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441. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 www.…

442. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - reduction in the rate of serious potential safety risk events where potential or actual harm could occur

443. Meeting Minutes, May 2022 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
     August 01, 2022 - Bitton stated that the next NAC meeting will occur on Thursday, July 21, 2022.

444. National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
     January 01, 2022 - Bitton stated that the next NAC meeting will occur on Thursday, July 21, 2022.

445. Saworksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
     April 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Healing 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Self-Assessment Worksheet for Pressure Ulcer Healing This self-assessment tool is an im…

446. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
     March 01, 2016 - Different types of errors may occur with different frequencies in any clinical report depending on the … However errors that occur in fewer than 10 percent of data rows in a report may be difficult to detect … “Inclusion errors” occur when patients appear in the report with erroneous information. … “Exclusion errors” occur when patients and their data are missing from the report.

447. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
     August 01, 2022 - Event Investigation and Analysis Guide: Appendix E Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred on (insert date) involving (brief description of event). On behalf of (insert executive sponsor name), we are asking you to participate in our upcoming …

448. Implement Teamwork and Communication Alternative Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
     April 01, 2013 - Implement Teamwork and Communication Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Teamwork and Collaboration” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient sa…

449. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Past Research on Patient Perceptions of Safety and Diagnostic Mishaps Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remedia…

450. Implement Teamwork and Communication | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
     December 01, 2012 - Implement Teamwork and Communication CUSP Toolkit The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4. Four…

451. Optimizing Environmental Cleaning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
     October 01, 2024 - If a reduction does occur, how much of that is attributable to the use of UV-C technology? … If a reduction does occur, how much of that is attributable to the use of HPV?

452. Patient-Centered Outcomes Research Trust Fund Training Program Evaluation Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tp-evaluation-report.html
     August 01, 2024 - Patient-Centered Outcomes Research Trust Fund Training Program Evaluation Report The Patient Protection and Affordable Care Act of 2010 authorized AHRQ to develop the skills of researchers to build capacity for future comparative effectiveness research (CER). With support from the Patient-Centered O…

453. Program Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
     January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Program Implementation Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Executive Summary Report Organization Program Implementation Program Impact What We…

454. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
     April 02, 2025 - 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

455. Appendix C: VTE Measurement and Tracking | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
     May 01, 2016 - Finally, if harm did occur in the presence of an anticoagulant, undertake a review to determine if the … Since bleeding events can occur in the absence of anticoagulation, attributing the bleeding event to

456. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
     www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
     March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD; John Brehm, MD; David Lomely, BA. Abstract Prevention of patient falls i…

457. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/criteria.html
     December 01, 2019 - AHRQ Impact Case Studies Criteria AHRQ Impact Case Studies provide evidence of how AHRQ-funded projects impact health care outcomes, quality, cost, use, and access. Each Impact Case Study demonstrates how AHRQ-funded resources are actually being used to improve the health care system. Impact Case Studies are …

458. 5 Tk2 P2T7-Checklist For Identifying Nursing Home Specific Antibiogram Modifications Phase 2 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.doc
     May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2 Checklist for Identifying Nursing Home Specific Antibiogram Modifications Wide variation occurs in the format of the antibiogram data provided by laboratories. The format can range from a report that is ready for use by the nursing home with only minor editing to a series of …

459. Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-4.html
     July 01, 2022 - Staff communication may need to occur through a variety of channels such as Emails, brief announcements

460. Board Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
     July 01, 2023 - Board Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork c…