu J, Wang C, Peifer H, Lane-Fall MB. … Raiten JM, Lane-Fall M, Gutsche JT, Kohl BA, Fabbro M, Sophocles A, Chern SY, Al-Ghofaily L, Augoustides … Lane-Fall MB, Christakos A, Russell GC, Hose BZ, Dauer ED, Greilich PE, Hong Mershon B, Potestio CP, … Lane-Fall MB, Pascual JL, Peifer HG, Di Taranti LJ, Collard ML, Jablonski J, Gutsche JT, Halpern SD, … Lane-Fall MB, Cobb BT, Cené CW, Beidas RS. Implementation science in perioperative care.

586. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
     June 10, 2014 - Arjun Srinivasan is the Associate Director for Healthcare-Associated Infection Prevention Programs in … the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention, and … But I think this is an incredibly important topic for all of you who were so focused on CAUTI prevention … And so, if patients are being treated may days too long, that may not fall under the purview of the stewardship … A lot of what is being asked with respect to documentation, quality, fall risk, urinary catheter appropriateness

587. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
     January 01, 2025 - For the second task, they were asked to describe what changes need to “fall into place” between now … beyond from the perspective of your own area of expertise; and second, describe what changes need to “fall … Surgical fire prevention continues to require surgical team vigilance and perioperative communication … Device interconnectivity has helped to ensure proper patient monitoring during laparoscopy (e.g., prevention

588. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS P…

589. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
     November 01, 2013 - Measures in the Child Core Set cover a range of health domains, including prevention and health promotion

590. Fillmore (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
     August 01, 2014 - These are distinct areas that also work together as part of an Prevention & Chronic Care Program I … M P R O V I N G P R I M A R Y C A R E Prevention & Care Management Portfolio I M P R O V I N G P … The pilot course was offered in summer 2013, followed by a second course in fall 2013 and a third course … Practice Facilitation Handbook. http://www.ahrq.gov/ professionals/prevention-chronic-care/improve/system … /improve/system/pfhandbook/index.html http://www.ahrq.gov/professionals/prevention-chronic-care/improve

591. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
     May 30, 2008 - Medication error prevention “toolbox.” Medication safety alert. June 2, 1999.

592. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
     January 01, 2024 - Aim 4: Apply standard risk evaluation techniques and taxonomies to 3-4 AE themes amenable to prevention … of physicians (may influence culture of the practice) Payer Type Mean PS climate score of staff (Fall … 2005; and Fall, 2006) Utilization intensity (including number of ambulatory care visits to the PCP … ) Mean PS climate score of physicians (Fall 2005; and Fall 2006) 7 Preliminary results have … Boundary Situations for Prevention of AEs Trigger Category Subsets of Adverse Events (Number of AEs

593. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Slide 4: Why Is Infection Prevention Important? … Say: Why is infection prevention and quality improvement important? … PLAY VIDEO: Video 2.1: Importance of Infection Prevention Ask: Why is infection prevention important … in America's Nursing Homes campaign and the Centers for Disease Control and Prevention's infection prevention

594. An Introduction to Assessing Practices: Issues to Consider (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
     September 01, 2015 - performance reporting systems and their use Safety and reliability • Medication error monitoring and prevention … • Adverse event monitoring and prevention Staff morale and satisfaction • Staff satisfaction • Staff … They fall into four categories: • Surveys and rating scales (patient, provider, staff, whole practice … You can use document review and observation as tools to conduct “fall-out” assessments, where a forensic

595. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/overview.html
     August 01, 2021 - Given the importance of TCD screening to stroke prevention among children with SCA, the National Heart … should be taken to ensure that children who enroll in different health plans across one year do not fall

596. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
     January 01, 2013 - Leveraging Cultural Change to Reduce Urinary Catheter Use 1 Linda Greene, RN,MPS,CIC Manager Infection Prevention … She’s going to fall trying to get up.” 22 No shared mental model.

597. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
     November 01, 2019 - Commentary Slide Number and Slide Improving Prescribing for ASB and UTI at Your Hospital SAY: Prevention

598. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - What are the best practices in pressure ulcer prevention that we want to use? 4. … How do we sustain the redesigned prevention practices? 7. … There are many potential reasons to implement a pressure ulcer prevention program. … Nurses' attitudes, behaviors, and perceived barriers towards pressure ulcer prevention. … facility has implemented a pressure ulcer prevention policy     Current pressure ulcer prevention

599. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - What are the best practices in pressure ulcer prevention that we want to use? 4. … How do we sustain the redesigned prevention practices? 7. … There are many potential reasons to implement a pressure ulcer prevention program. … Nurses' attitudes, behaviors, and perceived barriers towards pressure ulcer prevention. … facility has implemented a pressure ulcer prevention policy     Current pressure ulcer prevention

600. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - SLIDE 3 SAY: Why is infection prevention and quality improvement important? … PLAY VIDEO: Video 2.1: Importance of Infection Prevention ASK: Why is infection prevention important … in America’s Nursing Homes campaign and the Centers for Disease Control and Prevention’s infection prevention