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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - care plans Engage in discussions about care changes Investigate the root cause when an adverse event occurs
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
    December 01, 2017 - Investigate the root cause when an adverse event occurs.
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
    October 01, 2017 - Investigate the root cause when an adverse event occurs.
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
    September 01, 2017 - Investigate the root cause when an adverse event occurs.
  5. www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…
  6. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
    January 01, 2010 - and critical application Moral agency Drive to act Environmental Context in which decision making occurs … beneficence and non-maleficence Putting systems in place Environmental: Context in which decision making occurs
  8. Scisafetynotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    June 02, 2025 - accidental breach in protocol will be caught by a check or team alert when the break in policy or procedure occurs
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - • Postoperative wound dehiscence occurs in up to 3% of abdominal surgeries, and is associated with significant
  10. www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
    February 01, 2017 - All too often we assume that patient harm occurs because of inexperience, lack of supervision, or bad
  11. www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
    April 01, 2018 - Clinicians, and ALL Other Staff) This section asks about how the colorectal cancer screening process occurs
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
    January 01, 2012 - If no major toxicity occurs, dose may be escalated every 6 to 8 weeks until the desired endpoints are
  13. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - accidental breach in protocol will be caught by a check or team alert when the break in policy or procedure occurs
  14. www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
    January 01, 2024 - important point in a physician’s career to ingrain a knowledge and use of learning-oriented practices occurs … offered less-than-ideal opportunities for real- time (i.e., at the moment the mistake or near miss occurs
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
    October 01, 2017 - Investigate the root cause when an adverse event occurs.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - Investigate the root cause when an adverse event occurs.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Our preliminary results show that variation within a shift and across shifts occurs for specific risk
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - Investigate the root cause when an adverse event occurs.
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - accidental breach in protocol will be caught by a check or team alert when the break in policy or procedure occurs
  20. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix G. Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. …

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