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psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - What safety events are reported for ambulatory care?
Analysis of incident reports from a patient safety
organization.
October 21, 2020
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis
of incident reports from a patient safety organization. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/40216/psn-pdf
February 16, 2011 - Impact of a statewide intensive care unit quality
improvement initiative on hospital mortality and length of
stay: retrospective comparative analysis.
February 16, 2011
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality
improvement initiative on hospital mortalit…
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www.ahrq.gov/ncepcr/tools/self-mgmt/what.html
February 01, 2016 - What is Self-Management Support?
Self-Management Support
Successful self-management support programs involve implementing changes at multiple levels:
Patient-clinician interactions.
Office environment changes.
Health system, policy, and environmental supports. 1
In clinical settings, self-manageme…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene-activity.docx
March 01, 2017 - Training Module 1 — Skills Activity
The How-To’s of Hand Hygiene
Activity 1: Are your hands clean?
This activity is designed to show staff just how many germs are on health care workers’ hands.
1. Ask for staff volunteers. Try to select staff who are from different units and wards and who perform different jobs and r…
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www.ahrq.gov/takeheart/about/initiative/partner-hospitals/lee-health.html
November 01, 2022 - Lee Health TAKEheart Profile
"TAKEheart's workflow mapping exercise helped our team discover that patients were not consistently being referred to cardiac rehab by physicians."
Challenges to CR Referral and Enrollment at Lee Health
Lee Health, in Southwest Florida, is one of the largest not-for-profit p…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C3: Unsafe Behavior Worksheet Sample
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ov…
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psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
January 13, 2021 - Newspaper/Magazine Article
Tackling disrespectful, unprofessional provider behaviors.
Citation Text:
Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design-table2.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Table 2. Self-management Support Content and Prerequisites for Coaches
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Metho…
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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psnet.ahrq.gov/node/47777/psn-pdf
January 01, 2021 - The association between complications, incidents, and
patient experience: retrospective linkage of routine
patient experience surveys and safety data.
March 27, 2019
de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and
Patient Experience: Retrospective Linkage of Routine P…
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psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist
October 02, 2024 - Toolkit
Central Line Insertion Care Team Checklist.
Citation Text:
Agency for Healthcare Research and Quality. Central Line Insertion Care Team Checklist.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download…
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psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
November 15, 2023 - Toolkit
Toolkit for Decolonization of Non-ICU Patients with Devices.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/mini.html
July 01, 2023 - Mutual Support Mini-Session Training Content
If you are teaching content from the Mutual Support Module in an even shorter format, you probably will focus on one or two specific situation monitoring tools chosen based on the needs of the participants. For this format, we recommend that you do the following:
…
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pso.ahrq.gov/become
March 01, 2022 - SHARE:
More topics in this section
Work With a PSO
How To Choose a PSO
Become a PSO
Assess Eligibility to Become a PSO
Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements
Establish Po…
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www.ahrq.gov/hai/tools/enhanced-recovery/index.html
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery
The AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) Toolkit helps hospitals improve patients' surgical experience by adopting enhanced recovery practices. Enhanced recovery practices are evidence-based processes that are supported by multidisc…
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psnet.ahrq.gov/node/42868/psn-pdf
October 31, 2014 - Communication-and-resolution programs: the challenges
and lessons learned from six early adopters.
October 31, 2014
Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges
and lessons learned from six early adopters. Health Aff (Millwood). 2014;33(1):20-29.
doi:10.1377/hlth…
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www.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Types of Health Care Quality Measures
Measures used to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. Known as the Donabedian model, this classification system was named after the physician and researcher who formulated it.
Struct…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/index.html
March 01, 2023 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure Ulcer Healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal. Pressure ulcers remain a serious problem in nu…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Factors That Influence Effectiveness of Checklists
Previous Page Next Page
Table of Contents
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Sp…
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www.ahrq.gov/talkingquality/distribute/promote/act-early/learn-about/index.html
July 01, 2011 - Researching a Quality Report's Audience for Promotional Purposes
In the planning stages of your project, it is important to gather information about the characteristics of the audience you have identified. This research helps you:
Select measures your audience will find relevant and important.
Present y…