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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Improving Patient Safety in Nursing Homes: A Resource List
SOPS Nursing Home 2.0 Survey Resource List 1
Improving Patient Safety in Nursing Homes: A
Resource List for Users of the AHRQ Nursing Home
Survey on Patient Safety Culture Version 2.0
I. Purpose
This document provides a list of publicly available resour…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - auditing of medical records shows that the correct dosage is not delivered; appropriate redosing does not happen … ‹#›
AHRQ Safety Program for Surgery – Implementation
24
SAY:
It takes a village to make this work happen
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - Don’t let this happen. To
prevent this, you could revise your overall aim statement. … the team and other stakeholders.
4) Are you expecting setbacks and ready to respond when they happen … a rate more clearly.
20
Measure
Component
Definition Notes
Numerator What must happen
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - Organizational Learning
This nursing home lets the same mistakes happen again
and again. … residents safe”) and a negatively worded item (such as, “This nursing home lets the same
mistakes happen
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023963-schnall-final-report-2018.pdf
January 01, 2018 - Use of mHealth Technology for Supporting Symptom Management in Underserved Persons Living with HIV - Final Report
1. TITLE PAGE
Title of Project: Use of mHealth Technology for Supporting Symptom Management in Underserved Persons Living with
HIV
Principal Investigator and Team Members:
PI: …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - The team also discovers the Hospital Acquired Pneumonia Prevention by Engaging Nurses (HAPPEN) initiative … engagement of its executive leader, decides to implement an oral care protocol similar to the one in the HAPPEN
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - All obstacles must be removed to make
that happen. … Finally, if it has not produced improvement, what needs to happen in your institution to make this practice
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - All obstacles must be removed to make
that happen. … Finally, if it has not produced improvement, what needs to happen in your institution to make this practice
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - complicated when individuals within the
organization—the very people charged with making the change happen—are … • “Systems savvy,” i.e., experience and knowledge with making things happen within a
nursing service
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - developed within the framework proposed by
Greenhalgh, et al.,26 and is positioned between the “help it happen … ” and the “make it happen”
ends of the continuum.
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - sure that there is oversight of the patient care transitions, which currently does not necessarily happen … I am very hopeful that two other things will happen.
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - sure that there is oversight of the patient care transitions, which currently does not necessarily happen … I am very hopeful that two other things will happen.
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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - OR Peeping
Citation Text:
Mackenzie CF. OR Peeping. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - "Recurrent" Appendicitis
October 1, 2010
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/recurrent-appendicitis
The Case
An 85-year-old man presented to the emergency department (ED) with right lower quadrant pain. On
physical examination, the patient showed rebound t…
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case December 2006
Hidden Heparins: HIT Happens
Source and Credits
This presentation is based on the December 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Patrick F. Fogarty,…
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - Preventable Rash
March 1, 2005
McLean C. Preventable Rash. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/preventable-rash
The Case
A 35-year-old man with HIV was being followed in an outpatient internal medicine clinic. At a routine visit,
screening laboratories were checked. The clinic never contacted th…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD
Workplace Safety Supplemental Item Set
for the SOPS Nursing Home Survey
Naomi Yount, PhD
Senior Study Director
Westat
31
Workplace Safety Supplemental Item Set
• Designed as a supplemental item set that can be added towa…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2)
Contents
Page 1 of 2
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
Page 2 of 2
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
References…