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www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - Assessment and on-the-fly coaching, which were designed to occur between visits, were often rushed or
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www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
September 01, 2015 - Blood clots are the clumps that occur when the blood hardens and changes from a liquid to a solid.
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www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - Improving the Safety of Diagnosis and Therapy in the Inpatient Setting
Principal Investigators: Anuj K. Dalal, M.D., and David Bates, M.D., MSc., Brigham & Women’s Hospital, Boston, MA
AHRQ Grant No.: HS26613
Project Period: 09/01/18-06/30/22
Description: The overall goal of this learning lab was to i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - Safety Program for Ambulatory Surgery
8
Patients and their family members expect the following to occur … Organizations should be prepared to respond and communicate proactively when adverse events occur.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
May 20, 2016 - Education should occur upon hire, annually, and when this protocol is added to job
responsibilities.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/update/correctadd.html
October 01, 2014 - Additional postings may occur yearly or as needed.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - Monthly
After about 6 months, the Facilitator's role is to check in to identify obstacles that could occur … The expectation is that reports will be used on a weekly basis except for meetings that occur less frequently
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - indicated that the consumer perspective may be particularly important for patient safety events that occur
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
December 01, 2017 - Self-Assessment Worksheet for Pressure Ulcer Healing
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
This self-assessment tool is an important first step in implementing the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions and improve …
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www.ahrq.gov/evidencenow/projects/urinary/optima-interview.html
November 01, 2024 - lets the provider know that the patient is experiencing bothersome UI, prompting a conversation to occur
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - similar commonly used interventions: either individual preventive
measures or combinations that co-occur … similar commonly used interventions: either individual preventive
measures or combinations that co-occur … similar commonly used interventions: either individual preventive
measures or combinations that co-occur … Frequent patterns of
interventions occur in groups with different outcomes: injury and harm vs. no … similar commonly
used interventions: either individual actions or a combination of actions that co-occur
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www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
January 01, 2025 - transport monitoring and communication tool. 1 Findings from this work revealed that adverse events occur
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-primary-care-workforce.html
May 01, 2024 - disproportionally takes place in hospitals rather than in the community settings where primary care services mainly occur
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www.ahrq.gov/funding/training-grants/index.html
December 01, 2022 - Research Training and Education
Sign up: Research Training and Education Email updates
AHRQ's Research Training Opportunities
The Agency for Healthcare Research and Quality (AHRQ) provides a variety of funding opportunities designed to support and enhance the education and career development of health…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pdf
April 02, 2025 - However, Pressure Ulcers (PSI 03) occur at higher rates than the
national average – this may be an area
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
April 02, 2025 - When patient safety issues occur in this pharmacy, staff discuss them.
B15.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - Backsliding can occur as a result of factors such as staffing conditions, administrators' loss of interest … needed to maintain improvements after the project ends allows you to be better prepared if changes occur
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Establishing a Program of In Situ Simulations
Say:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simu…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - change in patient condition, errors in dosing, etc.) will be caught by a check or team alert when they occur … misses and adverse events related to oxytocin use
Having a process in place to review inductions that occur