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281. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. | PSNet
     psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
     May 08, 2017 - May 8, 2017 Effects of a refined evidence-based toolkit and mentored implementation on … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls

282. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. | PSNet
     psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care
     February 09, 2016 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … May 11, 2019 Building a Patient Safety Toolkit for use in general practice.

283. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
     psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
     January 11, 2017 - February 12, 2014 An evidence-based toolkit for the development of effective and sustainable … August 21, 2013 Using root cause analysis to reduce falls with injury in the psychiatric

284. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. | PSNet
     psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
     October 16, 2012 - April 6, 2011 A patient safety toolkit for family practices. … July 31, 2023 Patient Safety Innovations Preventing Falls

285. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
     April 01, 2013 - If you improve quality by doing anything, whether it’s infections or medication mistakes or patient falls … But you’ve got infections, you’ve got medication mistakes, patients falls, whatever it is, blocking them

286. Small and Rural and Critical Access Hospitals (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
     April 01, 2013 - have an occurrence of the defect or you have a blood stream infection or whatever, you want to use the toolkit … So again, if you’re looking at falls, you would use the evidence-based practices to prevent falls.

287. 025-Ss-Why-Choose-Cusp-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
     April 01, 2025 - The Toolkit for MRSA Prevention offers a brief introduction to applying the CUSP approach, with more … comprehensive resources available on the AHRQ CUSP Core Toolkit on the AHRQ website. … Certain CUSP tools have been identified and adapted for use as part of this toolkit on MRSA prevention … the problems they see in clinical settings—from adverse event reports to infection control data, from falls … Modules of the CUSP Core Toolkit include— · Learn About CUSP · Assemble the Team · Engage the Senior

288. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet
     psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
     December 09, 2020 - August 26, 2020 Implementation and sustainability of a medication reconciliation toolkit … August 5, 2020 Applying the Medications at Transitions and Clinical Handoffs Toolkit

289. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. | PSNet
     psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
     November 11, 2020 - November 25, 2020 Effects of a refined evidence-based toolkit and mentored implementation

290. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - TeamSTEPPS Long-Term Care Toolkit . Rockville, MD. … TeamSTEPPS Long-Term Care Toolkit . Rockville, MD. … 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 … CUSP Toolkit .

291. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Medicare nonpayment, hospital falls, and unintended consequences. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs. … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care.

292. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Injury From Falls Barrett JA, Bradshaw M, Hutchinson K, et al. … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs. … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care.

293. AHRQ Impact Case Studies: Patient Safety. | PSNet
     psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
     October 23, 2019 - patient safety tools, including the Comprehensive Unit-based Safety Program , Re-Engineered Discharge Toolkit … December 24, 2008 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit

294. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 6. … Oregon Ambulatory Surgery Center Infection Prevention and Control Toolkit 13. … Toolkit To Improve Antibiotic Use in Ambulatory Care 16. … Toolkit To Improve Safety in Ambulatory Surgery Centers 17.

295. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
     June 01, 2020 - Toolkit Development. … Creating, designing, adapting, or updating materials for use in a toolkit will be considered Toolkit … primarily impacting older persons (often called “geriatric syndromes”), such as urinary incontinence, falls … cost-effectiveness study that feeds primary or secondary cost data into a cost-effectiveness model falls … Examples of geriatric syndromes include urinary incontinence, falls, sarcopenia, dementia, osteoporosis

296. Medical Office Survey on Patient Safety Culture. | PSNet
     psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
     December 24, 2008 - October 23, 2019 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … View More Related Resources AHRQ Health Literacy Universal Precautions Toolkit … February 10, 2015 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for

297. Ensuring patient safety in wireless medical device networks. | PSNet
     psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
     May 03, 2006 - The authors discuss clinical alarm systems from a technical perspective and propose a toolkit to help … October 23, 2019 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for

298. TO (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docx
     January 01, 2016 - This tool should be used with the other tools found in the Implementing Improvements section of the toolkit … In particular, the tool will reference the Implementation Plan (Tool D.6) Toolkit for Using the AHRQ … Quality Indicators How To Improve Hospital Quality and Safety Toolkit for Using the AHRQ Quality Indicators … However, if your performance falls short on one or more implementation measures, you may want to consider

299. Diagnostic Safety Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
     May 01, 2023 - It thus potentially prevents diagnostic errors by preventing patients from “falling through the cracks … Diagnostic Safety Toolkit https://www.childrenshospitals.org/content/quality/toolkit/diagnostic-safety-toolkit … Communicating Critical Test Results Toolkit 2. … Diagnostic Safety Toolkit 3. … Toolkit for Engaging Patients To Improve Diagnostic Safety VI. Alphabetical Index of Resources

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73106/psn-pdf
     April 01, 2021 - guide-improving-patient-safety-primary-care-settings-engaging-patients-and-families https://psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit … Therefore, although the institution's CLABSI rates are falling, there is room for improvement. … Points falling above the upper control limit indicate months when the process was out of control. … Quality Improvement Essentials Toolkit. ???