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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 2. Communicating Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicati…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
    December 01, 2006 - (There were instances when this individual was paired with a healthcare provider as part of a training … Some instances/scenarios were more prescriptive than others. … Twenty-six instances of incorrect loading were identified. … Four “drip-drip-gush” instances with NO error messages/alarms resulted. … Door measurements of the drip-drip-gush instances were 6.5 mm (3) and 6.0 mm.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
    January 22, 2008 - During the baseline assessment, the residents indicated that in 40 of the 49 (82 percent) instances … At post- intervention assessment, the residents indicated that in 43 of the 62 (69 percent) instances … Percentage of call shifts with an unexpected event During the baseline assessment, in 33 of the 40 instances … indicated the situation should have been anticipated and discussed during sign-out in 33 of the 43 instances … At baseline, in 13 of 40 instances (32.5 percent) and after the intervention, in 16 of 43 instances
  4. www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi4.html
    January 01, 2013 - * 99.0% 0.2% 0.8% *When lines were accessed, cleaning was not noted in 0.8 percent of instances
  5. www.ahrq.gov/news/newsletters/e-newsletter/641.html
    November 01, 2018 - childbirth involving instruments such as forceps or vacuums declined from 2000 to 2015, from 196 to 119 instances
  6. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-c.html
    October 01, 2020 - In some instances, the bladder may be too full to scan accurately.
  7. www.ahrq.gov/downloads/monahrq/pdf/MONAHRQv204_InstallationPermissionsGuide.pdf
    March 19, 2012 - MONAHRQ Installation Permissions Guide Version 2.0.4 March 19, 2012 2 Check That You Have all Necessary Permissions It is important to make sure you have full permissions to run MONAHRQ. The following instructions explain how to ensure you have set the appropriate permiss…
  8. www.ahrq.gov/downloads/monahrq/pdf/MONAHRQ_v3_InstallationPermissionsGuide.pdf
    June 01, 2012 - MONAHRQ Installation Permissions Guide Version 3.0 June 2012 2 Check That You Have all Necessary Permissions It is important to make sure you have full permissions to run MONAHRQ. The following instructions explain how to ensure you have set the appropriate permissions in y…
  9. www.ahrq.gov/cahps/consumer-reporting/guidelines/distribution/index.html
    March 01, 2016 - Distributing a CAHPS Report The purpose of a distribution strategy is to ensure that your audience has easy access to information with CAHPS survey results at the time that they are most likely to pay attention to it and use it. The success of a CAHPS project often rides on the effectiveness of the distribution…
  10. www.ahrq.gov/patient-safety/reports/issue-briefs/dxchecklists-1.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklis…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklis…
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
    March 01, 2018 - Improving Patient Safety in Long-Term Care Facilities Module 1. Detecting Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating C…
  13. www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
    February 01, 2023 - Slide 9 In some instances, you might need to do a daily urine volume measurement to provide treatment … Slide 12 In some instances, resistance to changing catheter use practices comes from the belief that
  14. www.ahrq.gov/hai/carb/index.html
    May 01, 2022 - Combating Antibiotic-Resistant Bacteria AHRQ works alongside Federal Agencies across the Government as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described in the National Action Plan for C…
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_slides_msmt.pptx
    February 03, 2006 - Stevens has had increasing instances of coming out of his room in just his socks and yelling obscenities
  16. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - Check-back Call-outs SBAR Unintelligible Communications Communication Mutual Support Positive Instances … Positive Instances Frequency Count TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation The team
  17. www.ahrq.gov/research/publications/ahrq-info-quality-gdlns.html
    September 01, 2019 - well as confidentiality and legal obligations to third parties supplying information, there may be instances … In such instances, AHRQ will promote understanding and transparency by clearly identifying, to the extent
  18. www.ahrq.gov/research/findings/final-reports/iomracereport/reldataape.html
    October 01, 2018 - Entities may, in some instances, want to aggregate granular ethnicity categories into broader ethnicity
  19. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-scale-improvements.pdf
    January 07, 2022 - Identify instances where change wasn't implemented, and problem solve. 4.
  20. www.ahrq.gov/talkingquality/resources/writing/tip1.html
    May 01, 2015 - Tip 1. In a Quality Report, Write Text That’s Easy To Understand The ability of a reader to understand the information in a performance report depends upon many factors, including: The simplicity of words and sentence structure. The clarity and cohesiveness of explanatory text. The reader’s background k…

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