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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-Hook_25.pdf
February 26, 2008 - Guideline for the
prevention of falls in older persons. J Am Geriatr Soc
2001; 49: 664-672.
27. … Falls in older persons: Prevention &
management. 2nd ed. … interacting effects of cognitive demand and recovery
of postural stability in balance-impaired elderly
persons
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Evidence for Patient Safety Practices
Executive Summary
Patient Safety
2
amount of money and person-hours … United States, Canada, and the United
Kingdom: experts in specific PSPs and evaluation methods
and persons
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - For Phase I, these involve a variety of in-person and online means to
reach individual patients and
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures2.html
June 01, 2018 - Problems paying medical bills among persons under age 65: early release of estimates from the National
-
www.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID
Issue Number
905
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
March 19, 2024
AHRQ Stats: Trends in Dental Visits During the COVID-19 Era
Between 2019 and 2020, during the first…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Overview of On-Time
On-Time Reports
Nutrition Report: High Risk
Trigger Summary Report—Resident Level
Trigger Summary Report—Unit Level
On-Time Resident Clinical, Functional, and Intervent…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess2.html
October 01, 2014 - Module 2: Communicating Change in a Resident's Condition
Session 2
Previous Page Next Page
Table of Contents
Module 2: Communicating Change in a Resident's Condition
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Additional Tools and Resources
Appendix. Example of the…
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www.ahrq.gov/faqs/index.html?page=1
June 12, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - The Spread Problem
Slide Presentation by Joe McCannon
On February 17, Joe McCannon made this slide presentation at the AHRQ Expert Meeting on the Challenge and Promise of Delivery System Research.
Sign up: Quality Measure Tools Email updates
Slide 1
The Spread Problem
The Challenge and Promise of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-case-scenarios.pdf
April 01, 2016 - Purpose: To help you prepare for disclosure communications by using four scenarios to practice challenging
interpersonal communications.
Who should use this tool? Disclosure Lead(s)
How to use this tool: Use the scenarios in this tool to practice and improve disclosure delivery. The Disclosure
Lead(s) can use the …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
April 01, 2022 - Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Engaging Physicians in Preventing CLABSI and CAUTI
This “Making It Work” tip sheet provides additio…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/spot-coaching.pdf
April 01, 2022 - Making It Work Tip Sheet: Spot Coaching To Support Behavior Change
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Spot Coaching To Support Behavior Change
This “Making It Work” tip sheet provides additional information to help intensive care unit (ICU…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4a
Selected Best Practices and Suggestions for Improvement
PDI 01: Accidental Puncture or Laceration
Why focus on accidental puncture and lacera…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-role-play-final508.pdf
June 02, 2025 - Warm Handoff Plus: Role Play Scenarios
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Warm Handoff Plus
Role Play Scenario 1
Facilitator Instructions
1. As facilitator, play the role of the clinician.
2. Request a volunteer to play the role of the staff member. T…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4o
Selected Best Practices and Suggestions for Improvement
PDI 01: Accidental Puncture or Laceration
Why focus on accidental puncture and laceration in ch…
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
January 01, 2016 - Diagnostic Error Measures: For Quality Improvement & Patient Safety Research
Diagnostic Error Measures:
For Quality Improvement &
Patient Safety Research
Jason Adelman, MD, MS
Chief Patient Safety Officer & Associate Chief Quality Officer
Columbia University Medical Center
NewYork-Presbyterian Hospital
Process
…
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www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - The executive committee (Table 1) planned the conference via regular correspondence and
in-person meetings
-
www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
January 01, 2024 - Person SD, Allison JJ, Kiefe CI, Weaver MT, Williams OD, Centor RM, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
e PATIENT
SAFETY
Issue Brief 4
Health Information Technology for
Engaging Patients in Diagnostic Decision
Making in Emergency Departments
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e
Issue Brief 4
Health I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - We use the Braden Scale to identify persons at risk of pressure ulcers
at admission but we don’t measure … meeting if a resident is on an OT program,
but usually not for a resident not on a program, unless the person … X X
Root cause
analysis for new
pressure ulcers
Multidisciplinary team review focusing
on persons … Risk and trended reports provide
insights into why these persons had a
new pressure ulcer. … The purpose of
using the reports is to identify persons
with risks associated with pressure
ulcers