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9221. Implementation Steps and Timeline | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
      January 01, 2017 - Implementation Steps and Timeline AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical interven…

9222. Personal Health Information Management and Design of Consumer Health Information Technology - 2009 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/annual
      January 01, 2023 - Personal Health Information Management and Design of Consumer Health Information Technology - 2009 Project Name Personal Health Information Management and Design of Consumer Health IT Principal Investigator Peterson, Anne Organization Insight Policy Research, Inc. Con…

9223. Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
      June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention…

9224. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/timeline.html
      June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Implementation Materials: Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input in…

9225. Articles and Publications, 2010 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/children/publications/2010.html
      October 01, 2014 - Articles and Publications, 2010 AHRQ-Supported Research on Child and Adolescent Health These articles and publications publicize knowledge about significant findings resulting from AHRQ-supported intramural and extramural research focusing on improving the quality, safety, efficiency, and effectiveness of hea…

9226. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
      November 01, 2023 - Inadvertent Use of More Potent Acid Leads to Burn Citation Text: Maibach HI. Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar B…

9227. Using Information Technology (IT) to Improve Medication Safety for Rural Elders | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders
      January 01, 2023 - Using Information Technology (IT) to Improve Medication Safety for Rural Elders Project Final Report ( PDF , 266.5 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily rep…

9228. Santa Cruz County Diabetes Mellitus Registry | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/santa-cruz-county-diabetes-mellitus-registry
      January 01, 2023 - Santa Cruz County Diabetes Mellitus Registry Project Final Report ( PDF , 314.46 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No state…

9229. E_Glossary (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_1.pdf
      June 16, 2021 - E_Glossary Appendix E: Glossary APPENDIX E: GLOSSARY Like any technical topic, discussions of privacy and security can use jargon that makes them difficult to understand. This glossary is provided to help ensure that other documents included in the toolkit can be clearly understood, even by those not …

9230. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - Mark My Limb Citation Text: Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9231. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
      July 01, 2011 - Spotlight Case July 2008 Spotlight Case Watch the Warfarin! 1 2 Source and Credits This presentation is based on the July 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…

9232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73303/psn-pdf
      May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…

9233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49460/psn-pdf
      September 01, 2004 - Security Lapse September 1, 2004 Mason D. Security Lapse. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/security-lapse The Case A medical student learned that the hospital's radiology image library was accessible throughout the university's computer system, meaning that patient x-rays could be viewed in d…

9234. Project Report - Lean Sigma
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
      January 01, 2007 - Project Report - Lean Sigma 1 1 Learning Objectives 2 Identify and apply effective communication strategies from CUSP and TeamSTEPPS® Recognize the importance of effective communication Identify barriers to communication Describe the connection between communication and medical errors 2 Basic Compon…

9235. Daily Goals During Interdisciplinary Rounds: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
      February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Daily Goals During Interdisciplinary Rounds Say: In this session, we will discuss Daily Goals during interdisciplinary rounds. Slide 2: Learning Objectives Say: After …

9236. Chapter 5. Education and Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 5. Education and Training Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildi…

9237. Puh-Impsteps (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. We created the Implementation…

9238. Chapter 5. Education and Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 5. Education and Training Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildi…

9239. Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
      March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Patient and Family Involvement in Care of Mechanically Ventilated Patients Say: This module is about patient and family involvement in patient c…

9240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33713/psn-pdf
      June 01, 2011 - The Safety of Medical Devices June 1, 2011 Nemeth CP. The Safety of Medical Devices. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/safety-medical-devices Perspective Edward Tenner is right. Technology does have reverberations, including unintended consequences, or "revenge effects."(1) While such dra…