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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - in Home-Based
Care Programs. … readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs … https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
https … Current Context
https://psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program … psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Built in alerts
Consequences for failure to implement
The Case of the Catheter
8
8
Safety … The foundation of every culture of safety is
Reporting -- the people in direct contact with risks and … Safety
The surgical unit is not discontinuing urinary catheters despite the fact that a nurse driven … What is the common interest here- patient safety?
What about the nurse manager? … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed.pptx
September 01, 2014 - hospital
Encouraging patient advisors to serve on ED safety and quality performance improvement teams … E.g. huddles focused on safety issues, consistent use of checklists, teamwork practices (TeamSTEPPS), … Patient safety resources for consumers. … Retrieved from http://www.apic.org/For-Consumers/Patient-safety-resources. … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - clear and decisive statement about the importance of the hospital providing a comprehensive and safe … and patient safety team. … clearly understand the clinical, patient safety, and business case for reducing readmissions. … The software program formats all the data fields of the AHCP, reduces transcription errors, and saves … program software to create the AHCP directly from the information system.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-guide.docx
January 01, 2017 - to improve communication to sustain your safety program efforts. … Improve communication is the fifth step of the Comprehensive Unit-based Safety Program, also called CUSP … You have likely been involved in this safety program for some time. … This safety program is based on a grassroots approach from the ground up rather than top down lightning … When appropriate, link your safety program work to organizational goals.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - program. … Created by the Johns Hopkins University’s Quality and Safety Research Group, the 4 E’s help teams implement … These four elements depict the primary means for engaging unit team members to ensure patient safety … interested in improving safety and quality
Responsibilities of this role include:
Explaining the project … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/takeheart/training/expanding-cardiac-rehab-capacity/index.html
April 01, 2023 - Implementing hybrid CR requires assessing the needs of the program and community and considering factors … such as patient criteria, safety, and onboarding. … strategies described in the PPT presentation
a comprehensive resource guide with links to supplemental … tools and a comprehensive reference list. … , Associate Director of the Cardiac Rehabilitation Program at Brigham and Women's Hospital, Division
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - June 24, 2020
The Critical Care Safety Study: the incidence and nature of adverse events … August 26, 2020
Impact of pharmacist-led multidisciplinary medication review on the safety … August 10, 2022
A comprehensive quality assurance program for personnel and procedures … June 24, 2020
Identifying and categorising patient safety hazards in cardiovascular operating … July 5, 2013
Quality, patient safety, and the cardiac surgical team.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - prevention program. … Educational programs may reduce the incidence of pressure ulcers. … Educational programs may reduce the incidence of pressure ulcers. … Services Quality Improvement Organization Program. … Record each day the results of the comprehensive skin assessment.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - practice and a culture of safety? … In the center of the diagram it says "Engaging Physicians in Quality and Safety". … Guidelines as needed
Image: Line graph showing theoretical results in implementing a CAUTI reduction program … Patient safety resources for consumers. … through the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to
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www.ahrq.gov/data/index.html
January 01, 2001 - HCUP
Healthcare Cost and Utilization Project (HCUP) is the Nation's most comprehensive … The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Program supports survey development … Healthcare Cost and Utilization Project (HCUP)
HCUP is the Nation’s most comprehensive source of … Since 2001, the AHRQ Surveys on Patient Safety Culture (SOPS) Program has supported AHRQ's mission by … The SOPS Program conducts activities to understand, measure, and improve patient safety culture in healthcare
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psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
May 19, 2021 - View more articles from the same authors. … Using data from the National Poison Data System, researchers found that a 2011 change to the packaging … May 6, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022
Determination of unnecessary blood transfusion by comprehensive 15- … June 16, 2019
Strategies for optimizing OR drug safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Program for Reducing CAUTI in Hospitals Resident Physicians 2AHRQ Safety Program for Reducing CAUTI … Safety Program for Reducing CAUTI in Hospitals Resident Physicians 11
seconds before accessing the … the Comprehensive Unit-based Safety Program
(CUSP) provide the RP with strategies for addressing patient … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 36
Acknowledgments
The toolkit … and Quality through the contract, “National Implementation of
Comprehensive Unit-based Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Safety Education and Training Catalog consists of patient safety programs
currently available in the … The database identifies a
number of characteristics of the programs, including clinical area, program … /Toolkits
The Department of Defense Patient Safety Program is a comprehensive program with the goal … It relates
to building capacity for patient safety education, planning programs, and designing courses … The toolkit is designed to aid facilities in developing a comprehensive falls prevention program.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/12-identifying-stakeholders-facilitator.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Identifying Stakeholders: How To Do a Stakeholder … Slide 1
Introduction to ISCR
The Agency for Healthcare Research and Quality (AHRQ) Safety Program … for Improving Surgical Care and Recovery (ISCR) incorporates AHRQ’s Comprehensive Unit-based Safety Program … One of the many concepts of CUSP integrated into the AHRQ Safety Program for Improving Surgical Care … One reason some programs fail is that the proponents may not have understood the importance of or the
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digital.ahrq.gov/bar-coded-medication-administration
January 01, 2023 - benefits of the technology on patient safety. … Although the precise structure and resources provided by a training program varied by grantee organization … are measuring the impact of BCMA on health care quality, safety, and efficiency. … Huron Hospital CPOE Project (Barbara Moran; East Cleveland, Ohio)
Comprehensive IT Solution for Quality … Improving Safety with Barcode-Enabled Medication Administration.
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www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
December 01, 2012 - Understand the Science of Safety
Slide 22. System-Level Factors Impact Safety
Slide 23. … Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the CUSP Toolkit. … Assemble the Team.
Engage the Senior Executive.
Understand the Science of Safety. … Educate teams on the science of safety. … Understand the Science of Safety
Describe the historical and contemporary context of the Science
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - o Educate professionals on how to undertake a comprehensive skin assessment that
includes techniques … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
5 Tool D … .4p
Educational Recommendation
• Educational programs for the prevention of pressure ulcers should … be structured, organized,
and comprehensive and should occur upon hire, annually, and when this protocol … • Programs should be directed to all health care providers in preventing ulcers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - professionals on how to undertake a comprehensive skin assessment that
includes techniques for identifying … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … 5 Tool D.4b
Educational Recommendation
• Educational programs for the prevention of pressure ulcers … should be structured, organized,
and comprehensive and should occur upon hire, annually, and when this … • Programs should be directed to all health care providers in preventing ulcers.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
June 01, 2010 - HSRI, a nonprofit organization, was active in the 1970s in the assessment of the impact of Federal programs … been appropriated for the first 5 years of the program. … , comprehensive review and must annually report on their performance. … programs. … Joint Commission was developed to continuously improve the safety and quality of care provided to the