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361. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
     September 01, 2013 - ICU bloodstream infection rates should be obtained from positive blood cultures occurring more than 2 … than with chlorhexidine alone. 19,20 Even among hospitals where ICU screening for MRSA is currently occurring

362. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - may still face the same limitation of differentiating between falls leading to an admission and falls occurring … from the total number of live births, overall mortality rate, and percentage of maternal mortality occurring

363. What Exactly Is Patient Safety? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - First, medical injury was acknowledged as occurring far more often than heretofore realized, with most

364. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - defects that the team can address, and helps teams design interventions that prevent the defects from occurring

365. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - Overview Slide AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training: Overview of On-Time This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they h…

366. Saworksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
     June 02, 2025 - On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if new clinical interventions are needed, and how they determine w…

367. TeamSTEPPS Team Leadership Module 2
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
     June 02, 2025 - TeamSTEPPS Team Leadership Module 2 Team Leadership Module 2 1 Understanding Teams and Team Structure 2 Objectives: Team Structure Team Leadership Understand the benefits of teamwork and clear team structure. Define a “team.” Identify the roles of patients and family caregivers within the care team. Desc…

368. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-discuss.html
     November 01, 2017 - been expanded beyond post-operative events to include any deep vein thrombosis or pulmonary embolism occurring

369. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - Conduct a 5 Whys analysis for a problem or error that is occurring repeatedly in their home or place … You can do this by asking speakers to give specific examples of when they’ve seen the event occurring

370. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
     January 01, 2024 - dosing errors in 15% of outpatient prescriptions. (7) Choice of incorrect drug is also a common error, occurring … frequencies of "screening alerts" that a pharmacist might experience if screening for LASA errors were occurring

371. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Learning From Defects in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…

372. Healthy Living: Infant Mortality | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
     September 01, 2015 - Chartbook on Women's Health Care Healthy Living: Infant Mortality Previous Page Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coo…

373. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/labels/describe.html
     January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure For some measures, it may be necessary to explain what the plan or provider can do to improve its performance. Providers are often concerned that they are being rated on measures over which they believe they have limited influence. When the public …

374. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - relating to medication errors Medication related errors are one of the most common types of errors occurring … in hospitals, occurring throughout the medication process from prescription to administration.

375. New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/949.html
     March 01, 2025 - New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care Issue Number 949 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. March 11, 2025 AHRQ Stats: Trends in MRSA Rates, 2016 to 2021 While the overall rate of adult inpatient stays with a diag…

376. Potential Measure Development Methodology | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas2.html
     October 01, 2020 - context of primary health care reform as described by multiple patient-centered medical home initiatives occurring

377. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
     November 01, 2019 - 4 VAP AHRQ Safety Program for Improving Antibiotic Use – Acute Care 4 VAP: pneumonia occurring 48

378. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care SAY: Welcome to this presentation titled “Improving Antibiotic Use Is a Patie…

379. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
     April 01, 2022 - Be proactive, not reactive; try to anticipate negative situations from occurring in the first place.

380. NICU Family Information Packet, Appendix B, Tracheostomies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Tracheostomies Tracheostomies Tracheostomy Basics ■ Indications: upper airway obstruction, long term ventilation, ease of pulmonary toilet, to protect the airway. ■ Tube selection based on: – Indication for tracheostomy. – Tracheal width/length/shape. – Upper a…