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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - Evaluating goals and the implementation process to inform next steps, paying particular
attention to indicators … Provide linkers with general
literature/references re: falls risk
assessment and interventions; key
indicators … Consistently implemented 19 64
A guide to reevaluation of fall risk 55 57
Inclusive of sitters/safety … assessment (FRA) on admission (%) 94 100
Intervals of fall risk assessment defined as:
Q shift on all patients … 40 64
Q shift on at-risk patients 36 4
Other 24 32
Fall risk assessment tool
Internally developed
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - CUSP is associated with
improvements in patient safety, clinical outcomes, and safety culture.10-13 … in patients with urinary tract infection
Engaging Patients and Families
In the event that a patient … /quality-patient-safety/hais/tools/cauti-hospitals/toolkit-impl.html
Appendix K. … in
patient safety culture over time and evaluate the impact of patient safety interventions. … /quality-patient-safety/hais/tools/cauti-hospitals/toolkit-impl.html
REFERENCES
1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - CUSP is associated with
improvements in patient safety, clinical outcomes, and safety culture.10-13 … in patients with urinary tract infection
Engaging Patients and Families
In the event that a patient … /quality-patient-safety/hais/tools/cauti-hospitals/toolkit-impl.html
Appendix K. … in
patient safety culture over time and evaluate the impact of patient safety interventions. … /quality-patient-safety/hais/tools/cauti-hospitals/toolkit-impl.html
REFERENCES
1.
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www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
April 01, 2025 - A supporting-our-community website was developed with healthcare system partners to offer patients … support, and shared decision making during postpartum care. 4 The videos are available on the Postnatal Safety … Hospital Discharge Transition Change Package , providing evidence-based strategies to improve postnatal safety … quality indicators for postpartum care. 3 The project’s findings informed international maternal health … Patient Safety Learning Labs: effective collaborations for enhanced patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment … Worksheet for Pressure Ulcer Healing 1
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer … Pressure Ulcer Healing
Communication Practices
Agency for Healthcare Research and Quality Safety … stage is updated:
Daily
Weekly
Every 2 weeks
Monthly
Quarterly
Individual
Patient … repositioning procedures
Treatment changes per frequency designated by protocol or provider
Indicators
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave4.html
July 01, 2025 - hospital data, it might latch onto contextual clues—like a patient’s hospital unit—instead of physiologic indicators … the ICU, the model may associate ICU admission with high sepsis risk and underestimate the risk for patients … found to introduce errors in 70 percent of generated clinical notes. 43 AI-generated responses to patient
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www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
January 01, 2024 - The patient engagement
intervention raised the rate of patients obtaining MTM services. … The TIP algorithms can
address drug safety, cost issues, and nonadherence. … focus onto these indicators.
8
Although we included some of the Star rating indicators as our outcomes … the study design and methods, they also had to adjust their MTM
program to meet CMS requirements and client … This was in response to a request by their client drug plans who participated in this study.
11
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
April 01, 2022 - Most EHRs have the capacity to create columns on the patient list that identifies patients with central … care roundsoDaily safety huddlesoChecklistsoLeverage EMR for patient list and date of central lineoDaily … care rounds
Daily safety huddles
Checklists
Leverage EMR for patient list and date of central line
Daily … You can create columns on the patient list that identifies patients with central li8nes and how long … Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - Does my patient understand what to expect and the followup plan? … Does my patient understand what to expect and the followup plan? … Discussion Guide to help your practice develop a standardized approach to the diagnosis and management of patients … Patient Handout: The patient handout explains the symptoms and symptomatic treatment of acute otitis … Cranial indicators identified for peak incidence of otitis media.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - to Measure Outcomes
Baseline Data on Indicators- Where Are We Today? … Safety Committee Rounds:
Included how many patients have urinary catheters
What is the plan for … Slide 67
Reporting
Scorecard – Zero CAUTI is goal
Critical Care Committee
Patient Safety … Slide 77
Integrate & Coordinate With Other Efforts
Images: Logos of other patient safety programs … the Learning from Defects tool (Goal: >2)
Number of patient safety improvement plans currently in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and
Reviewing Results … /professionals/quality-patient-safety/cusp/index.html
http://www.ahrq.gov/professionals/quality-patient-safety … CAUTI rates are one of the most important
indicators of how changes in practices and processes are impacting … systems to
reduce catheter-associated urinary tract infections
and urinary catheter use in hospitalized patients … The Ann Arbor
criteria for appropriate urinary catheter use in
hospitalized medical patients: results
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - risks to sustaining your efforts with Premortem Tool
Design a scorecard with adaptive and technical indicators … North Carolina Center for Hospital Quality and Patient Safety. … Secure time and resources
Formalize job responsibilities for patient safety improvement work
Dedicate … Continue updating staff on patient safety activities
Continue collaborative activities
Revisit the … Patients
References
North Carolina Center for Hospital Quality and Patient Safety.
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www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
July 01, 2018 - According to interviewees, some programs use patient surveys to collect information on the patients' … Patient surveys often are expensive, but relying on patients' responses to their coaches raises the potential … , the indicators used did not conceptually link to the aims of the program as described in the articles … The authors recommended that selection of evaluation indicators be based on their expected sensitivity … improved disease control, indicators should be ones that might plausibly be expected to be influenced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - many comprehensive patient safety
initiatives. … safety reporting systems on analyzing injury hospitalizations and patients’
experiences (e.g., the … The VHA is a leader in patient safety research and intervention
Advances in Patient Safety: Vol. … State injury
indicators report, 2nd edition—1999 data. … Patient Safety
Committee. Patient safety efforts should focus on
errors.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 01, 2020 - =28) 21 1 31 14 6 Same
Patient Safety (n=42) Person-Centered Care (n=21) Effective Treatment (n=82) … Healthy Living (n=75) Access (n=28) 13 17 38 56 16 Worse
Patient Safety (n=42) Person-Centered Care … Patient Safety measures: Disparities between males and females were improving for 7% of the measures, … =25) 2 6 1 3 No Change
Patient Safety (n=30) Person-Centered Care (n=21) Effective Treatment (n=64) … Importance: Patient-centered care is supported by good provider-patient communication so that patients
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
March 01, 2016 - We tried to pick indicators that really reinforced the team, including the indicators on staff courtesy … They are certainly the indicators on provider communication. … implemented as part of a patience experience improvement plan will also help really improve quality,
safety … We pick usually three indicators. … The Blue Shield of California reported that in the safety net environment 60% of the patients would be
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - Recommendations for fall risk assessment
Screen all patients on admission for probable indicators … These patients and—in fact—all patients, require
environmental safety interventions designed to prevent … Patient education about these risks and
safety precautions to reduce risk are essential for these patients … Joint Commission. 2008 National patient safety goals:
Hospital program. … National Center on
Patient Safety toolkit: Falls policy.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/emerging/emerging.doc
January 01, 2001 - Online Resources:
For more information on CAHPS®, go to: http://www.ahrq.gov/professionals/quality-patient-safety … measure2.html
For more information on AHRQ QIs, go to: http://www.ahrq.gov/professionals/quality-patient-safety … measures/measure3.html
For more information on HEDIS®, go to: http://www.ahrq.gov/professionals/quality-patient-safety … information on Title V Maternal and Child Health Programs, go to: http://www.ahrq.gov/professionals/quality-patient-safety … Online Resources:
For more information on CAHMI, go to: http://www.ahrq.gov/professionals/quality-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - This tracking of key indicators is critical to improving prevention practices in this hospital. … Use of the National Database of Nursing Quality Indicators (NDNQI) is recommended when measuring pressure … experience
· Financial information
· Safety and quality
Pressure injuries fall under safety and quality … It shows trended data specific to the unit for the quality indicators measured and monitored. … Have him/her go through each of the key indicators on the tool.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - quarterly, with results reported as
a part of the routine process for departmental reporting of quality indicators … On review of data obtained from the CHB Safety Events Reporting
System, adverse event rates in FY 2005 … • One patient population monitored closely is the pediatric patient transitioning to adolescence. … Limitations
This descriptive paper cannot provide definitive evidence for improved safety; that will … safety.