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321. 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?

322. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
     September 01, 2013 - Organizations should be prepared to respond and communicate proactively when adverse events occur.

323. 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…

324. 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…

325. 035-Importance-Mrsa-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
     October 01, 2024 - In 2019, the CDC reported that more than 2.8 million antibiotic-resistant infections occur in the United … Many microorganisms occur in the natural flora of the skin, intestines, and other organs, and do not

326. HAC National Scorecard 2014-16 | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/hac-scorecard-2014-16.html
     November 01, 2019 - HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report, " National Scorecard on Rates of Hospital-Acquired Conditions ." HAC National Scorecard 2014…

327. 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

328. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
     May 01, 2011 - indicated that the consumer perspective may be particularly important for patient safety events that occur … TEP members indicated that certain reporting system functions need to occur at a national (or central … The systems could flag reports that occur significantly after the event, which may be used differently … This may particularly apply to patient safety events that occur in outpatient settings, where there …  Decisions regarding system functions/activities that occur at the “system hub” versus those that occur

329. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     May 01, 2017 - It is important to identify and recognize the structure of teams, because teamwork cannot occur in the … Healthcare Research and Quality's or AHRQ's TeamSTEPPS program depicts some of the interactions that occur … physician is often not present until the procedure is about to begin, this means the briefing should occur … the surgical team waits to have the debriefing, the greater the likelihood the debriefing will not occur … in the Surgical Environment Is Important Say: Studies show that many times when adverse events occur

330. Health Literacy | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research/health-literacy.html
     October 01, 2024 - Health Literacy Health literacy occurs when health information and services created for patients match with their capacity to find, understand, and use them. AHRQ provides the research, tools, and training to help healthcare organizations, leaders, and professionals improve health literacy and more effectively …

331. 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

332. 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

333. 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

334. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
     September 01, 2024 - All these factors occur within a fragmented and difficult to navigate healthcare system. 9 Importantly

335. AHRQ Grants for Health Services Research Dissertation Program (R36) | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/r36.html
     November 01, 2023 - AHRQ Grants for Health Services Research Dissertation Program (R36) AHRQ provides support to individuals for dissertation research in health services research as part of completing a research doctorate degree. The AHRQ Grants for Health Services Research Dissertation Program (R36) provides dissertation grant…

336. Fallspximpl-Handouts (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
     April 02, 2025 - Let’s start with identifying the meetings that occur at your facility and then, for each of those, we … As the Quality Assurance Nurse, I chair the QAPI meetings that occur monthly. … The information regarding day of the week, shift, and time during which most falls occur will be very

337. Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_it2.pdf
     January 01, 2024 - Implementation will occur in 65 primary care practices through a tiered approach, beginning in five

338. Why Did It Happen? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/videos/05h-why-did-happen/index.html
     June 01, 2018 - Why Did It Happen? CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Apply CUSP To Find Out W…

339. 5. Impacts of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
     June 01, 2020 - categories, and, as study participants pointed out, the impacts of specific projects may not always occur … This change could occur literally, such as when a clinical pathway is incorporated into an EHR order … but could also refer to various changes in organizational policies, processes, and norms of care that occur … project to generate impact across all categories, and the impacts of specific projects may not always occur

340. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
     July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dy…