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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes
Case Studies
These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program.
Select for more AHRQ Impact Case Studies .
Contents
New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty
Program Uses Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-
driven-decision
Summary
The team at Geisinger sought to develop a…
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digital.ahrq.gov/ahrq-funded-projects/mhealth-delivery-motivational-intervention-address-heavy-drinking-among-college
January 01, 2023 - mHealth Delivery of a Motivational Intervention to Address Heavy Drinking Among College Students
Project Final Report ( PDF , 279.84 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
March 01, 2020 - Strategy 6A: Open Access Scheduling for Routine and Urgent Appointments
Contents
6.A.1. The Problem
6.A.2. The Intervention
6.A.3. Benefits of This Model
6.A.4. Implementation of This Model
6.A.5. Challenges of This Model
6.A.6. Examples
References
Download Strategy 6A:
Open Access Sch…
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Overview: Getting Patients Off the Ventilator Faster
Slide 2: Learning Objectives
After this session, yo…
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Eric Thomas, Sarah Mossburg, Merton Lee | September 24, 2024
Also Read the Essay
View more articles from the same authors.
Citatio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004
7
A Strategic Approach for Funding Research:
The Agency for Healthcare Research and
Quality’s Patient Safety Initiative 2000–2004
Margaret A. Keyes, Eduardo Ortiz, Deborah Queenan,
Ro…
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psnet.ahrq.gov/node/61057/psn-pdf
October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing
Diagnostic Error: Measurement Considerations. Final
Report
October 28, 2020
Washington DC; National Quality Forum: October 6, 2020.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-
measurement-considerations
With input…
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psnet.ahrq.gov/node/50865/psn-pdf
February 05, 2020 - Understanding principles of high reliability organizations
through the eyes of VIONE: a clinical program to improve
patient safety by deprescribing potentially inappropriate
medications and reducing polypharmacy.
February 5, 2020
Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil…
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psnet.ahrq.gov/node/866902/psn-pdf
October 09, 2024 - Why do acute healthcare staff behave unprofessionally
towards each other and how can these behaviours be
reduced? A realist review.
October 9, 2024
Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards
each other and how can these behaviours be reduced? A realist r…
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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/38572/psn-pdf
April 22, 2009 - Development and validation of the SURgical PAtient
Safety System (SURPASS) checklist.
April 22, 2009
de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient
Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6.
doi:10.1136/qshc.2008.027524.
https://p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Learn From Defects
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety
Who should use this too…
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psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents.
February 3, 2016
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91.
https://psne…
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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - Analysis of readmissions in a mobile integrated health
transitional care program using root cause analysis and
common cause analysis.
May 25, 2022
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional
care program using root cause analysis and common cause ana…
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www.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - Organizing Quality Measures To Reduce Information Overload
As the number of available quality measures grows, report designers face the challenge of providing a great deal of information without overwhelming the user. In addition, individual users of the report may be interested in different measures, so they n…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stones-draft-appendi-c.xlsx
January 01, 2024 - Chlorthalidone reduces calcium oxalate calculous recurrence but magnesium hydroxide does not. … Alkaline citrate reduces stone recurrence and regrowth after shockwave lithotripsy and percutaneous nephrolithotomy … Chlorthalidone reduces calcium oxalate calculous recurrence but magnesium hydroxide does not. … Chlorthalidone reduces calcium oxalate calculous recurrence but magnesium hydroxide does not. … Chlorthalidone reduces calcium oxalate calculous recurrence but magnesium hydroxide does not.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-2011
January 15, 2011 - Research Needs and Gaps
Given the absence of direct evidence that screening for osteoporosis reduces
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psnet.ahrq.gov/issue/human-factors-and-medical-devices
July 31, 2012 - Multi-use Website
Human Factors and Medical Devices.
Citation Text:
Human Factors and Medical Devices. Center for Devices and Radiological Health, US Food and Drug Administration.
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psnet.ahrq.gov/issue/science-interruption
September 04, 2024 - Commentary
The science of interruption.
Citation Text:
Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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