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81. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing

82. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing

83. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Other examples of effective check-backs include: One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60." 

84. AHRQ News Now | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 2024 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Surveillance October 24, 2023 New Data Resource Provides Insights on Factors Related to Falls … June 27, 2023 New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery

85. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
    July 01, 2018 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … diagnostic centers) or populations (e.g., mental health or substance abuse, emergency preparedness, patient falls

86. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Falls Prevention For each topic, the Web site provides a description of the reports and suggested meetings

87. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing … Communication and Optimal Resolution Toolkit Gap Analysis Report for Insert organization name Insert … The comprehensive toolkit will allow hospitals to improve the management of patient safety events by

88. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing

89. Event Investigation and Analysis Guide: Appendix F | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing

90. Gap Analysis Facilitator's Guide: Appendix D | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing

91. EvidenceNOW in Action | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Steven Brantley (Klamath Falls, OR)   Using Data To Tackle Undiagnosed Hypertension and Improve

92. TeamSTEPPS | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/topics/teamstepps.html
    of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit

93. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing … Facilitator Notes Say: The CANDOR Toolkit is composed of eight distinct modules that can be … The overview module also explains the purpose of the toolkit and how to use it in your organization. … Each of these areas will be discussed in more detail in subsequent modules in this toolkit.

94. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events

95. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - CLABSI and CAUTI Prevention in ICUs Community-Acquired Pneumonia Toolkit Improving … Toolkit Sections About the Toolkit Reducing CAUTI in Hospitals Reducing … CLABSI Toolkit Safe Surgery Toolkit Safe Transitions Across Ambulatory Settings Telemedicine … Say: The purpose of this toolkit is to support learning and implementation efforts to improve safety … These tools are used in combination with clinical or operational efforts to minimize harms such as falls

96. PS Grantee Report | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/research/findings/final-reports/index.html
    June 01, 2023 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Publication Date: August 2021 Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit

97. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … CLABSIs MPSMS (2014) Blood Stream Infections Associated With Central Venous Catheters 5,000 0.2 Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls … 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls

98. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
    August 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds Toolkit … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing

99. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Potential problems include medication errors, falls, infections, procedural complications, management … Dalal received another 3-year AHRQ grant in 2016 to develop and evaluate an interactive toolkit that

100. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls