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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - What is the expected level of intervention (eg, replace an oxygen mask if it falls off, silence an IV
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psnet.ahrq.gov/node/42855/psn-pdf
February 06, 2014 - Responding to clinicians who fail to follow patient safety
practices: perceptions of physicians, nurses, trainees,
and patients.
February 6, 2014
Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices:
perceptions of physicians, nurses, trainees, and patients. J H…
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www.ahrq.gov/teamstepps-program/evidence-base/patients-families.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: TeamSTEPPS and Patients and Families
Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-25. Epub 2019/05/06. doi: 10.1016/j.ogc.2019.01.004. PMID: 31056124.
Fancott C, Baker GR, Judd M, Humphrey A, Morin A. Sup…
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psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - A partially structured postoperative handoff protocol
improves communication in 2 mixed surgical intensive
care units: findings from the Handoffs and Transitions in
Critical Care (HATRICC) prospective cohort study.
February 6, 2019
Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
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www.ahrq.gov/talkingquality/distribute/index.html
September 01, 2017 - Distribute Your Health Care Quality Report to Consumers
Long before you have comparative information to distribute, you need to be thinking about how and when to get it into the hands of consumers. Your objective is to place your report where your audience can find it quickly and easily and in a location that r…
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www.ahrq.gov/contact/standards.html
March 01, 2021 - AHRQ Customer Service Standards
These standards express the specific commitments of the Agency for Healthcare Research and Quality (AHRQ) to provide the best service to our various constituencies through our health services research and dissemination programs.
The following standards express the specific comm…
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www.ahrq.gov/cahps/surveys-guidance/nh/resident/Development-Resident-Surveys.html
April 01, 2018 - Development of the CAHPS Nursing Home Resident Surveys
The Resident Surveys have been through the following development process:
Focus groups. In the early phase of development, CAHPS researchers conducted focus groups with nursing home residents and their family members. These groups provided the team with …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
March 28, 2019 - Peer reviewer
#6
Results page 53, lines 12 and paragraph "Risk Factors for Falling..." … although
adjustments were made for dementia, antihypertensives,
sedatives and hypnotics, and prior falls … no more information on the treatment of depression in
older adults with dementia, frailty, risk of falls … For example, depression
in an of itself in older adults a risk for falls. … or powered to detect
harm, further statements that balances the risks of untreated
depression on falls
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - For example, they might discuss the resident's decreasing mobility and the risk for falls. … The team could then make a plan to keep the resident from falling by providing a walker and teaching … response to treatment
S
Safety Concerns— Provide critical lab values/reports, allergies, alerts (falls
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug interactions, … believe they
need a fall prevention plan and then follow that plan if they know their risks of harm for
falling … from prospective medication monitoring care plans when complex medication
regimens carry risks for falls
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effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
January 01, 2012 - If the onus of improving patient
adherence falls on the provider, staffing needs might increase because … lighting, soft colors, and noise abatement
features, handrails, flooring that is less likely to cause falls … available resources.
50
However, this design poses many risks to the elderly population, including
falls … Falls Church (VA): National Association of State
Emergency Medical Services Officials, National
Organization
-
effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_june_2012.pdf
January 01, 2012 - If the onus of improving patient
adherence falls on the provider, staffing levels might change, because … lighting, soft colors, and noise
abatement features, handrails, flooring that is less likely to cause falls … available
resources.
47
However, this design poses many risks to the elderly population, including falls … Falls Church (VA): National Association of State
Emergency Medical Services Officials, National
Organization
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - The message sender calls out information about the patient (for example, by saying, “BP is falling, 80 … acknowledges receipt of this message by confirming the information (for example, by saying, “Yes, the BP is falling … safety concerns—Provide critical lab values or reports, socioeconomic factors, allergies, and alerts (falls
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on March 20, 2012.
Contents
Slide 1. The Organizational Embrace of CUSP to Improve Patient Safety
Slide 2. Objectives
Slide 3. Speakers
Slide 4. Holy Cro…
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Refused Medication Error
February 1, 2017
Foley M. Refused Medication Error. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/refused-medication-error
The Case
A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was
alert to self and place only. The patient h…
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meps.ahrq.gov/communication/household_participant_schedule.jsp
December 07, 2024 - Medical Expenditure Panel Survey Schedule of Events
Skip to main content
An official website of the Department of Health & Human Services
More
Back
Sear…
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www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Examples of Hospital Quality Measures for Consumers
From the available set of hospital measures, you can choose among hundreds of measures that address important aspects of inpatient care. Here are some examples of hospital quality measures that research evidence and practical experience suggest are appropriate…
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meps.ahrq.gov/mepsweb/communication/household_participant_schedule.jsp
December 07, 2024 - Medical Expenditure Panel Survey Schedule of Events
Skip to main content
An official website of the Department of Health & Human Services
More
Back
Sear…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or19.pdf
June 16, 2014 - Record Linkage Concepts
Record Linkage
Concepts
Acknowledgements
Slides adapted from training
materials developed by CDC–NPCR
Faculty:
• Melissa Jim, CDC/IHS
melissa.jim@ihs.gov
• David Espey, CDC/IHS
david.espey@ihs.gov
CDC/Link Plus development and
training:
• Kathleen Thoburn
• David Gu
A…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
June 02, 2025 - Job Aid: Presenting Performance Data
Primary Care Practice Facilitator
Training Series
1
Job Aid: Presenting Performance Data
Overview
Presenting performance data to a practice in a way that facilitates meaningful action is an
important part of quality improvement and an essential activity for a …