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4541. 4. How do you implement the fall prevention program in your organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
      January 01, 2013 - Preventing Falls in Hospitals 4. How do you implement the fall prevention program in your organization? Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Whi…

4542. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …

4543. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
      January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices 409 A Model-based Approach to Prioritizing Medical Safety Practices Richard S. Marken Abstract This report shows how a model of skilled human performance can be used to evaluate safety practices aimed at reducing medical error when randomized tr…

4544. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

4545. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…

4546. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
      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…

4547. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
      January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…

4548. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
      January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care PROL IN HOME HEALTH CARE Title: Process Reliability and Organizational Learning in Home Health Care Principal Investigator and Team Members: Michael P. Silver, MPH Principal Investigator Cher Edmonds Study Coordinator Robert…

4549. Training-Tools-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Facilitator Notes SAY: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…

4550. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
      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…

4551. 5. Improving Data Collection across the Health Care System | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection across the Health Care System Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers …

4552. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…

4553. Chartbook on Person- and Family-Centered Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
      June 01, 2018 - Chartbook on Person- and Family-Centered Care: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Person- and Family-Centered Care September 2016 Slide 2 National Healthcare Quality and Disparities Report …

4554. Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities May 13, 2014 Download accessible version of slides (PDF, 1.1 MB) Introducing Nine Levers to Support the Aims and Priorities [Slide 1] Ann Gordon: Welcome to today's event featuring t…

4555. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

4556. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
      October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Technical Interventions To Prevent CAUTI Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Ove…

4557. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - The Role of Patient Safety in the Device Purchasing Process 341 The Role of Patient Safety in the Device Purchasing Process Todd R. Johnson, Jiajie Zhang, Vimla L. Patel, Alla Keselman, Xiaozhou Tang, Juliana J. Brixey, Danielle Paige, James P. Turley Abstract To examine how patient safety considerations a…

4558. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
      January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…

4559. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…

4560. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
      January 01, 2024 - methods, and predictive model will be scalable to other cancer types and will be generalizable to other institutions