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761. 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…

762. 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

763. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
     March 27, 2008 - These events occur for a variety of reasons, such as poorly designed systems, inadequate training, communication … One study estimated that 1,200 to 2,700 events occur annually in the United States.20 Based on a review … Increasingly complex and invasive procedures now occur routinely in other settings, particularly imaging

764. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
     August 01, 2022 - Event Investigation and Analysis Guide: Appendix C Visual Model The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…

765. 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

766. 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…

767. 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

768. 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

769. HAC National Scorecard 2014-16 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
     January 01, 2014 - HAC National Scorecard 2014-16 8,000 Inpatient Deaths Averted 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 H…

770. Recruitment Process Diagram Northwest (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
     June 19, 2015 - Recruitment Process Diagram Northwest Draft H2N Recruitment Process Flow June 19, 2015 Practice completes interest form Interest form is received in H2N email box Recruiter sends an email to practice scheduling time for a phone conversation, provides some additional information about H2N via email…

771. 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…

772. 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…

773. 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

774. Cover slide
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
     May 01, 2013 - education Organizations should be prepared to respond and communicate proactively when adverse events occur

775. 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 …

776. 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

777. 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

778. AHRQ Mastectomy SB Infographic v15 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/double-mastectomy.pdf
     February 01, 2016 - AHRQ Mastectomy SB Infographic v15 As this infographic shows, the rate of double mastectomies per 100,000 women more than tripled between 2005 and 2013. Mastectomies overall – both single and double mastectomies – increased 36 percent during that period. The rise in mastectomies occurred despite breast cancer…

779. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 01, 2017 - Errors also occur because systems frequently are not designed to catch mistakes before they reach the

780. Chapter 3. Data Collection and Analysis Using TRIPS | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
     December 01, 2017 - Such details as location, time and activity may reveal that a large percentage of falls occur in one