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401. Avoidable mistakes rise despite hospital efforts. | PSNet
     psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts
     September 27, 2016 - October 23, 2019 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for

402. Surviving a bad diagnosis. | PSNet
     psnet.ahrq.gov/issue/surviving-bad-diagnosis
     January 19, 2022 - December 11, 2019 Patient's Toolkit for Diagnosis.

403. Appendix D. Sample Production Agenda for the In-Person Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
     October 01, 2017 - Objectives AHRQ Toolkit approach/training Quality Improvement Specialist (QIS)/Instructor

404. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
     April 30, 2025 - involving a comprehensive strategy for provider team communication, resulting in an implementation toolkit … To evaluate an SBAR toolkit, researchers conducted a pre-post study at a 477-bed medical center of Denver … • The repeat fall rate within a hospital was negatively associated with the percentage of falls that … • Over a 2-year period, 353 falls were reported; 32 percent of the falls were injurious and 75 percent … Identifying a gait belt as an intervention decreases the odds of patients falling unassisted.

405. Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
     January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit … Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit … This toolkit provides guidance, tips, and examples to help support future efforts to engage practices … Information included in this toolkit was gleaned from initiative-related publications, information … Specific references are included in each section, as relevant. 2 What is Included in the Toolkit

406. Advancing Patient Safety Through Diagnostic Excellence (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
     June 01, 2025 - This webinar provides an overview of the toolkit which contains two strategies: Be The Expert On You  … to the Toolkit focused on paired tools - meaning, if we gave an intervention focused on patients, we … Toolkit Implementation Roadmap Presenter Notes Presentation Notes The next few slides are dedicated … to sharing with you practical materials that have been developed as part of the Toolkit for Engaging … Available on the AHRQ website is the  Toolkit Implementation Roadmap.

407. Title Page (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015009-ward-final-report-2008.pdf
     January 01, 2008 - CAH Data Workgroup identified as having the highest priority for Iowa CAHs were: medication errors, falls … We included sample RFPs in the toolkit. … Create Hospital Referral Toolkit. … Create Cost Calculator Toolkit. … We created a web-based toolkit of the available information and developed a cost calculator toolkit

408. Topics | PSNet
     psnet.ahrq.gov/topics-0
     March 03, 2025 - Go to this topic Special or Theme Issue Go to this topic Tools/Toolkit … Glossary Go to this topic Measurement Tool/Indicator Go to this topic Toolkit … Delirium Go to this topic Nosocomial Infections Go to this topic Patient Falls

409. CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
     December 01, 2012 - CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes The Role of the Nurse Manager … module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative … Say: The Role of the Nurse Manager module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit

410. Overview of Patient Safety Learning Laboratory Projects. | PSNet
     psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
     December 24, 2008 - October 23, 2019 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit

411. A widow’s mission to change NC dental sedation rules. | PSNet
     psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
     March 10, 2021 - December 21, 2022 Teamwork Toolkit.

412. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
     January 01, 2014 - staff • Conducted psychometric analyses • Consulted with AHRQ and TEP to finalize survey • Developed toolkit … strongest correlation is with Overall Perceptions of Patient Safety (0.74) 27 27 AHRQ Support  Toolkit

413. Module 2: How To Manage Change (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
     June 02, 2025 - Checklist Large group discussion PowerPoint slide presentation Additional Related Training Resources Toolkit … can also be applied to other quality improvement efforts in a hospital, such as preventing: Hospital falls … The Team may have a different name than the title in the Toolkit. … , Do, Study, Act, or PDSA, approach and other systematic approaches are described on page 27 of the Toolkit … This hospital team completed the assessment tools from the Toolkit, just as you did.

414. In Conversation With... Cindy Brach | PSNet
     psnet.ahrq.gov/perspective/conversation-cindy-brach
     December 27, 2019 - However the Re-Engineered Discharge (RED) Toolkit includes cultural considerations. … The RED Toolkit, based on a modified discharge process tested in a randomized control trial, addresses … to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls … Further, the toolkit highlights how implementation of each RED component may need to be modified for … https://www.ahrq.gov/hai/red/toolkit/redtool4.html . Published March 2013.

415. Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
     January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide A Team-Based Approach to Improving … A 6BBs How-To-Implement Toolkit (hereafter, Implementation Toolkit) was developed to support clinics … Six Building Blocks Toolkit 1 http://www.improvingopioidcare.org/ https://www.ahrq.gov/sites/default … /sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/6bb-toolkit-overview.pdf … Six Building Blocks Toolkit 19 Introduction What Is the Fast Track Approach?

416. Implementing Heart Health Practice Self-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
     February 01, 2016 - Please note the following about important points about the Toolkit: 1. … The Toolkit is organized into three sections. … The Toolkit is grounded in best practice recommendations from multiple credible sources. … The Toolkit is intended as a flexible support menu, not a list of mandatory requirements. … Evaluate the cost of work of other specialties that falls to primary care physicians, and consider ways

417. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
     October 01, 2017 - Additional Related Training Resources Toolkit for Using the AHRQ Quality Indicators: How To Improve … also be applied to other quality improvement efforts in a hospital, such as preventing: Hospital falls … The Team may have a different name than the title in the Toolkit. … , Do, Study, Act, or PDSA, approach and other systematic approaches are described on page 27 of the Toolkit … This hospital team completed the assessment tools from the Toolkit, just as you did.

418. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
     January 01, 2024 - A shared decision-making training toolkit was developed. … We developed a toolkit (Shared Decision-making (SDM) Toolkit: Train-The-Trainer Tools for Teaching … The toolkit has been submitted to MedEdPORTAL®. … SDM Implementation Curriculum We developed a toolkit (Shared Decision-making (SDM) Toolkit: Train-The-Trainer … Risk management files that did not involve patient care (e.g., visitor falls) were not included

419. #14 SUBSTANCE ABUSE (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
     December 01, 2013 - Physician education is achieved primarily through a physician toolkit for chronic pain management and … The toolkit contains pain management guidelines, opioid risk-assessment tools, precautions for opioid … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 2]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Nov 13]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 2]. [1 p].

420. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
     October 28, 2020 - LP : It was the falls. … Falls is a really easy one to apply that thinking to. … Are they falling because the environment is unsafe, or are they falling because they're on too many medications … CMS has also developed a best practices toolkit for nursing homes to help them address the COVID-19 … The toolkit covers topics such as infection control and workforce/staffing.