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1621. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
      March 01, 2017 - educational bundles found in Appendix E, the Antibiotic Stewardship educational video, and the “4 Things

1622. Advancing the Science and Implementation of Patient Narratives: Summary of Presentations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
      January 01, 2022 - One of the things that may be learned from narratives is the way in which hospitals can better support

1623. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
      December 01, 2024 - Many things can go wrong, however, and plenty of research has shown deficient patient handoffs can be

1624. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - The design of everyday things. New York: Doubleday; 1988. 11. Donabedian A.

1625. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
      March 23, 2008 - Following is a list of some things that could cause preventable adverse events that result in serious

1626. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - • Only those things that are crucial to the child’s care should be discussed (e.g., if managing

1627. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - so many different people; having their input is beneficial for learning and knowing how we can make things

1628. Patient Self-Management Support: A Chronic Conditions Practice Improvement Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
      March 29, 2016 - remember to work toward the goals that they set with you or your care team: • Ask patients about the things … In the last 12 months, did anyone in this provider’s office ask you if there are things that make it … In the last 12 months, did anyone in this provider’s office ask you if there are things that make it

1629. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
      October 01, 2014 - Treating Tobacco Use and Dependence Quick Reference Guide for Clinicians This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…

1630. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) 1 | P a g e Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) Principal Investigator: Jeffrey L. Schnipper, MD, MPH Team Members: Harry Reyes Nieva, MAS; Me…

1631. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
      July 01, 2022 - Learn not just about safety events (Safety-I thinking) but also “good catches” and situations when things … Make sure to also solicit “good catches” or situations when things were done exceptionally well.

1632. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
      July 01, 2022 - Learn not just about safety events (Safety-I thinking) but also “good catches” and situations when things … Make sure to also solicit “good catches” or situations when things were done exceptionally well.

1633. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
      September 01, 2017 - I suppose if we were really on top of things, we’d notice that this resident had had a cold the week

1634. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      April 01, 2011 - patient and family to repeat what you said back to you in their own words to be sure that you explained things

1635. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - previous content and introduced additional methods to communicate and to escalate level of concern when things

1636. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - He further stated that some of the very things that make NQF’s consensus focus strong from a process

1637. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - process map At first glance, this scenario appears futuristic—like a science-fiction depiction of things

1638. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
      December 01, 2020 - health care, or education services than is usual for most children; limitations or inability to do things

1639. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-parti.pdf
      January 01, 2019 - (D4) 65% 14.78% 24% 47% 53% 64% 76% 84% 100% This nursing home is always doing things to improve

1640. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
      April 01, 2022 - Defects: Safety is everyone’s responsibility and cannot be achieved without consistently looking for how things