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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description)
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
C…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/054-sample-adherence-report.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Sample Adherence Report
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Use this document to build a useful report that allows for tracking of adherence and for drilling down, as need…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/141-cusp-tip-sheet-assembling-team.docx
April 01, 2025 - CUSP Tip Sheet:
Assembling the CUSP Team
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Compre…
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psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
June 14, 2019 - Organizational Policy/Guidelines
CDC guideline for prescribing opioids for chronic pain—United States, 2016.
Citation Text:
Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49. doi:10.15585/mmwr.rr…
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psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
April 06, 2022 - Study
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.
Citation Text:
Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Assembling the CUSP Team
ICU & Non-ICU
Purpose
Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Comprehensive Unit-based Safety Program (CUS…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/06-pfe-planning-evaluation.pdf
August 01, 2021 - Evaluation Planning Tool
Evaluation Planning Tool
Toolkit for Engaging Patients
To Improve Diagnostic Safety
After you implement the Be The Expert On You note sheet and the 60 Seconds To Improve Diagnostic Safety,
you will need to evaluate the interventions’ impact. You can use this Evaluation Planning Worksheet…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/sopstipsheet.pdf
June 02, 2025 - Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture
Tip Sheet: Improving Response Rates
on the AHRQ Surveys on Patient Safety Culture
This Tip Sheet will help you understand the importance of high survey response rates and provide suggestions for
improving your response rates.…
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psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178
October 09, 2024 - Study
Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities.
Citation Text:
Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …
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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - Study
Classic
Increases in drug and opioid overdose deaths—United States, 2000–2015.
Citation Text:
Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - Study
Classic
Readiness of US general surgery residents for independent practice.
Citation Text:
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…
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psnet.ahrq.gov/issue/acgme-2011-duty-hours-restrictions-and-their-effects-surgical-residency-training-and-patients
August 26, 2020 - Review
ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.
Citation Text:
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients out…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/bonnevie-l-et-al-2005
January 01, 2005 - Bonnevie L et al. 2005 "The use of computerized decision support systems in preventive cardiology-principal results from the national PRECARD survey in Denmark."
Reference
Bonnevie L, Thomsen T, Jorgensen T. The use of computerized decision support systems in preventive cardiology-principal results fr…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec
January 01, 2023 - Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices."
Reference
Howard J, Clark EC, Friedman A, et al. Electronic health record impact on work burden in small, unaffiliated, community-based primary care p…
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psnet.ahrq.gov/issue/infection-control-measure-performance-long-term-care-hospitals-and-their-relationship-joint
June 07, 2023 - Study
Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation.
Citation Text:
Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals and their relationship to Joint Commissio…
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digital.ahrq.gov/sites/default/files/docs/citation/workflowredesignrfi.pdf
July 01, 2010 - #2
During implementation, provider
appointment times were
doubled for a week, then up
50% for 2 weeks … We had two to three trainers onsite for 2 weeks, including a billing
specialist. … Some AAP members limit
patient visits during training and
in the initial weeks after going
live with … The practice then took
advantage of Web meetings
with their vendor’s support staff
for 2 weeks after … health IT
specialists, vendor training, limiting patient visits during implementation and initial weeks
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Approximately 20% of patients experience adverse events in the first 3 weeks after
discharge, with 61%
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs019071-lai-final-report-2014.pdf
January 01, 2014 - Patients/parents completed weekly fatigue assessments over eight weeks
via the internet or interactive … parents/patients received cumulative graphic reports of fatigue scores
prior to clinic visits at 4 and 8 weeks … Alert when Fatigue Threshold was
met
Fatigue scores reported by patients on a weekly basis for 8 weeks … Study staff printed out reports and delivered them to physicians and parents at Weeks 4 and 8
during … Patients and parents also completed pedsFACIT-F every week for 8
weeks.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
January 01, 2011 - Main Study: There were three data collection phases: Follow-up data from patients
obtained (1) three weeks … In
addition, our plans were to compare the problem resolution of patients three weeks after the visit … collection and feedback process was in place during Phase 3 with the
baseline data collected three weeks … However, even after three weeks, 23% of
those who were not improved or were worse also did not contact … During the full automation phase, patients who were not better were followed up two weeks
later (three
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
July 18, 2023 - .
• A common goal is to lower the dose of opioids by 10%-20% every 1-4 weeks or
months.