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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - communicate their plan to patients in the presence of nurses.49 Although
this strategy might be difficult to implement
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www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network
Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers
in a Regional Care Network
Rachel A. Umoren, MBBCh, MS
Mega…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and Affective Approach
Pat Croskerry
Abstract
Diagnosis is the foundation of medicine. Effective treatment cannot begin until an
accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of
clinic…
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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-Davis_60.pdf
April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
Failure Modes and Effects Analysis Based on
In Situ Simulations: A Methodology to Improve
Understanding of Risks and Failures
Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN;
Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
2023 Research Meeting Summary
Patient Experience, Patient Safety,
and Provider Well-Being:
Associations and Paths for Quality Improvement
January 2024
i
…
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www.ahrq.gov/sites/default/files/publications/files/ccrm-atlas-suppl.pdf
October 01, 2013 - Potential Measures for Clinical-Community Relationships: A Supplement
Potential Measures
for Clinical-Community
Relationships:
A Supplement to the Clinical-
Community Relationships
Measures Atlas
Potential Measures for Clinical-Community
Relationships
A Supplement to the Clinical-Community Relat…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas-suppl.pdf
October 01, 2013 - Potential Measures for Clinical-Community Relationships: A Supplement
Potential Measures
for Clinical-Community
Relationships:
A Supplement to the Clinical-
Community Relationships
Measures Atlas
Potential Measures for Clinical-Community
Relationships
A Supplement to the Clinical-Community Relat…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Health Promotion
Description
NPCR provides funds and guidance to states and U.S. territories to implement
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Health Promotion
Description
NPCR provides funds and guidance to states and U.S. territories to implement
-
www.ahrq.gov/data/apcd/backgroundrpt/discuss.html
April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Discussion
Previous Page Next Page
Table of Contents
Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Intro…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
June 02, 2025 - On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if new clinical interventions are needed, and how they determine w…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
January 01, 2012 - Using Pressure Ulcer Risk Assessment Tools in Care Planning
Using Pressure Ulcer
Risk Assessment Tools
in Care Planning
Presented by Elizabeth A. Ayello
Ph.D., RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN
Excelsior College School of Nursing
Welcome!
Thank you for joining this webinar about how
to use pressure ulcer…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-27-EF
January 2017
Overview of CUSP for MVP ‹#›
AHRQ Safety Program for Mechanically Ventilat…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
AHRQ Safety Program for Perinatal Care
Patient and Family Engagement for Perinatal Safety
AHRQ Publication No. 17-0003-6-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Patient & Fam…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
January 01, 2003 - Project Report - Lean Sigma
Guidelines to Prevent
Central Line-Associated
Blood Stream Infections
*
Why do I need to
complete this orientation?
Problem
Vascular access device-associated infections increase morbidity, mortality, hospital length of stay, and costs.
Education of health care workers decrea…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
January 01, 2011 - Section 8.A, Data Availability
VIII.A. Data Availability
VIII.A.1. What is the availability of data in existing data systems? How readily are the data
available?
Informed Cov…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
June 01, 2017 - Module 5: Visual Management - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 5: Visual Management
Say:
As mentioned in the module on huddles, the frontline management system used to promote sustained, controlled standard work that ensures patient safety relies on several interlo…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - Sustaining Stewardship Activities Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Sustaining Stewardship Activities
Acute Care
Slide Title and Commentary Slide Number and Slide
Sustaining Stewardship Activities
Acute Care
SAY: …
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/7-things.html
March 01, 2017 - Infographic: 7 Things You Should Know About Urinary Leg Bags
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The infographic flier on page 5 of this PDF can be printed and posted in patient care areas, meeting rooms, or nurse stations, to educate clinicians, residents, and their families on pro…