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221. Healthcare Simulation Dictionary, Third Edition. | PSNet
     psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
     January 10, 2024 - October 26, 2016 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

222. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202504.html
     June 01, 2025 - The latter two areas are primarily concerned with PSIs for pressure ulcers and falls. … Case Studies Impact Case Study Identifier: 2025-04 AHRQ Product(s): QI Toolkit

223. A leadership initiative to improve communication and enhance safety. | PSNet
     psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
     March 11, 2009 - June 27, 2018 Cost of inpatient falls and cost-benefit analysis of implementation of … Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit

224. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. | PSNet
     psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
     December 24, 2008 - , catheter-associated urinary tract infections , central line–associated bloodstream infections , falls … May 25, 2016 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.

225. Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
     November 21, 2016 - May 24, 2015 Preventing Patient Falls: A Systematic Approach From the Joint Commission … October 5, 2022 Improving Safety in Maternity Services: a Toolkit for Teams.

226. PACT Collaborative: Pathway to Accountability, Compassion and Transparency. | PSNet
     psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
     February 05, 2014 - November 8, 2017 Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial … Related Resources Patient Safety Innovations Preventing Falls

227. Latex: a lingering and lurking safety risk. | PSNet
     psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
     October 03, 2018 - July 24, 2013 Medication assessment: one determinant of falls risk. … November 16, 2022 Implementation and sustainability of a medication reconciliation toolkit

228. Contemporary View of Medication-Related Harm. A New Paradigm. | PSNet
     psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
     July 20, 2012 - Tools/Toolkit Contemporary View of Medication-Related Harm. … February 10, 2016 Preventing Falls With Injury.

229. Antimicrobial stewardship: another focus for patient safety? | PSNet
     psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety
     May 29, 2024 - October 19, 2022 A longitudinal study of a multifaceted intervention to reduce newborn falls … May 7, 2018 Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial

230. Using good catches to promote a just culture and perioperative patient safety. | PSNet
     psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
     July 18, 2018 - Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit … November 14, 2018 Root cause analysis of reported patient falls in ORs in the Veterans

231. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
     October 01, 2017 - the training of hospital staff on how to implement AHRQ’s Preventing Pressure Ulcers in Hospitals Toolkit … Program and supporting materials help hospitals become familiar with each of the components of the Toolkit … It is based on AHRQ’s Pressure Ulcer Prevention Toolkit and the experiences of 11 hospitals that participated … Hospitals participating in this pilot implementation of the Training Program and Toolkit reduced their … An Implementation Guide provides additional suggestions for how to use the Training Program and the Toolkit

232. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet
     psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
     September 23, 2020 - families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit … Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit

233. Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet
     psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
     January 17, 2024 - March 16, 2013 Implementation and sustainability of a medication reconciliation toolkit … July 29, 2009 Sitters as a patient safety strategy to reduce hospital falls: a systematic

234. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/foundational-area.html
     March 01, 2025 - AHRQ CANDOR (Communication and Optimal Resolution) Toolkit This resource provides healthcare organizations … AHRQ Toolkit for Engaging Patients to Improve Diagnostic Safety This resource enhances communication … Healthcare Workers This workbook helps healthcare workers recognize and reduce risks for slips, trips, and falls … The workbook also offers support for implementing a slip, trip, and falls prevention program in a healthcare

235. Spreadnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
     June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or … The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture … For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

236. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-nursing-staff-shortages.pdf
     October 01, 2024 - nursing care is more likely to be missed, which can result in adverse events like medication errors, falls … leads to higher mortality, lower patient satisfaction, and adverse events like medication errors, falls … For contextual question 4, we will list the name and source of each relevant toolkit along with a 1 … -2 sentence description of each toolkit. … We will not endorse any specific toolkit. 8 Risk of Bias Assessment For studies that address

237. 6Bb-Toolkit-Fasttrack-Complete (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
     October 01, 2021 - Six Building Blocks Toolkit ii Six Building Blocks How-To-Implement Toolkit Who Should Use This … Toolkit? … A How-To-Implement Toolkit (hereafter, Implementation Toolkit) was developed to provide clinics with … A 6BBs How-To-Implement Toolkit (hereafter, Implementation Toolkit) was developed to support clinics … : Overview Six Building Blocks How-To-Implement Toolkit Who Should Use This Toolkit?

238. Sleep and alertness in a duty-hour flexibility trial in internal medicine. | PSNet
     psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
     March 13, 2019 - April 12, 2023 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

239. The opioid epidemic: what can surgeons do about it? | PSNet
     psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
     March 27, 2019 - May 12, 2021 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

240. Near-miss event analysis enhances the barcode medication administration process. | PSNet
     psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
     February 13, 2013 - August 7, 2024 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care