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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
December 15, 2016 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Overview
Slide
AHRQ’s Safety Program for Nursing
Homes
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
Note: This version of the On-Time
introduction is for training Facilitators who
have not had pre…
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preventiveservices.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Making Health Care Safer II, Executive Summary
Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and priv…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care
Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022
RE…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - responders to ensure that information has been properly and fully
communicated
• Use call‐outs during the incident
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - responders to ensure that information has been properly and fully communicated
Use call-outs during the incident
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Experiences from the Frontline
Home The Program This Report Case Studies Toolkit Definitions
AHRQ SAFETY PROGRAM
FOR PERINATAL CARE:
EXPERIENCES FROM
THE FRONTLINE
AHRQ Pub. No. 17-0003-23-EF
May 2017
Home The Program This Report Case Studie…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Experiences from the Frontline
Home The Program This Report Case Studies Toolkit Definitions
AHRQ SAFETY PROGRAM
FOR PERINATAL CARE:
EXPERIENCES FROM
THE FRONTLINE
AHRQ Pub. No. 17-0003-23-EF
May 2017
Home The Program This Report Case Studie…
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Guide to Patient and Family Engagement
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 4: IDEAL Discharge Planning (Implementation …
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
September 01, 2017 - Measuring fall rates
QIS/Instructor—facilitated group discussion
5A: Information to Include in Incident
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook.pdf
April 01, 2022 - A Playbook for Preventing CLABSI and CAUTI in the ICU Setting
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
A Playbook for Preventing
CLABSI and CAUTI in the
ICU Setting
2 Playbook
AHRQ Safety Program for Intensi…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - Platelet-Rich Plasma for Wound Care: Technology Assessment
Platelet-Rich Plasma for Wound Care
in the Medicare Population
Technology Assessment
Project ID: MYOE59
September 17, 2020
Technology Assessment
Program
ii …
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
March 01, 2024 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
Overview
According to the Joint Commission, in 2022, failures in communication, teamwork, a…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - An “event” is defined as any type of error, mistake, incident, accident, or
deviation, regardless
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Administrators point to anonymous incident reporting systems as evidence that they have
achieved a nonpunitive