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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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 …
  6. 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…
  7. 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…
  8. 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…
  9. 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 #…
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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:
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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…
  20. 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

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