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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
    January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton, FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE; David M. Gaba, MD;…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/psychological-safety.pdf
    June 02, 2025 - Creating Psychological Safety in Teams Creating Psychological Safety in Teams Creating Psy…
  5. www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Sign up: CAHPS Database - Hospital Component Email updates Sign up: Hospital Survey on Patient Safety Culture Email updates Sign u…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
    June 01, 2023 - PowerPoint Presentation AHRQ Safety Program for Improving Surgical Care and Recovery Engaging the Senior Executive Presentation Template AHRQ Pub. No. 23-0052 June 2023 Purpose and Use of This Presentation Template Purpose of tool: To engage a senior leader to bridge the gap between senior management and frontline …
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/49-multimodal-analgesia.pptx
    June 01, 2023 - PowerPoint Presentation Multimodal Analgesia Tips AHRQ Safety Program for Improving Surgical Care and Recovery AHRQ Pub. No. 23-0052 June 2023 AHRQ Safety Program for Improving Surgical Care and Recovery 1 Defining Multimodal Analgesia Combination of analgesic drugs with diverse mechanisms of action Includes op…
  8. www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
    August 01, 2023 - Section 3: Teaching Introductory Material TeamSTEPPS 3.0 has been taught in a two-day format, is often taught in a half-day format, and is also frequently taught in smaller segments only 15–30 minutes long. While in-person trainings have been the norm, virtual trainings using an online platform are now common a…
  9. www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Measurement Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change…
  10. www.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
    March 01, 2021 - Cholesterol Management Evidence and Resources People with elevated levels of cholesterol are at increased risk of having a heart attack or stroke. Substantial evidence shows that taking a statin medication each day to manage blood cholesterol can reduce the chance of having a heart attack for people at increase…
  11. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/calman.html
    October 01, 2015 - A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center Principal Investigator: Neil Calman, MD Institution: The Institute for Family Health AHRQ Grant Number: R18 HS019076 Number and Type of Practices This project included 14 FQHCs bel…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
    April 15, 2012 - PowerPoint Presentation 1 Define spread and its role within an organization Examine external and internal factors that affect spread Present the components of a spread plan Discuss myths and barriers to spread Learning Objectives 2 “Spreading takes the process from the narrow, segmented population(s) or…
  13. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
    June 02, 2025 - TeamSTEPPS Situation Monitoring Module 3 Situation Monitoring Module 3 1 Situation Monitoring Exercise: Rebuild Your Tower Situation Monitoring Rules: Same goals and rules as the earlier tower building exercise except one BIG change: The Color Guide cannot speak or write the name of any color. The Length Guide…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/whats-available.pdf
    March 20, 2017 - What's Available for the CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions What’s Available for the CAHPS Child Hospital Survey Document No. 91 Updated 3/20/17 What’s Available for the CAHPS® Child Hospital Survey What Materials Are Available?..........................................…
  15. www.ahrq.gov/talkingquality/plan/needs-and-testing/index.html
    May 01, 2019 - How Will You Test Aspects of Your Health Care Quality Report? Given all the time, money, and effort you are investing in developing and distributing a quality report, you want to be sure that your report is as effective as possible. In other words, you want every aspect of the report to work as well as it can …
  16. www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
    December 01, 2017 - Integrating Teamwork Tools into CUSP Efforts Slide Presentation Slide 1 Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital Association Slides adapted from original source: Barbara Edson, RN, MBA, MHA VP, Clinical Quality , Health Research & Educatio…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-instructions-requesting-identifiable-hsops-data.pdf
    January 01, 2024 - Agency for Healthcare Research and Quality (AHRQ) SOPS® Hospital Database Information and Instructions for Requesting SOPS Hospital-identifiable Data Instructions for Requesting Hospital–identifiable SOPS Data– April 2024 1 Agency for Healthcare Research and Quality (AHRQ) SOPS® Hospital Database Information an…
  18. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
    November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue Sustaining Stewardship Activities Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Sustaining Stewardship 1 Objectives Review the goals of an anti…
  19. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
    June 01, 2017 - Sample “Plan-Do-Study-Act” Form Use this form to help you plan your introduction of daily huddles. It includes sections to help you plan and manage all the tasks necessary to introduce huddles. You can also use it to gauge the success of your initial attempt at introducing a huddle. Purpose:  Deve…
  20. www.ahrq.gov/es/nursing-home/resources/search.html?page=12
    January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…

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