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  1. psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
    November 06, 2015 - Commentary Barcoded medication administration: a last line of defense. Citation Text: Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. Copy Citation Format: DOI Google Scholar PubMe…
  2. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/vchip-strategies-for-kdd.pdf
    February 01, 2015 - Strategies to Improve Asthma Care and Treatment in Primary Care Practices Strategies to Improve Asthma Care and Treatment in Primary Care Practices* The following are strategies that healthcare professionals and primary care practices used to improve office systems to address and promote optimal asthma treatment as…
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
    June 02, 2025 - Asthma 1 Measure Calculation Steps Medicaid/APCD claims data Eligibility Table (summary of continuous enrollment periods by payer and member) Transformation of location specific data to input file specifications1 Comorbidity Claims (all medical claims during time frame) Pharmacy Claims Data HEDIS …
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8txt.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B27: Living Space Inspection Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview …
  5. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, MATCH Resources for Patients Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. B…
  6. psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
    April 13, 2022 - Commentary From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Citation Text: De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…
  7. digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
    January 01, 2022 - Research Spotlight The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding? Our Nation’s strategy for better healthcare hinges on putting digital technologies to work. Today’s powerful tools make it easier to capture and share patient information, coordinate care, and strea…
  8. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chap…
  9. digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
    January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
  10. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
    February 01, 2024 - Preventing Pressure Ulcers in Hospitals Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer prevention that we want to use? 4. How…
  11. www.ahrq.gov/talkingquality/distribute/promote/act-early/identify.html
    November 01, 2018 - Defining a Quality Report's Audience for Promotional Purposes A key step in effective reporting is to identify the primary and other audience(s) you want to reach. Everything you do in designing your report should focus on what it will take to make your report relevant, understandable, and useful to your prim…
  12. psnet.ahrq.gov/issue/deferral-care-serious-non-covid-19-conditions-hidden-harm-covid-19
    June 22, 2022 - Commentary Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. Citation Text: DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.401…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/sopstipsheet.pdf
    June 02, 2025 - Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture This Tip Sheet will help you understand the importance of high survey response rates and provide suggestions for improving your response rates.…
  14. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
    May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan Incorporating Infection Prevention and Control into an Emergency Preparedness Plan Emergency preparedness plans capture a nursing home’s approach to meeting the health, safety, and security needs of staff and residents during an…
  15. psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian
    March 18, 2020 - Study COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. Citation Text: Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian ob…
  16. www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, MATCH Resources for Patients Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. B…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-full.pdf
    June 02, 2025 - Medication Management: Common Barriers to Medication Adherence Common Barriers to Medication Adherence What Patients Might Say Possible Solutions My medicine makes me feel sick. Prescribe a substitute medication; suggest ways to manage or reduce side effects; change the dose. I feel fine. Explain how the patient’s…
  18. www.ahrq.gov/patient-safety/news-events/psaw-2023/index.html
    March 01, 2023 - Patient Safety Awareness Week 2023 AHRQ, together with our colleagues from the U.S. Department of Health and Human Services (HHS), the Health Services Resources Administration, the Institute for Healthcare Improvement , and other dedicated patient safety advocates, are observing Patient Safety Awareness Week. …
  19. www.ahrq.gov/hai/decolonization/index.html
    May 01, 2025 - Decolonization Decolonization is an infection prevention practice that removes germs from the skin. It is often used in healthcare facilities when patients carry methicillin-resistant Staphylococcus aureus (MRSA) or other dangerous germs on their bodies. It can keep them from developing an infection themselve…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
    June 01, 2023 - Guide to Using the Improving Surgical Care and Recovery Patient Education BookletsAHRQ Safety Program for Improving Surgical Care and Recovery Purpose of Booklets The booklets were developed for patients and caregivers to engage and prepare them for surgery and recovery in the hospital and at home. Patients and careg…