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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…
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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…
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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
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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…
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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
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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…
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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…
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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…
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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
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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…
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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…
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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.,…
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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…
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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 …
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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 …
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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…
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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
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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…
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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…
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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…