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3721. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/4.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.4. Trigger Summary Report: Resident Level 3.4.1. Report Description There are two Trigger Summary Reports. Each report uses the s…

3722. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
      October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Session 1 Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Introduction Cas…

3723. Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
      June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention…

3724. Implementation Steps and Timeline | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
      January 01, 2017 - Implementation Steps and Timeline AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical interven…

3725. CDS Connect Work Group June 2021 Summary (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
      January 01, 2021 - CDS Connect Work Group June 2021 Summary CDS (Clinical Decision Support) Connect Work Group Meeting Summary June 17, 2021 3:00-4:00 pm ET Attendees: 41 people, including 3 phone dial-ins Organization Attendee Names AHRQ Sponsors Edwin Lomotan; Mario Teran; Roland Gamache; Steve Bernstein (4) Work Group…

3726. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
      June 02, 2025 - PowerPoint Presentation Warm Handoff Plus AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Fami…

3727. Warm Handoff Plus (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
      June 02, 2025 - Warm Handoff Plus Warm Handoff Plus AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Pr…

3728. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
      July 01, 2023 - Patient and Family Engagement for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Patient and Family Engagement for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learnin objectives: Explore the role of p…

3729. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/timeline.html
      June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Implementation Materials: Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input in…

3730. Probability and the Diagnostic Pathway | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
      September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Probability and the Diagnostic Pathway Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the…

3731. Puh-Impsteps (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. We created the Implementation…

3732. Final Progress Report: Reducing Harm to Patients from Diagnostic Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
      January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing Harm to Patients from Diagnostic Errors Eta S. Berner, EdD, Principal Investigator Team Members: Marcie H. Battles, MS, Project Assistant Mark L. Graber, MD, Consultant Gordon D. Schiff, MD, Consultant Pat …

3733. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
      January 01, 2014 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation (Slide Presentation) This slide presentation was presented at a webinar on July 15, 2013. Presenter: Jeffrey Smith, PhD(c) Discussant: Cheryl …

3734. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
      March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1 The Five Principles of Effective Primary Care-Based Care Coordination fo…

3735. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
      May 31, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4l Selected Best Practices and Suggestions for Improvement PSI 15: Accidental Puncture or Laceration Why Focus on Accidental Puncture and Laceration? • A…

3736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33585/psn-pdf
      March 15, 2025 - Radiation Safety March 15, 2025 Radiation Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/radiation-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2025…

3737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33641/psn-pdf
      November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again November 1, 2006 Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again Perspective Certain phrases ar…

3738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49460/psn-pdf
      September 01, 2004 - Security Lapse September 1, 2004 Mason D. Security Lapse. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/security-lapse The Case A medical student learned that the hospital's radiology image library was accessible throughout the university's computer system, meaning that patient x-rays could be viewed in d…

3739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33753/psn-pdf
      August 22, 2013 - Update on Safety Culture August 22, 2013 Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/update-safety-culture Perspective Safe and reliable care requires a culture of safety: a collaborative environment in which skilled clinicians treat each other with r…

3740. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
      April 30, 2024 - Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign Project Final Report ( PDF , 307.77 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repre…