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  1. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 2. Talking With Residents’ Family Members—short checklist version  What are antibiotics? • Antibiotics are medicines that fight infections caused by bacteria. Antibiot…
  2. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
    October 01, 2016 - Tool 2. Talking With Residents’ Family Members—short checklist version · What are antibiotics? Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria. · How do people get bacterial infections? Normally, your immune system helps control the bacteria…
  3. www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
    October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries Search All Impact Case Studies April 2008 Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Conclusion Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Distributed Cognition Nurs…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
    July 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable Hospital and ED Visits Reports Note: This part of the training consists of interactive exercises and does not have any associated slides. Introduction Say: Yesterday you were introduced to the compon…
  6. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
    July 01, 2023 - Sample Scenario for Uterine Tachysystole In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Uterine Tachysystole In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the …
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
    December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prep…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
    December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prepare to leave the hospital. A Health Coach h…
  9. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Say: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communicat…
  10. www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
    January 01, 2024 - information (active ingredient and warnings) were found significantly faster (both p<0.001) when the change occurred … Furthermore, changes to warnings were found more quickly (p<0.001) when they occurred in an FOP warning … label than when they occurred in the DFL. … differentiate appropriate from inappropriate drugs; the same pattern of reduced appropriate judgements occurred
  11. www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - reason is duplicate doses administered by two different caregivers.10 In children with leukemia, errors occurred … Two physicians independently determined if an error occurred and its severity (clinically trivial, potential … Inter-rater reliability was calculated using percent agreement on whether an incorrect process occurred … All four errors with harm were separate incidents that occurred for two patients with comorbid mental
  12. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
    January 17, 2025 - Workgroup Summary: The latest Workgroup meeting occurred virtually on October 4, 2024, and was attended
  13. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - in hemoglobin while on anticoagulation can spur chart review to determine if an adverse drug event occurred … agents, change in level of care, or blood transfusions, lead to further analysis to determine if an ADE occurred
  14. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
    September 01, 2013 - Patient Family Engagement PowerPoint Content and Alternate Text CUSP Toolkit The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed …
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action ED-to-Hospital Transitions Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action I…
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Recommendations and Areas for Future Research Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The The…
  17. www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
    July 01, 2018 - Understand the Science of Safety Presentation Slides The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …
  18. Puh-Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
    April 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressure Ulcer Assess…
  19. www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - Medicine,1 and the other by Singh18), as follows: Diagnostic safety event: one or both of the following occurred … event reporting for 5 cases of diagnostic safety events that were familiar to them (e.g., events that occurred
  20. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
    March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction. Culture influences how change can occur. T Team Formation The most effective…

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