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1321. Appendix A. Recommendations for Ideal Consumer Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/appa.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Appendix A. Recommendations for Ideal Consumer Reporting Systems Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consume…

1322. NICU Family Information Packet, Appendix B, Tracheostomies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
      June 02, 2025 - ■ Tracheo-esophageal fistula may occur as a result of posterior wall erosion.

1323. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
      January 01, 2017 - In the fourth step, teams learn a process through which they can learn from the defects that occur in … exercise is used to identify potential barriers and vulnerabilities to the program success before they occur

1324. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
      February 01, 2017 - In the fourth step, teams learn a process through which they can learn from the defects that occur in … exercise is used to identify potential barriers and vulnerabilities to the program success before they occur

1325. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
      June 01, 2021 - pharmacy alerts for allergies to antibiotics 4 Changing the System 4 Active Failures Errors that occur

1326. Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
      September 01, 2022 - What are some reasons an error could occur related to your work environment?

1327. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
      December 01, 2017 - Maureen knows the meetings that occur at the facility; she has good rapport with the Nurse Manager and

1328. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
      January 01, 2024 - Gaps in care appear to occur in the ED when communication and coordination between clinicians and across … was to be used to refine the tool and to determine if there were changes in process that needed to occur

1329. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
      February 01, 2018 - Limited Assistance (LA) • Extensive Assistance (EA) • Total Dependence (Total) • Activity Did Not Occur … Limited Assistance (LA) • Extensive Assistance (EA) • Total Dependence (Total) • Activity Did Not Occur … value by taking the highest (or worst) value recorded for that week: • Do no use Activity Did Not Occur

1330. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety AHRQ Publication No. 17-0003-4-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Science of S…

1331. USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
      April 01, 2021 - USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities Introduction This user guide provides step-by-step instructions for nursing home staff to use the Hand Hygien…

1332. Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
      April 01, 2022 - • When an infection does occur, include the unit physician and/ or attending physician in the learning

1333. Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
      April 01, 2022 - So, we have incorporated that question into our interdisciplinary rounds that occur each day on our

1334. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
      July 01, 2023 - Understand the Science of Safety for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Describe the h…

1335. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
      November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-00…

1336. Chapter 5 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
      August 01, 2022 - regarding the circumstances, caveats, and limitations for when public reporting should or should not occur … The systems could flag reports that occur significantly after the event, which may be used differently

1337. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
      August 01, 2022 - Discussion about who should participate in each gap analysis focus group should occur early (at least

1338. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
      October 01, 2015 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur

1339. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
      February 01, 2017 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur

1340. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Self-Assessment Worksheet Section 1: Screening for Pressure Ulcer Risk Section 2: Pressure Ulcer Prevention Plan Section 3: Communication Practices Section 4: Investigations/Root Cause …