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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
    February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Functional Specifications Current a…
  2. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Epidemiology of Invasive Devices and Complications Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devic…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
    June 02, 2025 - see there are lots of falls at a certain time of day, perhaps we need to examine activities that are occurring
  4. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
    July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
    March 01, 2017 - Data from older studies estimate between 1 million to 3 million infections may be occurring in U.S. nursing
  6. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix C Visual Model The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…
  7. www.ahrq.gov/nhguide/about/index.html
    November 01, 2024 - About the Nursing Home Antimicrobial Stewardship Guide What Is the Nursing Home Antimicrobial Stewardship Guide? The Nursing Home Antimicrobial Stewardship Guide (the Guide) provides toolkits to help nursing homes optimize their use of antibiotics. This page provides information about antimicrobial stewardshi…
  8. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
    November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-00…
  9. www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
    January 01, 2024 - We conducted this work in two acute care units and the pediatric intensive care unit, with sessions occurring
  10. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
    June 19, 2015 - Recruitment Process Diagram Northwest Draft H2N Recruitment Process Flow June 19, 2015 Practice completes interest form Interest form is received in H2N email box Recruiter sends an email to practice scheduling time for a phone conversation, provides some additional information about H2N via email…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dy…
  12. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
    August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos U N C H E A L T H C A R E S Y S T E M U N C H E A L T H C A R E Culture of Safety Improvement Project UNC Medical Center 29 U N C H …
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Self-Assessment Worksheet Section 1: Screening for Pressure Ulcer Risk Section 2: Pressure Ulcer Prevention Plan Section 3: Communication Practices Section 4: Investigations/Root Cause …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
    May 01, 2013 - Cover slide Explore the role of patient and family advisors Describe how to work with patients and family advisors Present tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse event to a patient and family members Learning Objectives The Patient’s Hos…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
    January 01, 2004 - which have been used in the nursing literature.11, 15, 16, 17 Failure to rescue is defined as death occurring … There may be many more preventable patient safety events (as well as near misses) that are occurring
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Importance of MRSA Prevention ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Importance of MRSA Prevention SAY: Welcome to this presentation on the Importance of Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. This presentation will ou…
  19. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
    January 01, 2014 - HAC National Scorecard 2014-16 8,000 Inpatient Deaths Averted HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report “National Scorecard on Rates of H…
  20. www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/playbook.html
    February 01, 2025 - Playbook for Preventing CLABSI and CAUTI in the ICU Setting The playbook helps your intensive care unit (ICU) understand how to integrate the Comprehensive Unit-based Safety Program (CUSP) and the tiered interventions introduced in the central line-associated bloodstream infection (CLABSI) and catheter-associat…

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