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  1. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
    May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Robert Otto Valdez, Ph.D. Director Agency for Healthcare Research & Quality April 25, 2023 Welcome and Thank-You! Presenter Notes P…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading cause of injuries…
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
    December 01, 2014 - In other words, if we knew who was at high risk or had a recent change in risk, would we do things differently
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
    June 02, 2025 - In other words, if we knew who was at high risk or had a recent change in risk, would we do things
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
    October 01, 2024 - that just because you’ve incorporated all the best practices into your policy that the staff is doing things
  6. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
    October 01, 2014 - Trying to find one person who can do all these things, instead of a team, is both difficult and risky
  7. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
    October 01, 2014 - Trying to find one person who can do all these things, instead of a team, is both difficult and risky
  8. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Because the 7-factor VTE risk model includes some things (such as prolonged immobilization and critical
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
    April 01, 2025 - This could include things such as pre-operative skin testing and/or oral challenge prior to surgery if
  10. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Because the 7-factor VTE risk model includes some things (such as prolonged immobilization and critical
  11. www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
    April 01, 2019 - expertise of the NAC members is broad and deep, and the Agency, with the NAC’s help, has achieved great things
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
    May 01, 2004 - Why do prescribers order the things drugs they do?
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - S]how people, ‘This is how [to be] a good physician,’ by attendings who acknowledge those kinds of things
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - The psychology of everyday things. New York: Basic Books; 1988. 24. Hollnagel E.
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
    January 01, 2021 - participation is voluntary, but we encourage you to complete the survey to help us improve the way we do things … participation is voluntary, but we encourage you to complete the survey to help us improve the way we do things
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
    April 01, 2022 - participation is voluntary, but we encourage you to complete the survey to help us improve the way we do things … participation is voluntary, but we encourage you to complete the survey to help us improve the way we do things
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
    April 01, 2019 - Ten Things Physicians and Patients Should Question. 2013. … Choosing wisely in headache medicine: The American Headache Society’s list of five things physicians
  18. www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
    January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology Improving Medication Management Practices and Care Transitions through Technology Penny H. Feldman, Ph.D. – Principal Investigator Liliana E. Pezzin, Ph.D. – Co-Investigator Timothy R. Peng, Ph.D. – Co-Inv…
  19. www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
    January 01, 2024 - It is one of the single most helpful things I have done in residency regarding leadership. … Real-time feedback in a real clinical scenario.  More check-ins after the training to see how things
  20. www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
    October 01, 2007 - When you are talking to a pharmacist, are there things about the pharmacy that make it hard for you, … PROBE (only suggest these if participants cannot name barriers): Things that can make printed materials

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