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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises (continued)
Risk Change Report Information Exercises
Objective: Facilitators will understand the process to prioritize residents on the Risk Change Report for use in On‐Time process improvem…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case October 2003
Hemivulvectomy:
Wrong Side Removed
Source and Credits
This presentation is based on the Oct. 2003
AHRQ WebM&M Spotlight Case in OB/GYN
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Charles Vin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - How To Implement the Pressure Injury Prevention Program in Your Organization
How To Implement the
Pressure Injury Prevention Program in Your Organization
ADD Hospital Name here
Module 4
What We Have Done Thus Far
Up to this point, you have:
Looked at your organization’s readiness to improve pressure injury preventi…
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - Electrocardiogram Results: ***READ ME***
November 1, 2012
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
The Case
A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset
che…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
March 01, 2022 - FAQs (Staff): CHG for Bathing
Decolonization of
Non-ICU Patients With Devices
Section 14-1 – Addressing Questions Asked by Staff:
Chlorhexidine for Bathing
Why does the hospital use special soap for bathing and showering in patients with medical devices?
This hospital is dedicated to improving medical care for our p…
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digital.ahrq.gov/sites/default/files/docs/page/2006Davidson_051711comp.pdf
December 31, 2006 - Evaluating HIT – Evaluation designs from the Colorado AHRQ State and Regional Demonstration Project
A Presentation of the
Colorado Health Institute
1576 Sherman Street,
Suite 300
Denver, Colorado
80203-1713
1
Evaluating HIT – Evaluation designs
from the Colorado AHRQ State and
Regional Demonstration Project
…
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www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 2. Forming a Patient Flow Team
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
S…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-wyoming-state-snapshot.pdf
January 01, 2018 - Spotlight on Wyoming -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Wyoming’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare &…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-slides.pptx
September 01, 2022 - The “Never Antibiotic” Diagnoses: Acute Bronchitis – Slides
AHRQ Safety Program for Improving Antibiotic Use
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Acute Bronchitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
1
Objective…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - The “Never Antibiotic” Diagnoses: Acute Bronchitis – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
The “Never Antibiotics” Diagnoses: Acute Bronchitis
Ambulatory Care
SAY…
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - Discharged Blindly
December 1, 2005
Iezzoni LI. Discharged Blindly. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/discharged-blindly
The Case
An elderly blind man developed a deep vein thrombosis during his hospital stay. At discharge, he was to
receive enoxaparin (Lovenox) for self-administration at home…
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digital.ahrq.gov/sites/default/files/docs/page/uhrigsuccessstory.pdf
January 01, 2011 - Text Messaging for Managing Chronic Disease: A Model for Tailored Health Communication
1
AHRQ Health Information Technology
Accelerating Change and Transformation in Organizations
and Networks (ACTION)
Managing a chronic disease can be difficult for any-
one, including people living with HIV who need to
adopt and…
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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