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  1. 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
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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
  10. 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
  11. 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…
  12. Saworksheet (doc file)

    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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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: …
  20. 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…

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