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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking Learning From Defects Through Sensemaking AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program For Surgery – Implementation This module focuses on the process of Learning from Defects throug…
  2. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
    June 01, 2025 - Advancing Patient Safety Through Diagnostic Excellence Advancing Patient Safety Through Diagnostic Excellence NATIONAL WEBINAR SERIES September 17, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website • Please use the ‘Chat’ function to engage with us thro…
  3. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
    June 02, 2025 - ADHD Summary of Public Comments SNAC Submission Form ADHD Measure 2: Behavior Therapy Section 6: Scientific Soundness Attachment 2: Summary of Public Comments Attention Deficit Hyperactivi…
  4. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
    October 01, 2020 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
    April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes Case Studies These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program. Select for more AHRQ Impact Case Studies . Contents New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
  8. 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…
  9. 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…
  10. 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…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
    April 01, 2022 - Central Venous Catheter Indications and Alternatives Indwelling Urinary Catheter Alternatives Avoiding Placement and Determining Appropriateness AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Avoid Unnecessary Urinary Catheter Placement1,2 Patel…
  12. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
    April 01, 2021 - USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities Introduction This user guide provides step-by-step instructions for nursing home staff to use the Hand Hygien…
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
    October 20, 2021 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Yount Diagnostic Safety Supplemental Items for the SOPS Medical Office Survey Naomi Yount, PhD Westat 39 Diagnostic Safety Supplemental Items 40 • Designed as a supplemental item set that can be added to the end of the SOPS Medical Off…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
    June 24, 2022 - NAM2019 Could real-world providers in these settings accurately recognize or evaluate this event or … Could available sensing technologies accurately detect this event or health state?
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…
  16. www.ahrq.gov/patient-safety/reports/engage/findings.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Discussion of Findings Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitation…
  17. www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
    October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
    April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices Mercy Hospital Fore River Campus Portland, Maine 23 Breast Care Specialists of Maine A two-surgeon practice, we take pride in offering timely, accurate consultation and treatment for benign and malignant …
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What is Patient Safety Culture? Organization 13 What are the SOPS Surveys? • Surveys of providers and st…
  20. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
    June 01, 2020 - threshold that maximizes the sum of sensitivity and specificity, perform poorly when attempting to accurately … Table A.8 provides various measures of how accurately the machine learning algorithm was able to reproduce

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