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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - Mobility issues, Change in mental status (including confusion), and Medications were frequently
cited
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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - the PfP measurement plan was established, such as when updates were necessary regarding the names of medications
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
April 01, 2025 - adapting WHO’s Five Moments to prioritize those tasks considered “high impact,” such as administering medications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - e.g., the percent of the elderly who reported that
their usual source of care did not ask them about medications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - High-alert medications and patient safety. Sentinel
event alert. Issue 11, November 19, 1999.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - For example, the patient’s primary nurse had
to first review all currently infusing intravenous medications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-2.pdf
April 01, 2016 - OpenNotes: Giving Patients Access to Medical Notes
OpenNotes: Giving Patients Access
to Medical Notes
What is it?
OpenNotes is a tool that gives patients access to their
medical records so they can read encounter notes.
Patients can access their notes online through the patient
portal or in hard copy from a prin…
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www.ahrq.gov/topics/medical-errors.html
Topic: Medical Errors
Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. AHRQ has sponsore…
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www.ahrq.gov/topics/medical-liability.html
Topic: Medical Liability
Listing of content related to the topic Medical Liability
Advances in Patient Safety and Medical Liability
Demonstration Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstra…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - The Integration of Hospitalists into U.S. Academic Medical Centers
Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship
1
CAPT Arjun Srinivasan, MD
Associate Director for Healthcare Associated Infection Prevention Programs
Division of Healthcare Quality Promotion
Scott Flanders, MD
Professor of Med…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
June 02, 2025 - SOPS Medical Office Items and Composite Measures
SOPS® Medical Office Survey Items and
Composite Measures
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based sur…
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www.ahrq.gov/research/shuttered/toolkitchecklist/medext.html
July 01, 2018 - Medical/Exterior
General observations and ambulance entrance. Facilities experts and chief administrator will extensively tour and inspect external facility, site, and surrounding neighborhood.
Date: _________________ Location: ___________________________________ Team Member: ____________
General
Observa…
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www.ahrq.gov/topics/medication-safety.html
Topic: Medication: Safety
AHRQ offers patient education materials for healthcare professionals to reduce risks related to adverse drug events, including links to fact sheets, research, and government initiatives.
California Hospital Reduced Infections, Improved Diabetes C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - Medical Team Training Programs in Health Care
253
Medical Team Training Programs
in Health Care
David P. Baker, Sigrid Gustafson, J. Mathew Beaubien,
Eduardo Salas, Paul Barach
Abstract
Numerous medical team training programs have been developed and implemented
in response to the patient safety crisis hig…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey
The PeaceHealth Ambulatory Medication
Safety Culture Survey
Ronald Stock, MD; Eldon R. Mahoney, PhD
Abstract
Objective: The objective of this project was to construct a measure of medication safety culture
in ambulatory settings. Methods: A 16-it…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
October 01, 2019 - injury, if any; physician’s
diagnoses; diagnostic services ordered or provided; procedures provided; medications … respiratory status, elimination
status, neuro/emotional/behavioral status, activities of daily living, medications … The program links patients to medical care, including antiretroviral
medications as early as possible … Encounter tables
contain encounter information, including location of treatment, clinic, provider, medications
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - injury, if any; physician’s
diagnoses; diagnostic services ordered or provided; procedures provided; medications … respiratory status, elimination
status, neuro/emotional/behavioral status, activities of daily living, medications … The program links patients to medical care, including antiretroviral
medications as early as possible … Encounter tables contain encounter
information, including location of treatment, clinic, provider, medications
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - an accurate medication list, coordinate the list with prescribing clinicians, track
the impact of medications … Most families
initiated dialogue regarding medications during FCRs, including both inpatient and
home … medications.
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www.ahrq.gov/news/newsroom/ahrq-stats.html
July 01, 2025 - Inappropriate Medications for Seniors The total percentage of adults age 65 and older who received at … least one of 33 inappropriate prescription medications declined from 19 percent in 2002 to 10 percent … Seniors The percentage of adults age 65 and older who received potentially inappropriate prescription medications
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - like a medication list should be very clear in the discharge when you're leaving the hospital; what medications … and we don't know all this information, so to have that right there and also to have any allergies or medications