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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - It also asks which staff members are invited, who leads the meeting, and how often it occurs. … care plans;
Discuss care changes that are needed; and
Investigate root causes when an adverse event occurs
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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-Miller_93.pdf
March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes
Evaluation of Medications Removed from Automated
Dispensing Machines Using the Override Function
Leading to Multiple System Changes
Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Finally, admission occurs early in a patient’s hospital course, when patients may be medically unstable
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www.ahrq.gov/hai/tools/mvp/modules/vae/objective-outcome-tool.html
January 01, 2017 - Objective Outcomes Data Collection Tool
AHRQ Safety Program for Mechanically Ventilated Patients
Hospital ___________ Unit___________ Month ___________
Please record the following occurrences for all patients in your unit within the selected month.
________ Total…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - It also asks which staff members are invited, who leads the meeting, and how often it occurs.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
April 01, 2022 - ICUs: Preventing CLABSI and CAUTI
Using Data ׀ 15
Integrating Data Into Quality Work
Where learning occurs
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - Cumulative ionizing radiation exposure, especially when first exposure occurs in infancy, places children
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - All too often we assume that patient harm occurs because of inexperience, lack of supervision, or bad
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
February 01, 2017 - Measure Descriptions for Daily Early Mobility: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Measure Descriptions for Daily Early Mobility
Say:
In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measure…
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www.ahrq.gov/nursing-home/resources/how-to-prepare-for-surge.html
June 01, 2022 - How To Prepare Your Facility for a Surge
Resource: How To Prepare Your Facility for a Surge
This course is free and is designed to meet the critical staff shortages occurring as a result of COVID-19. Completion of this training is intended to prepare facilities to develop, manage, and maintain a surge plan…
-
www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - A medication error is a preventable event that
occurs in the process of ordering, processing, or administering
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www.ahrq.gov/hai/cusp/videos/05h-why-did-happen/index.html
June 01, 2018 - Why Did It Happen?
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Apply CUSP To Find Out W…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Text-Descrip-PCPI-eSpec.pdf
January 01, 2012 - )
Definition: The group of
patients in the
denominator for whom
a process or outcome of
care occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - Are staff empowered to stop the procedure if violation occurs?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - The framework addresses four important attributes of a handover: (1) the type
of process in which it occurs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - All beta-
hemolytic streptococci are penicillin susceptible;
however, clindamycin resistance occurs … Slide 19
The Four Moments of Antibiotic Decision
Making
SAY:
Moment 3 occurs after a day
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Hospital ___________ Unit___________ Month ___________
Please record the following occurrences for all patients in your unit within the selected month.
________
Total number of patients on mechanical ventilation
________
Total number of episodes of mechani…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.docx
March 01, 2022 - FAQs (Staff): Safety and Side Effects: CHG and Mupirocin
Decolonization of
Non-ICU Patients With Devices
Section 14-6 – Addressing Questions Asked by Staff:
Safety and Side Effects of
Chlorhexidine and Mupirocin
This hospital will be using chlorhexidine gluconate (CHG) and nasal mupirocin to reduce bacteria that c…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
November 01, 2019 - Aspiration Pneumonitis/Pneumonia
Diagnosis
• Aspiration pneumonitis is an abrupt chemical injury caused by inhalation of sterile gastric
contents.
o It can progress quickly to a decline in respiratory status followed by rapid improvement
within 48 hours of the insult.
o Chest x rays appear similar to multi…
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www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians
1. TITLE PAGE
Title: Developing and Training Interruption Management Strategies for Emergency Physicians
Principal Investigator: Raj M. Ratwani, PhD
Co-investigators: Zach Hettinger, MD, MS; Allan Fong, MS; T…