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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
April 01, 2025 - The purpose of learning from defects is to investigate why systems failed when a defect occurs and to
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - Conceptual framework guides
observation, but data parsing occurs at
the time of observation, not after
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www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Being colonized with bacteria requiring
contact isolation occurs primarily in the medically complex
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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/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - non-routine event approach for
the early detection of risks to patient safety before serious patient harm occurs
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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…
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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet3.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 3. Structure of Learning Network
Previous Page Next Page
Table of Contents
Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 1. Introduction
Chapter 2. Project Description
Chapte…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
December 01, 2017 - It also asks which staff members are invited, who leads the meeting, and how often it occurs. … 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/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - conscientious,
and vigilant personnel, and by seeking to repair damage honestly and respectfully when it occurs … That is, the immediate environment in which care occurs—the operating room, the emergency
department … identification (probably excessively so) of patient safety with RCA is a result of heightened
attention that occurs
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
On-Time Falls High-Risk Report .
Quarterly Summar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report
Title: Effects of Extended Work Hours on ICU Patient Safety
Principal Investigator: Charles A. Czeisler, Ph.D., M.D.
Organization: Brigham and Women's Hospital
Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
June 02, 2025 - It
also asks which staff members are invited, who leads the
meeting, and how often it occurs. … plans;
Discuss care changes that are needed; and
Investigate root causes when an adverse event occurs
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
August 01, 2022 - first stage is initiated when a health care consumer who has experienced a patient safety event (which occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
January 01, 2017 - Data Measures Guide
AHRQ Safety Program for
Mechanically Ventilated Patients
Data Measures Guide
AHRQ Pub. No. 16(17)-0018-6-EF
January 2017
Data Measures Guide
Introduction ....................................................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - What happens if a problem occurs?
o Where does the process typically occur? … • o How much, if any, down time occurs? … What happens if a problem occurs?
o Where does the process typically occur? … • o How much, if any, down time occurs?
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www.ahrq.gov/prevention/resources/vision/resources/vision2.html
October 01, 2002 - Destruction of the retinal nerve occurs when fluid leaks into the choroid and forms scar tissue. … remains to be substantiated with evidence. 42
Entry into the system for vision rehabilitation often occurs
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
July 01, 2018 - Timeframe: As soon as the catastrophic event occurs, planned arrangements for the surge facility should … Timeframe: As soon as the catastrophic event occurs, planned arrangements for the surge facility should