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1181. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
      January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance AHRQ Grant Final Progress Report Title of Project: Analysis of Factors Associated with Clinical Checklist Compliance Principal Investigator: Aleksandra Sarcevic, PhD Associate Professor, College of Computing and Informatics, D…

1182. Teamworknotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
      June 02, 2025 - Slide 34 SAY: Situational awareness occurs when members of the team have a grasp of what is happening

1183. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
      April 01, 2022 - Defects Tools This section of the implementation guide can be revisited any time a CLABSI or CAUTI occurs

1184. Session 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
      October 01, 2014 - Module 3: Falls Prevention and Management Session 2 Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources Limiting Falls that Cause Inju…

1185. USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
      April 01, 2021 - USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities Introduction This user guide provides step-by-step instructions for nursing home staff to use the Hand Hygien…

1186. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
      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.,…

1187. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - and the use of safety design concepts to prevent or minimize errors by detecting them before harm occurs

1188. Guide Promotional Postcard (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
      April 01, 2018 - Guide Promotional Postcard Did you know...Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event An estimated …

1189. Monitoring for Perinatal Safety: Electronic Fetal Monitoring | Agency for Healthcare Research and Quality
      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…

1190. University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
      October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries Search All Impact Case Studies April 2008 Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…

1191. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
      October 01, 2016 - Tool 2. Talking With Residents’ Family Members—short checklist version · What are antibiotics? Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria. · How do people get bacterial infections? Normally, your immune system helps control the bacteria…

1192. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 2. Talking With Residents’ Family Members—short checklist version  What are antibiotics? • Antibiotics are medicines that fight infections caused by bacteria. Antibiot…

1193. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
      March 26, 2008 - and preventable ADEs, 51 percent occurred during the administration stage.15 Because administration occurs

1194. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
      November 01, 2017 - in care plans, and Carry out investigations, including root cause analysis, when an injurious fall occurs … For every meeting that occurs at your facility, indicate the type of meeting, the meeting leader, staff

1195. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
      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…

1196. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
      August 01, 2022 - Gap Analysis Facilitator's Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes: Identifying the existing process. Identifying the existing outcome(s). Ide…

1197. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
      December 01, 2004 - If an error occurs in a process in the hospital, the adverse event is likely to occur in the hospital … This is not the case in ambulatory care, where an error that occurs in the practice setting may result

1198. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
      January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…

1199. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos (pdf file)
      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 …

1200. Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
      April 01, 2022 - Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUT…