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  1. Appendix B21: Facts and Flow Chart | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B21: Facts and Flow Chart Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Ch…

  2. Appendix A: Brief History of CMEs | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appa.html
    September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Appendix A: Brief History of CMEs Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs)…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33940/psn-pdf
    May 13, 2011 - Swiss Cheese Model. May 13, 2011 Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. https://psnet.ahrq.gov/issue/swiss-cheese-model The "Swiss cheese" model illustrates how a particular hazard must penetrate multiple barriers and safeguards in order …

  4. Eastern Maine Medical Center | Digital Healthcare Research

    digital.ahrq.gov/organization/eastern-maine-medical-center
    January 01, 2023 - Eastern Maine Medical Center Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease - 2012 Principal Investigator Sorondo, Barbara Project Name Evaluating the Effectiveness of a Health Information Technology Se…

  5. Facilitating patient self-management through telephony and web technologies in seasonal influenza. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/stay-home-influenza-toolkit/citation/facilitating-patient-self-management
    January 01, 2023 - Facilitating patient self-management through telephony and web technologies in seasonal influenza. Citation Nagykaldi Z, Calmbach W, Dealleaume L, et al. Facilitating patient self-management through telephony and web technologies in seasonal influenza. Inform Prim Care. 2010;18(1):9-16. Link h…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42797/psn-pdf
    June 10, 2018 - Understanding and managing IV container overfill. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill This newsletter article reports on concerns associated with chemotherapy preparations due to varia…

  7. Visitation During COVID-19 | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/visitation-during-covid.html
    August 01, 2022 - Visitation During COVID-19 Resource: Visitation During COVID-19 This visitation toolkit includes a leader's guide, implementation checklists, competency tools for managers and all staff and a pre and post-test for all staff. Source: LeadingAge Topic(s): Vaccination; Testing; Leadership & Management; P…

  8. Best Practices for Identifying and Managing Deconditioning in Nursing Home Residents | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/best-practices-deconditioning.html
    August 01, 2022 - Best Practices for Identifying and Managing Deconditioning in Nursing Home Residents Resource: Best Practices for Identifying and Managing Deconditioning in Nursing Home Residents This resource discusses ways nursing home staff can identify residents at high risk for deconditioning and work with them to pre…

  9. How To Prepare Your Facility for a Surge | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/how-to-prepare-for-surge.html
    June 01, 2022 - How To Prepare Your Facility for a Surge Resource: How To Prepare Your Facility for a Surge ​This course is free and is designed to meet the critical staff shortages occurring as a result of COVID-19. Completion of this training is intended to prepare facilities to develop, manage, and maintain a surge plan…

  10. Practice and Quality Improvement | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - Treatment Challenges After Discharge November 1, 2010 Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge Case Objectives Understand types and frequencies of adverse events occurring between patient discharge from the hospital …

  12. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
    July 01, 2023 - Labor and Delivery Unit Safety: Shoulder Dystocia AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the safe management of a delivery complicated by a shoulder dystocia. The key elements are presented within the framework …

  13. Chapter 6. Measure Maps and Profiles (continued, 19) | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 19) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

  14. Blame: what does it look like? | PSNet

    psnet.ahrq.gov/issue/blame-what-does-it-look
    February 02, 2022 - Commentary Blame: what does it look like? Citation Text: Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  15. Criminalization of medical error: who draws the line? | PSNet

    psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
    June 24, 2020 - Commentary Criminalization of medical error: who draws the line? Citation Text: Dekker SWA. Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  16. The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. | PSNet

    psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
    February 07, 2019 - Book/Report The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Citation Text: The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 97807879651…

  17. Patient safety: through the eyes of your peers. | PSNet

    psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
    August 11, 2021 - Commentary Patient safety: through the eyes of your peers. Citation Text: Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  18. Error reporting in organizations. | PSNet

    psnet.ahrq.gov/issue/error-reporting-organizations
    May 24, 2006 - Commentary Error reporting in organizations. Citation Text: Error reporting in organizations. Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  19. Is employee discipline the solution for patient safety? | PSNet

    psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
    September 15, 2011 - Commentary Is employee discipline the solution for patient safety? Citation Text: Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  20. Whither Challenger, wither Columbia: management decision making and the knowledge analytic. | PSNet

    psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
    September 07, 2011 - Commentary Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Citation Text: Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Garrett TM. Copy Citation Save Save to your librar…
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