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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
January 01, 2022 - Valdez encouraged more strategic thinking.
Dr.
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - November 2, 2011
Perspective
Establishing a Safety Culture: Thinking
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-protocol.pdf
January 01, 2023 - HRO implementation is designed to change thinking about patient safety through the
following 5 principles
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-anxiety-children_0.pdf
October 01, 2018 - However, no additional information or categories of information were thought to remain needed
to help … They thought that the cards added credibility
to conversations with patients and parents. … The parent thought that it was helpful to
visualize the effects of treatment. … Logistical: One psychologist thought that having another set of cards for the parents to hold
would … He also thought that having in a flip chart that was easily washable would be
good, as many of their
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
July 01, 2011 - Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record
9HRQ HE9LTH INFORM9TION TECHNOLOGY 1
9MBUL9TORY S9FETY 9ND QU9LITY • PCC
Patients Take a Bite of Prevention Apple with Web!based …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes:
On-Time Pressure Ulcer Healing Facilitator Training
Slide 2: On-Time Pressure Ulcer…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization
Slide Presentation
Slide 1: How To Implement the Pressure Injury Prevention Program in Your Organization
ADD Hospital Name here
Module 4
Slide 2: What We Have Done Thus Far
Up to this point, you have:
Look…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
June 02, 2025 - On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if new clinical interventions are needed, and how they determine w…
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
Falls are not a new issue, especially among older adults. The Centers for D…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca13.jsp
July 01, 2016 - Frequently Asked Questions about Collecting R/E/L Data
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Slide 2: On-Time Fall…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - The Evolution of Patient Safety in Surgery
December 1, 2017
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
Perspective
In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…
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psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - PCA Overdose
August 21, 2005
Doyle JD. PCA Overdose. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/pca-overdose
The Case
A 49-year-old woman underwent an uneventful total abdominal hysterectomy bilateral salpingo-
oophorectomy. Postoperatively, the patient complained of severe pain and received intravenou…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.pdf
June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Implementation Steps and Timeline
The goal of the On-Time program is to incorporate the On-Time reports into day-to-day
prevention a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.pdf
September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes
SOPS® Workplace Safety Supplemental Items for
the SOPS Nursing Home Survey
Language: English
Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality
(AHRQ) Surveys on Patient Safety Culture® (SOP…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
AHRQ Publication No. 17-0003-3-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Teamwork & Comm.
2
Basic Com…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Measures of Cognitive Load
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay Between…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - PowerPoint Presentation
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
UTI Management
1
Objectives
Describe empiric treatment options for urinary tract infections (UTIs).
Discuss reasonable dur…