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  1. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - Common Formats include event-specific modules pertaining to nine patient safety event types that represent … Safety Databases: Falls Chartbook, 2023 (NPSD Fall Chartbook), and accompanying online Dashboards, represent … Event Types represent the distinct modules of the CFER-H (e.g., Fall). … Answer Values represent the unique response options for each Data Element.
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
    April 01, 2025 - year develop an HAI during their hospital stay.2 More than 99,000 people die annually from HAIs.2 HAIs represent … presentation are those of the authors, who are responsible for its content, and do not necessarily represent
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
    April 01, 2025 - In the Swiss cheese model, a slice represents a layer of defense, and the holes represent weaknesses … presentation are those of the authors, who are responsible for its content, and do not necessarily represent
  4. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
    July 26, 2024 - Administration (FDA), and the Centers for Medicare & Medicaid Services (CMS) with organizations that represent … QHINs will connect directly with each other to ensure interoperability between the networks they represent
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
    April 24, 2018 - misrepresenting themselves as patients, and comments from a small number of patients who do not adequately represent … with inpatient care.5 However, a generic invitation to comment on one’s experience with care does not represent
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
    November 01, 2004 - Steps in the intervention process Designing or redesigning work systems and processes can represent
  7. www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
    January 01, 2024 - is that we do not know how much of the medication dispensed the child actually took, so the errors represent … frequencies of potential LASA error may be explained in part by the fact that all pediatric drugs represent … First, the McPhillips and Kozer studies reviewed prescriptions and charts, so their rates represent … This manuscript and the ones below (#11, 12) represent position statements published by the AAP Committee
  8. www.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
    September 01, 2022 - presentation are those of the authors, who are responsible for its content, and do not necessarily represent
  10. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.html
    February 01, 2017 - Represent all stakeholders by bringing multiple disciplines together.
  11. www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
    January 01, 2024 - The psychoacoustics of simultaneous masking9 mathematically represent how the volume and tone/frequency … These represent common types of alarms that can be used across devices. … Specifically, the formal model contains variables to represent the state of each of the N alarms as … their designed alarms will interact with the reserved alarm sounds of IEC 60601-1-8 (melodies that represent
  12. www.ahrq.gov/research/findings/evidence-based-reports/techbrief16.html
    July 01, 2014 - Decision Aids for Advance Care Planning Structured Abstract Background: Advance care planning (ACP) honors patients’ goals and preferences for future care by creating a plan for when illness or injury prevents adequate communication. ACP can also help patients assess their care options. Less than 50 percent …
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
    November 01, 2017 - elements are captured from multiple data sources within the facility’s EMR, such as nurse assessments, and represent … Determining High Risk Say: Certain changes or suspected changes in the resident’s condition, which represent … The new contributing risk factor elements represent changes that occurred in a resident’s clinical condition … Certain changes or suspected changes in the resident’s condition, which represent a potential decline … These data are captured from multiple data sources within the facility’s EMR and represent changes that
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
    December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Outcome Indicators for the HCBS Population Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…
  15. www.ahrq.gov/policymakers/chipra/demoeval/demostates/ak.html
    March 01, 2019 - State at a Glance: Alaska Learn more about the CHIPRA quality demonstration projects being implemented in Alaska. Alaska is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstrat…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/akstateataglance.pdf
    March 01, 2012 - Alaska State at a Glance                                                                                                                                                                                                                                                                                              …
  17. www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-a-Project-Team.html
    December 01, 2019 - Step 1: Form a Project Team Review all steps in the process of planning a survey project: Step 1: Form a Project Team.  Step 2: Form an Advisory Group .   Step 3: Define Your Goals . Step 4: Plan a Communications Strategy . Step 5: Set the Stage for Conducting the Survey . Step 6: Develop an Evalu…
  18. www.ahrq.gov/cpi/about/organization/nac/nac-amd2000.html
    April 01, 2014 - Amendment to Charter National Advisory Council for Healthcare Research and Quality (Formerly the National Advisory Council for Health Care Policy, Research, and Evaluation) Purpose The Council is to advise the Secretary of HHS and the Director of the Agency for Healthcare Research and Quality (AHRQ), on mat…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
    April 01, 2025 - presentation are those of the authors, who are responsible for its content, and do not necessarily represent
  20. www.ahrq.gov/research/publications/pubcomguide/pcguide4.html
    July 01, 2025 - Does a new tool or activity represent a significant advancement that will be of wide interest to a general

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