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www.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/guide.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
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Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for Improvement
Appendix C. T…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
January 01, 2023 - Fault Tree Analysis
Acronym
FTA
Description
Fault tree analyses (FTAs) study specific system, process, or product failures using a tree diagram . The process can be used to study a failure that actually occurred, or it could study a potential failure. The technique starts with the failure an…
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psnet.ahrq.gov/issue/why-pay-mistakes
July 20, 2011 - Newspaper/Magazine Article
Why pay for mistakes?
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September 5, 2007
View more articles from the same authors.
Recently, CMS ru…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/90-tenn-tnhhn-letter-of-intent.pdf
June 02, 2025 - Tennessee Heart Health Network Letter of Intent
Letter of Intent (LOI)
Our practice intends to participate in the Tennessee Heart Health Network, a three-year state-wide initiative to support primary
care practices and expand state-level capacity to improve heart health in our state. We understand the e…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2concl.html
October 01, 2014 - Module 2: Communicating Change in a Resident's Condition
Conclusion
Previous Page Next Page
Table of Contents
Module 2: Communicating Change in a Resident's Condition
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Additional Tools and Resources
Appendix. Example of th…
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psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
January 15, 2025 - Press Release/Announcement
Request for Information: Diagnostic Excellence Measurement.
Citation Text:
Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498.
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Format:
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-systems-research.pdf
October 01, 2017 - Understanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking
White Paper
Understanding … Health-Systems’ Use of and
Need for Evidence To Inform Decisionmaking
Research White Paper
Understanding … Understanding Health-Systems’ Use
of and Need for Evidence To Inform Decisionmaking. … Algorithms were appreciated because it helps facilitate an understanding of the current process
and … health-systems to access our reports, rapidly discern if the results are relevant to them, and to
enhance the readability
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psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualitative-study
March 23, 2011 - Study
Understanding the effect of resident duty hour reform: a qualitative study.
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digital.ahrq.gov/2018-year-review/research-summary/understanding-and-designing-health-it-persons-disabilities
January 01, 2018 - Understanding and Designing Health IT for Persons With Disabilities
Key Finding and Impact:
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017 … Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. … https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it … Achieving success
requires understanding how culture changes and what actions can be taken to achieve … First, to deepen their understanding, they would need additional detail to
understand, for example,
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psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - For patients with a poor
understanding of their warfarin regimen, investigators discovered significant … While similar benefit did not occur in those
with good understanding of their regimen and the study … was not powered to determine the role of health
literacy on such understanding, the authors point out
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/BenchmarkingQuestions.pdf
January 01, 2010 - General questions regarding implementation (this gives one an understanding of the respective clinic’ … • To what extent did the software vendor emphasize the importance of understanding workflows and
how … • Postimplementation, what would you have done differently in regard to understanding your
workflows … • In hindsight, what would you do differently regarding understanding your workflows?
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Patients
with clear understanding of their postdischarge instructions are 30% less likely to be readmitted … of their diagnosis from
77% to 100%, and medication understanding from 27% to 71%.(16) Interventions … of Patient Safety Risks
Our understanding of patient safety hazards during the peridischarge period … Quality of discharge practices and patient understanding at an
academic medical center. … Knowledge is power. a quality improvement project to
increase patient understanding of their hospital
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digital.ahrq.gov/principal-investigator/zikmund-fisher-brian
May 30, 2017 - Zikmund-Fisher, Brian
Improving the understanding of test results by … Improving the understanding of test results by substituting (not adding) goal ranges: web-based between-subjects … discussed methods for presenting meaningful displays of medical test result data to patients for improved understanding
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psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
January 16, 2013 - RIS
Download Citation
Related Resources From the Same Author(s)
Understanding … March 6, 2024
Understanding medication safety involving patient transfer from intensive … May 20, 2019
Understanding procedural violations using Safety-I and Safety-II: the case … June 19, 2013
Understanding the attitudes of hospital pharmacists to reporting medication
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-effectiveness-pharmacist-led-medication-reconciliation
January 23, 2017 - RIS
Download Citation
Related Resources From the Same Author(s)
Understanding … January 23, 2017
Understanding and responding when things go wrong: key principles for … September 20, 2011
Understanding teamwork in rapidly deployed interprofessional teams … February 22, 2023
Understanding factors that could influence patient acceptability of
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psnet.ahrq.gov/node/39759/psn-pdf
December 17, 2010 - (Mis)understanding safety culture and its relationship to
safety management. … (Mis)understanding Safety Culture and Its Relationship to Safety Management.
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - Seeing an opportunity to contribute to a better understanding of
this issue, we then developed our own … The goal is to have a better understanding of how and why
people react the way they do and, through … this understanding, potentially prevent a disruptive event or
communication mishap from occurring. … Gaining a better understanding of human factor
issues; providing education and workshops supported by … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008.
5. Rosenstein AH.
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psnet.ahrq.gov/node/38699/psn-pdf
June 17, 2009 - Mapping research on culture and safety in high-risk
organizations: arguments for a sociotechnical
understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a
Sociotechnical Understanding
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use