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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…
  2. www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
    January 01, 2024 - Errors and incident reports occurring before and after implementation were analyzed.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
    March 01, 2016 - where n addition to the symbols defined above, ˆˆk k k j je Xβ= the predicted probability of QI k occurring
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
    March 01, 2016 - where in addition to the symbols defined above, ˆˆk k k j je Xβ= the predicted probability of QI k occurring
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization: Staff Frequently Asked Questions Safety & Side Effects This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols. The…
  6. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
    August 01, 2025 - CDC has investigated this practice using CMS data and can confirm that this testing is occurring, and
  7. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
    March 01, 2017 - Facilitator Notes SAY: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective communication to improve the resident safety culture in their facility. SLIDE 1 SAY: In this module we will— · Describe effective communicati…
  8. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
    July 25, 2023 - research division within the Joint Commission published a summary of health care worker violent deaths occurring … violence rate  Verbal abuse  No significant increase in prevalence 85% vs 80%  More frequently occurring … verbal abuse (which was already high), but there was a significant increase in frequency of verbal abuse occurring
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …
  11. www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
    December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet …
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
    December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 5: Response and Disclosure Communication In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. 1 Objectives Define the Response and Disclosure component of the CANDOR Proc…
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” Sl…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
    January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…
  16. www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
    January 01, 2024 - Hypothesis: The overall risk of a critical failure occurring within the chemotherapy medications process
  17. Candor-Impguide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
    April 01, 2016 - ■ Assess what is occurring in the organization’s legal community regarding medical litigation.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Nephrocalcinosis Nephrocalcinosis Characteristics ■ Renal lithiasis in which calcium deposits form in the renal parenchyma and result in reduced kidney function and hematuria. ■ Seen with renal ultrasound, or occasionally on plain radiographs of the kidneys. ■ Resul…
  19. www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
    July 01, 2018 - How to Use This Toolkit Public Health Emergency Preparedness Reopening a closed ("shuttered") hospital to expand surge capacity in an emergency requires significant planning. This Toolkit is a step-by-step guide to assist staff responsible for management, legal, facility, staffing, security, materials managem…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - The distribution of falls by time of day had two distinct peaks, with the most falls occurring between

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