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7721. Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/vaccine-effectiveness-delta-variant.html
      August 01, 2022 - Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant Resource: Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nu…

7722. Gap Analysis Facilitator's Guide: Appendix D | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
      August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix D Anonymous Reporting Tool The Gap Analysis process relies heavily on key informant interviews and perspectives, which often take place in a focus group setting. Many times individuals have additional, more sensitive information to share, or information/observations …

7723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851925/psn-pdf
      August 02, 2023 - Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146. https://psnet.ahrq.gov/iss…

7724. The Single IRB Plan Elements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/single-IRB-plan-elements.pdf
      June 02, 2025 - The Single IRB Plan Elements The Single IRB Plan Elements The single IRB plan should include the following elements: • Describe how you will comply with the requirement for single IRB review under the revised common rule at 45 CFR 46.114. • If available, provide the name of the IRB that you anticipate wi…

7725. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.14. Major Factors that Facilitated Lean Success at Central Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Hea…

7726. CUSP Videos | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/videos/index.html
      September 01, 2019 - CUSP Videos The following videos give examples of CUSP practices. Introduction About CUSP—A Doctor's Perspective About CUSP: A Nurse's Perspective About CUSP: Overview Assemble the Team The 4 E's Building Your CUSP Team Psychological Safety Physician Engagement Engage the Senior Executive …

7727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44246/psn-pdf
      November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…

7728. Hospitals' bid to heal selves saves thousands. | PSNet
      psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
      February 26, 2025 - Newspaper/Magazine Article Hospitals' bid to heal selves saves thousands. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 28, 2006 This article article reports on the resul…

7729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46121/psn-pdf
      January 01, 2021 - Quality of handoffs in community pharmacies. May 10, 2017 Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies Handoffs present a significant patient …

7730. 197. Specific Populations and Other Topics (Continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide197.html
      October 01, 2014 - 197. Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Evidence of effectiveness of tobacco dependence interventions in specific populations Population of Smokers Review of Evidence Psychiatric disorders i…

7731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43957/psn-pdf
      June 21, 2015 - Enhancing the effectiveness of team debriefings in medical simulation: more best practices. June 21, 2015 Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125. https://psnet.ahrq.gov/issue…

7732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836998/psn-pdf
      April 27, 2022 - How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022 Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096. https://psnet.ahrq.…

7733. How to Map Workflows in Health Care Settings | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/workflow-mapping.html
      February 01, 2025 - How to Map Workflows in Health Care Settings Resource: Mapping and Redesigning Workflow  (PDF, 8.8 MB, 69 (Including 54 pages of slides in appendices) pages) Part of an AHRQ curriculum used to train practice facilitators, this resource explains the purpose and process of workflow mapping in a primary care se…

7734. Appendix B14: Pre and Posttests for Inservice #2, How to Reduce Falls | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manap14.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B14: Pre and Posttests for Inservice #2, How to Reduce Falls Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Int…

7735. Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb7.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introd…

7736. Implement an Infection Prevention Quality Improvement Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
      March 01, 2017 - Implement an Infection Prevention Quality Improvement Project Start with the Implementation Guide , and then consult the Sustainability Guide Long -Term Care Safety Toolkit Modules Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…

7737. Sorry Works! | PSNet
      psnet.ahrq.gov/issue/sorry-works
      November 15, 2024 - Multi-use Website Sorry Works! Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 Sorry Works! supports a full-disclosure approach to medical errors. They encourage…

7738. Action Plan Worksheet (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/action-plan-template.docx
      June 02, 2025 - Action Plan Worksheet ACTION PLAN WORKSHEET INSTRUCTIONS: 1. Discuss with your team some improvements you’d like to make specific to the High Leverage Changes listed in the table. Use the data from the Quality Improvement Change Assessment (QICA), current patient panel data, discussions with your coach and team, or ob…

7739. Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Improving Communication and Teamwork in the Surgical Environment Module 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 impro…

7740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60881/psn-pdf
      September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. September 2, 2020 Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56. doi:1…