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2981. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - error to occur, is known as the “Swiss cheese” model of accident causation.19 The components that make up … To understand how human performance slips up, psychology, physiology, or social science must be used … essential.27 A Patient Safety Model of Health Care With the above aspects of patient safety lined up

2982. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
      January 01, 2018 - or clinic in the last 12 months whose health providers always asked them to describe how they will follow … MPSMS 8 (2009- 2016) Adults who reported a home health provider talking with them about how to set up … Source Number of Years Adults who reported that home health providers always seem informed and up-to-date

2983. Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
      January 01, 2025 - A strategy of EMS transfer within a county is estimated to be twice as effective and up to 20% less … number of new PCI programs for each year after 2004, taking into account hospitals that were lost to follow-up … Hospitals without onsite or nearby back-up surgery may therefore have to invest in that service along … Measures of distance from every Centroid to any hospital within a 2-hour travel time were saved in look-up

2984. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
      December 01, 2021 - that are new or MDS 2018 Adults who reported a home health care provider talking about how to set up … Data Source Data Year Adults who reported that home health care providers always seem informed and up-to-date … that are new or MDS 2018 Adults who reported a home health care provider talking about how to set up … Data Source Data Year Adults who reported that home health care providers always seem informed and up-to-date

2985. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
      January 01, 2024 - Coders then compared their marked up transcripts and their newly identified categories. … category systems were revised after discussion, and the transcripts were analyzed again, marking them up … The plan is to follow through until the main manuscript above has been published. 3.B.5.

2986. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - and Engagement (SCORE) Survey: A Brief, Diagnostic, and Actionable Metric for the Ability to Speak Up … Scales EE9item: fatigued, burned out, frustrated, working too hard, emotionally drained, used up … and Engagement (SCORE) Survey: A Brief, Diagnostic, and Actionable Metric for the Ability to Speak Up

2987. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-slides.pptx
      November 01, 2019 - Specificity: 58–68%; does not identify toxin production Cytotoxin assay (tissue culture) Sensitive (up … to 100%) and specific (>95%) Results take up to 48 hours; labor intensive Clostridioides difficile … Fluoroquinolones (OR 5.50) Clindamycin (OR 16.80) Risk highest while receiving antibiotics but still elevated up

2988. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - Develop and implement a surgical site infection (SSI) reduction goal and prevention bundle that addresses up … and implement a surgical site infection or SSI reduction goal and prevention bundle that addresses up … and Teamwork Improve communication throughout perioperative period Empower team members to speak up … To conduct a concurrent review, place an audit tool in the chart and follow the audit over the continuum

2989. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
      July 01, 2023 - Why These Competencies Are Important The 13 competencies that make up this assessment are of particular

2990. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
      July 01, 2023 - Why These Competencies Are Important The 13 competencies that make up this assessment are of particular

2991. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
      January 01, 2025 - • Hypothesis #4: Antibiotic prescribing will more closely follow guideline best practice recommendations … Based on front-line clinician feedback, we replaced this AI with on an alert that pops up when the

2992. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
      January 01, 2025 - to verify discharge plan inacted 7 8 6 336 Process Step 2: Notify PCP at Admission No PCP No follow-up … 7 8 6 336 Process Step 2: Notify PCP at Admission PCP Notified-No Action Taken No follow-up

2993. Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
      January 01, 2025 - no other employees complete the tasks while the sick employee is absent, and that work is not made up … questions appear to demonstrate good to intermediate agreement; however, two questions addressing follow-up

2994. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
      December 01, 2017 - in CAUTI rates from 2011 to 2013 in non-ICU units (96 down to 39), but a steady rate in the ICU (58 up

2995. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
      January 01, 2017 - SBTs +81% in SBTs done with sedatives off Ventilator-Associated Events Successes CDC Epicenters Wake Up

2996. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
      May 01, 2017 - criteria for induction TeamSTEPPS® Teamwork training provides staff with language and skills to— “Speak up

2997. State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
      March 01, 2024 - Opioid Prescription Fills We examined the average percentage of prescription fills between delivery and up

2998. Ptoutcsurvey (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ptoutcsurvey.docx
      June 02, 2025 - Patients are called up to 60 days after the date of index hospital discharge.

2999. CAHPS Nursing Home Survey: Family Member Instrument (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-family-eng-1652a.pdf
      September 01, 2011 - your family member capable of making decisions about his or her own daily life, such as when to get up

3000. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …