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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - Examples include contractions lasting 2 minutes or more, contractions of normal duration occurring within … over a 30-minute window)
· contractions lasting 2 minutes or more
· contractions of normal duration occurring
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www.ahrq.gov/es/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
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - Reporting systems will need to be flexible regarding analysis and other
activities occurring at local … goals for consumer reporting systems.
27
flexible regarding analysis and other activities occurring … As such, consumers may be able to provide
much more information on events occurring during transitions … vigilant health care professionals and systems will
attempt to both prevent patient safety events from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - Reporting systems will need to be flexible regarding analysis and other
activities occurring at local … goals for consumer reporting systems.
27
flexible regarding analysis and other activities occurring … As such, consumers may be able to provide
much more information on events occurring during transitions … vigilant health care professionals and systems will
attempt to both prevent patient safety events from occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes
On-Time Pressure Ulcer Healing Facilitator Training
Overview of On-Time
Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4c
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on reta…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4q
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on retained forei…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Nursing Home's Pressure Ulcer Prevention Implementation
Scripted Exercise #…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - b) communicate that
explanation to the patient.”5 Even a conservative estimate of diagnostic error occurring
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - b) communicate that
explanation to the patient.”5 Even a conservative estimate of diagnostic error occurring
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www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
April 01, 2013 - list three to four ways in which communication could be improved to reduce the risk of similar defects occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b5_pdi_assessingtrendscomparators.pdf
March 20, 2016 - multiple time periods, and then plot those rates on graphs to identify any changes in
rates that may be occurring
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part1.html
December 01, 2018 - Some of the most frequently occurring conditions among older non-Hispanic Blacks in 2011-2013 were:
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure2.html
June 01, 2018 - disorders are less likely to care for their chronic medical conditions and have worse outcomes of co-occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b5_combo_assessingtrendscomparators.pdf
March 20, 2016 - multiple time periods, and then plot those rates on graphs to identify any changes in rates that
may be occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - In particular, we focus on the most frequently occurring transitions—shift change
signovers and handoffs—and
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www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
January 01, 2024 - Is stagnation occurring due to lack of leadership attention to
safety (healthcare reform has distracted
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Why Should Your Practice Focus on Imp…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring … you do not want to happen again
Tools help teams identify defects and identify ways to keep them from occurring