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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patient and Family Engagement
Nurse Bedside Shift Report
Implementation Handbook
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patie…
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - An Untimely End Despite End-of-Life Care Planning
Citation Text:
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Toolkit Prelaunch Activities
Decolonization of
Non-ICU Patients With Devices
Section 8 – Toolkit Prelaunch Activities
We recommend that you follow the prelaunch checklist below (Table 8-1) for successful
implementation. As is the case with many infection prevention programs, it will take time to
achie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Selected …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix A. Teleconferences with AHRQ & CDC
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System
207
Ten Considerations for Easing
the Transition to a Web-based
Patient Safety Reporting System
Sharon K. Ulep, Sheryl L. Moran
Abstract
Moving to a Web-based system for tracking patient safety events is a goal o…
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - Do they have rapid processing of an emergency call and get appropriate EMS resources en route quickly
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - SPOTLIGHT CASE
Transfer Troubles
Citation Text:
Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
March 01, 2017 - Sheet1
The purpose of this tool is to support the maintenance of your AHRQ Safety Program for Long-Term Care: CAUTI program efforts and its benefits to the improvement of resident safety culture overtime. This tool will help your team identify their current state, including what’s working and what’s not working, outl…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - Diagnostic Safety Resource List
Improving Diagnostic Safety in Medical Offices:
A Resource List for Users of the AHRQ Diagnostic
Safety Supplemental Item Set
I. Purpose
This document provides a list of references to websites and other publicly available resources that
medical offices can use to improve the ex…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-YHCmR_8bdShSaMTx6Mrgx
Research Gaps for Interventions to Prevent Falls in Community-Dwelling Older Adults: Evidence Gaps Research Taxonomy Table
1
Evidence Gaps Research Taxonomy Table
Topic: Research Gaps for Interventions to Prevent Falls in Community-Dwelling Older Adults
To fulfill its mission to improve health by making evi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - questions in the content areas of surgical safety checklist use, teamwork and communication, scope
processing … 83% 81% 74%
0%
20%
40%
60%
80%
100%
Use of the Checklist Teamwork and
Communication
Scope Processing … compliance could be tracked and
monitored, and checklist-driven standard work in preadmission, sterile processing
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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 - AHRQ’s Safety Program for Nursing Homes
On-Time Pressure Ulcer Healing Facilitator Training
Overview of On-Time
Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-outcomes_methods.pdf
July 01, 2012 - Methods Guide for Medical Test Reviews Chapter 3
3-1
Chapter 3
Choosing the Important Outcomes for a Systematic
Review of a Medical Test
Jodi B. Segal, M.D., M.P.H., Johns Hopkins University School of Medicine
Abstract
In this chapter of the Evidence-based Practice Centers Methods Guide for Medical …
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - some of that was education and some of that was the need to keep other lines open because of treatment processing
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effectivehealthcare.ahrq.gov/products/fibromyalgia/research-protocol
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www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers
Risk-Informed Clinical Network for Safe Pediatric
Emergency Transfers
Final Report
October 31, 2012
Principal Investigator: Donna Woods, PhD, EdM
Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - Small and Rural and Critical Access Hospitals (Transcript)
July 19, 2011
Operator: Excuse me, everyone. We now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instruct…
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psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
March 02, 2011 - Study
Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.
Citation Text:
Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…