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461. Module 5: Resident and Family Engagement | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-slides.html
     March 01, 2017 - Surgical Care and Recovery Improving Your Laboratory Testing Process Mechanically Ventilated Patients … Toolkit MRSA Prevention Non-ICU Patients With Devices Reduce CAUTI in LTC Facilities … Patient and Family Engagement module, CUSP Toolkit . … Patient and Family Engagement module, CUSP Toolkit . … Patient and Family Engagement module, CUSP Toolkit .

462. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
     January 01, 2013 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … The goal of patient safety practices like fall prevention is to prevent additional harm to patients while … A safety huddle is a short, informal meeting to cover issues related to patient safety. … Some patients are placed in safety zone (semiprivate rooms with a patient care observer on duty; go to

463. Six Texas Hospitals Improve Care With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips87.html
     October 01, 2014 - Safety Research Publications & Products AHRQ Publishing … Safety Funding & Grants Notice of Funding Opportunities … safety, and assisting in the design and implementation of a single, shared medication history called … The facility also now gives a copy of this list to patients whenever it is updated, and patients are … The agency educated patients and caregivers to keep the medication lists in patients' homes and updated

464. Exhibit 3. Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh3.html
     April 01, 2018 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Safety Exhibit 3.

465. 2020 SOPS ASC Database Report Executive Summary Infographic (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc_2020_overview_infographic-v2.pdf
     January 01, 2020 - Survey on Patient Safety Culture (SOPS) Ambulatory Surgery Center (ASC) Database The ASC SOPS Database … Communication About Patient Information Communicat ion Openness Management Support for Patient Safety … Overall Patient Safety Rating 86% of respondents rated their ASC "Excellent" or "Very good" 53% … Action planning for improving patient safety culture (1) Define your goals (2) Plan your initiatives … provides step-by-step instructions on how to develop an action plan to improve patient safety culture

466. Exhibit 7. Example of an AND gate | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh7.html
     April 01, 2018 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Safety Exhibit 7.

467. Exhibit 8. Example of an OR gate | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh8.html
     April 01, 2018 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Safety Exhibit 8.

468. Exhibit 1. Relationship of data sources to the development of the ST-PRA | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh1.html
     April 01, 2018 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Safety Exhibit 1.

469. Exhibit 6. Steps involved in developing the fault tree model | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh6.html
     April 01, 2018 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Safety Exhibit 6.

470. Appendix D, Table D3 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
     April 01, 2018 - Safety Research Publications & Products AHRQ Publishing … Safety Funding & Grants Notice of Funding Opportunities … PACU could technically hold 12 patients but not typical, 9 patients more usual. … Patient to nurse ratio in PACU   2 patients to1 nurse, critical care is 1 to 1. … Retain blood pressure cuff, follows patient. These are cleaned between patients and not disposable. 

471. Exhibit 5.1. Continuum for care management models | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh5-1.html
     October 01, 2014 - Safety Patient Safety Resources by Setting Long Term Care Resources Home and … Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Clinics Pharmacy Multiple Settings Quality Measures Reports Engaging Patients … and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh5-1.html

472. Exhibit 3.1. Care management population selection and enrollment process | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html
     October 01, 2014 - Safety Patient Safety Resources by Setting Long Term Care Resources Home and … Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Clinics Pharmacy Multiple Settings Quality Measures Reports Engaging Patients … and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html

473. CHIPRA 213: Section 5, Table 4 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
     January 01, 2012 - Long‐term safety of hydroxyurea in patients with SCA is uncertain. … Safety of hydroxyurea in children with sickle cell anemia: Results of the HUG‐KIDS Study, a phase … Randomized controlled trial The Hydroxyurea Safety and Organ Toxicity Study (HUSOFT) was an NIH‐funded … The drug should be considered for young patients with young patients with few acute clinical events … Clinical overview “… hydroxyurea should now be considered for every patient with SCA, regardless

474. Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips90.html
     October 01, 2014 - Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … a patient's life and prevent patient harm?" … The hospital also provided medication bags in the ED and registration areas to encourage patients to

475. Urine Culturing Stewardship in the ICU Setting Facilitator Notes (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
     April 01, 2022 - Culturing Stewardship in the ICU Setting” is part of the Agency for Healthcare Research and Quality’s Safety … Slide 2 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety … or surgery, or the patient is granulocytopenic. … Symptoms of UTI are rarely reported in ICU patients, which can be a barrier to patient evaluation for … No. 17(22)-0019 April 2022 2 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI

476. Indwelling Urinary Catheter Insertion Facilitator Notes (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
     April 01, 2022 - Indwelling Urinary Catheter Insertion Bundle,” is part of the Agency for Healthcare Research and Quality’s Safety … Slide 2 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety … Healthcare providers want to minimize or prevent harm to patients. … However, nurses can work with their safety officer or facility staff to determine if hand gel dispensers … No. 17(22)-0019 April 2022 2 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI

477. Measurement | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
     November 01, 2017 - Toolkit MRSA Prevention Non-ICU Patients With Devices Reduce CAUTI in LTC Facilities … Safety Culture Survey The ASC SOPS can be used to track changes in patient safety culture over time … and evaluate the impact of patient safety interventions. … specifically for ASC staff and asks for their opinions about the culture of patient safety in their … patient safety. 5 ASC Quality Reporting .

478. Medical Office SOPS: 2016 User Comparative Database Report, Part I (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/2016/mosurvey2016pt1.pdf
     January 01, 2016 - Patient Safety Culture Composites and Definitions Patient Safety Culture Composite Definition: The … Patient Safety Culture Composites and Definitions (continued) Patient Safety Culture Composite Definition … Patient Care Tracking/Follow-up The office reminds patients about appointments, documents how well patients … Area of Strength for Patient Safety and Quality Items • The Patient Safety and Quality item with the … Overall Rating on Patient Safety – Overall grade on patient safety in work area/unit within hospital

479. Gap Analysis for Antibiotic Stewardhip in Ambulatory Care (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
     September 01, 2022 - if prescribers do not follow antibiotic stewardship protocols ☐ Yes: Decouples clinician-level patient … Urinary tract infections ☐ Asymptomatic bacteriuria ☐ Skin and soft tissue infections ☐ Management of patient … ☐ Yes ☐ No ☐ N/A Do the infectious condition protocols/guidelines provide guidance on how patients … should follow up or when patients should seek emergency attention? … ☐ Yes ☐ No Does the Antibiotic Stewardship Team develop educational material for patients

480. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - Previously, the Medicare Patient Safety Monitoring System (MPSMS) used patient charts from only four … Safety Indicators (PSIs), the Centers for Disease Control and Prevention National Healthcare Safety … Data for the six Patient Safety Indicators and the Surgical Site Infection data from CDC are also wholly … safety for the NHR using charts from patients treated for four conditions: acute myocardial infarction … /quality-patient-safety/pfp/hacrate2013.html.