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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…
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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…
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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?
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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
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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.
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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
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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
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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
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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…
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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
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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