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8961. Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201526.html
      January 01, 2018 - Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety Search All Impact Case Studies September 2015 Waverly Health Center, a critical access hospital in Waverly, Iowa, has used three AHRQ resources to improve communication, teamwork, and leadership engagement as part of ongoing efforts to i…

8962. Nisbrochure 050218 (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/NISBrochure_050218.pdf
      May 16, 2018 - What is the NIS? The National Inpatient Sample (NIS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NIS is the largest all-payer inpatient care database in the United States, containing data on more than seven million hospital stays. Its large…

8963. 114-Fvc-Aspects-Steps-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
      April 01, 2025 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…

8964. Rapid response systems as a patient safety strategy: a systematic review. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
      March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

8965. Organisational failure: rethinking whistleblowing for tomorrow's doctors. | PSNet
      psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
      May 18, 2022 - Commentary Organisational failure: rethinking whistleblowing for tomorrow's doctors. Citation Text: Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328. Copy Citation Format: …

8966. Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet
      psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
      July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

8967. Effect of a hospital command centre on patient safety: an interrupted time series study. | PSNet
      psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
      July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…

8968. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - , nurses, pharmacists, discharge planners, and others representing areas of focus (e.g., inpatient units … To allow for feedback during a pilot, small focus groups can be held on nursing units for approximately … • The strength of each medicine (mg, mcg, units, etc.). • How much you take for each dose (1 tablet … High-risk areas can be targeted for this evaluation to avoid potential harm (e.g., intensive care units … (number of tablets, capsules, units, etc.) Frequency How often do you take the medication?

8969. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - The managers and administrators of departments/units receive quarterly reports.” … Most clinical units have access and are trained to do online reporting.

8970. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2012
      January 01, 2012 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2012 Project Name Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System Principal Investigator Levick, Donald Organization Lehigh Valley Hospital Funding Mechanism PAR: HS08-270:…

8971. Ff 2009 Exhibit5 4 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_4.pdf
      January 01, 2009 - 5.4A HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 73 EXHIBIT 5.4 Procedures All stays with a procedure* 18,529 27,598 1,635 2,316 ∞ Female rates higher than male rates Blood transfusion 1,185 1,555 105 130 ∞ Upper gastrointestinal endoscopy 558 665 49 56 ∞ Knee …

8972. Battle Buddy Pocket Card - Final (1) (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
      January 01, 2021 - COVID 19 Battle Buddy Support Program Background: COVID-19 is a pandemic that threatens not only our patients but ourselves and our sense of safety and control. Like soldiers on a battlefield, our front line staff are coping with ongoing uncertainty about the scope of the threat, concerns about adequate PPE, …

8973. Gastrointestinal Disease | Digital Healthcare Research
      digital.ahrq.gov/medical-condition/gastrointestinal-disease
      January 01, 2023 - Gastrointestinal Disease Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplina…

8974. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
      December 01, 2014 - Reports will vary based on EMR vendors but should help in identifying particular units or shifts where

8975. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
      October 01, 2014 - new system, as a training tool for frontline staff, and as an ongoing clinical reference tool on the units

8976. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
      October 01, 2014 - new system, as a training tool for frontline staff, and as an ongoing clinical reference tool on the units

8977. Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/prevent-hai-protocol.pdf
      April 16, 2024 - (general) 'medical device'/exp OR (device* OR equipment* OR instrument* OR kit OR kits OR unit OR units

8978. Teen Hospital Stays for Childbirth, 2004-2013 #208
      hcup-us.ahrq.gov/reports/statbriefs/sb208-Teen-Childbirth-Hospital-Stays-Trends.jsp
      August 01, 2016 - hospitals, which are defined as short-term, non-Federal, general, and other hospitals, excluding hospital units … hospitals, which are defined as short-term, non-Federal, general, and other hospitals, excluding hospital units

8979. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
      July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…

8980. Part 1: Overviews of the Report and the Hispanic Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
      March 01, 2020 - Chartbook for Hispanic Health Care Part 1: Overviews of the Report and the Hispanic Population Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Quality Strategy…