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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
    November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …
  3. www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
    January 01, 2024 - Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults Improving Over-the-Counter Medication Safety for Older Adults Project Dates: 04/01/2016 – 01/31/2020 R18HS024490 Institution: University of Wisconsin - Madison PI: Michelle Chui Team Members: Pascale Carayon, Roger Brown, Nora Jac…
  4. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
    August 01, 2016 - AHRQ wished to examine its return on investment in the K Award Program by addressing the following questions
  5. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
    September 01, 2013 - Patient Family Engagement PowerPoint Content and Alternate Text CUSP Toolkit The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed …
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/timeline.html
    June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Implementation Materials: Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input in…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
    October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Session 1 Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Introduction Cas…
  8. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-9.html
    November 01, 2017 - Mental Health Quality Measures Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Overview Experience of Care and Health Outcomes Survey (ECHO™) National Inventory of Mental Health Quality Mea…
  9. www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
    April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL) Principal Investigator: George Blike, M.D., Dartmouth-Hitchcock, Lebanon, NH AHRQ Grant No.: HS024403 Project Period: 09/30/15-03/31/20 Description: The overall goal of this project was to create the ideal hospital rescue system. Minimizing fai…
  10. www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
    January 01, 2014 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation (Slide Presentation) This slide presentation was presented at a webinar on July 15, 2013. Presenter: Jeffrey Smith, PhD(c) Discussant: Cheryl …
  11. www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
    January 01, 2024 - Teaching Implementation Planning     Present Slide 22, "Implementation Planning"; use this slide to transition to implementation planning. Note that you need to consider measurement when implementing TeamSTEPPS, but it is not the only thing. Explain that implementation planning will equip trainees with a 10-s…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
    June 26, 2024 - AHRQ Safety Program for MRSA Prevention How to Integrate a CUSP Approach ICU & Non-ICU AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU How to Integrate a CUSP Approach 1 Educational Objectives List the key steps…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-slides.pptx
    January 01, 2017 - Presentation: Program Overview Forming a Comprehensive Unit-based Safety Program Team AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No 16(17)-0018-28-EF January 2017 Forming a CUSP Team ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session,…
  14. www.ahrq.gov/policymakers/chipra/cpcf-form15.html
    December 01, 2013 - Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act.  The OMB Control Num…
  15. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt3.html
    September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 3: Strategies for Designing a CME Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (…
  16. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
    June 02, 2025 - Slide 1 Patient-and-family Centered Care * Christine Goeschel ScD, MPA, MPS, RN, FAAN Assistant Professor, Johns Hopkins School of Medicine Joint Appointment, Schools of Public Health and Nursing And Gail Panoff Chair, Patient and Community Engagement Council St. Joseph Mercy Health System Ann Arbor, MI Lear…
  17. Topic (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
    January 01, 2009 - Topic A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability The Purpose of This Tool This tool is intended to support sustainability efforts for your catheter-associated urinary tract infections (CAUTI) prevention project team. This worksheet will help…
  18. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Recommendations and Areas for Future Research Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The The…
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pptx
    October 01, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics October 2015 This presentation contains notes. Select View, then Notes page to read them. 1 Goals of the…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
    June 05, 2025 - SOPS Nursing Home Survey Version 2.0 SOPS® Nursing Home Survey Version: 2.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and produc…

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