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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 4 Tools
2G: Pieper Pressure Ulcer Knowledge Test
4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team
4B:…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Clinician outcomes:
Incident reporting.
Burnout and turnover.
3.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A, Pt. 2
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Developm…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Quality Care: Examples of Quality Improvement at Work
Previous Page Next Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Steps and Timeline
The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
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www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, Introduction, and Main Menu
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Table of Contents
The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, …
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Appendix B. References
Previous Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned From Implementati…
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www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Interim Data From National Efforts To Make Care Safer, 2010-2014
Summary
Interim estimates for 2014 show a sust…
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www.ahrq.gov/sops/bibliography/index.html?page=0
January 01, 2025 - patient safety culture among medical laboratory technologist in transfusion medicine services through incident
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state4.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
4. Discussion
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Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
A…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Document the event in the medical record – Providers must document in the medical record the facts of the incident … and any care the patient received as a result of the incident. … Say:
When an incident occurs, it will be investigated and analyzed (e.g., a root cause analysis may
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - When they did find a match, however, they were able to identify the patient and the incident with a high … q An “adverse event” in the IOM classification system is equivalent to an “incident” in the AHRQ Common … A “near miss” that reaches a patient but does not cause harm is equivalent to an incident with no harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/legbags-faqs.docx
March 01, 2017 - In the event of a product-related incident such as infection, there may be liability issues for the user
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Results
Previous Page Next Page
Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
…
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www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
January 01, 2024 - Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism
Optimal Prevention
Of
Hospital-Acquired Venous
Thromboembolism
Greg Maynard, M.D., M.Sc. - Principal Investigator
Tim Morris, M.D.
Ian Jenkins, M.D.
Sarah Stone, M.D.
Joshua Lee, M.D.
Marian Renvall, M.Sc.
Ed Fink …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
April 10, 2017 - Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Initial Risk Assessment for Immobility-Related
Pressure Ulcer Within 24 Hours of Pediatric Intensive
Care Unit (PICU) Admission
Section 1. Basic Measure Information
1.A. Measure Name
In…
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www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
January 01, 2024 - o What we measure ultimately defines the issue (i.e., if we measure incident
reporting but not burnout … Aviation has
highly trained, specialized investigation teams for each incident.
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care
This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…
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www.ahrq.gov/npsd/data/dashboard/submissions.html
September 01, 2025 - Data Submissions Dashboard
Learn more about how the dashboards are set up .
This dashboard examines all reports on patient safety concerns submitted to the PSOPPC. The dashboard charts detail reports submitted by Common Formats version by year, completeness of reports submitted by version, percentage of repo…