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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/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Implementation of medication reconciliation and management processes is now occurring in all medical
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
    March 28, 2008 - (clinical) administrative data, having a patient’s A1c ≤7.9 percent does not prevent an error from occurring
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time - - Slide AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training: Overview of On-Time T…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
    June 02, 2025 - Abt Single-Sided Body Template On-Time Falls Prevention: Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: · On-Time Falls High-Risk Report. · Quarterly Summary of Falls Risk Facto…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Overview Slide 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 pre…
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
    November 01, 2017 - see there are lots of falls at a certain time of day, perhaps we need to examine activities that are occurring
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
    June 02, 2025 - Adolescent Depression Remission/Response Measure Description Adolescent Depression Remission/Response Measure Description Percentage of patients 12 to 17 years of age with the diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-A score greater than 9 who achieved remission or response withi…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
    June 02, 2025 - Prologue: Technology and Medication Safety Prologue Technology and Medication Safety Mary L. Grady, BS This volume comprises papers devoted to the development and use of technology— principally health information technology (health IT)—and strategies to enhance medication safety, both of which are critical …
  9. www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/learning-tools.html
    February 01, 2025 - CLABSI and CAUTI Learning Tools This step identifies two types of tools that can be revisited any time a central line-associated bloodstream infection (CLABSI) or catheter-associated urinary tract infection (CAUTI) occurs on your unit. They both support a thorough review of the event to identify and address the…
  10. www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes FINAL PROGRESS REPORT Incident Reporting Practices in Nursing Homes PI: Nicholas G. Castle, Ph.D.1 1. University of Pittsburgh A610 Crabtree Hall Graduate School of Public Health 130 DeSoto Street, Pittsburgh, PA 15261 Telephone: (412) 383-7…
  11. Facapplycusp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
    June 02, 2025 - and Sensemaking tools to identify defects and discuss ways to prevent these and other defects from occurring
  12. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/double-mastectomy.pdf
    February 01, 2016 - AHRQ Mastectomy SB Infographic v15 As this infographic shows, the rate of double mastectomies per 100,000 women more than tripled between 2005 and 2013. Mastectomies overall – both single and double mastectomies – increased 36 percent during that period. The rise in mastectomies occurred despite breast cancer…
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2023 - Summary An “adverse event” (AE) is defined as harm to a patient as a result of medical care or occurring … While the QSRS was designed to capture the vast majority of AEs occurring during inpatient hospitalizations
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises4.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Weight Summary Report Information Exercises Objective: Facilitators will understand criteria and rules that determine information that displays on the Weight Summary Report. Ex…
  15. www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
    February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients Say: Today, we will give you an overview of the…
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 3. Data Collection and Analysis Using TRIPS Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Prog…
  17. www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
    January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System Evaluate the Effects of the Massachusetts Reporting System Principal Investigator: Nancy Ridley, M.S. Associate Commissioner, Massachusetts Department of Public Health Co-Investigators (alphabetically): Paul Dreyer, Ph.D. Massachuset…
  18. www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - record, sharing problems, medications, and allergies with that system as well as logging all activity occurring … and/or research assistant to perform a manual count of one random week of actual prescription types occurring
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
    June 02, 2025 - there are lots of falls at a certain time of day, perhaps we need to examine activities that are occurring
  20. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
    February 02, 2012 - Co-occurring mental disorders— of people with ADHD, what percent- age has 1 or more of the following … co-occurring conditions: sleep dis- orders, learning disabilities, de- pression, anxiety, conduct disorder … were missed and to strongly consider substance use, de- pression, and anxiety as alternative or co-occurring … treatment of ADHDmight resolve oppo- sitional defiant disorder or anxiety.68 However, sometimes the co-occurring … appro- priate diagnostic criteria and proce- dures required to establish a diagno- sis, identify co-occurring

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