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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
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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
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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…
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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…
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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…
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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
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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…
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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 …
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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…
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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…
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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
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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…
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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
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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…
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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…
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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…
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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…
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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
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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
-
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