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  1. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
    January 01, 2025 - They then analyzed videos of 132 resuscitations. … 23 nurses) was conducted with simulations and coaching of participants videotaped and qualitatively analyzed … for trauma resuscitations were obtained through the Harborview Medical Center Trauma Registry and analyzed

  2. Interventions in Primary Care to Promote Breastfeeding: An Evidence Review (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/WYuzSoTB7frsav2gnsP7SR
    January 01, 2010 - Findings from the Previous Systematic Review* Outcomes Analyzed (References) Breastfeeding Comparisons … Analyzed Results Summary† Term infant outcomes Acute otitis media (12–16) Any definition of breastfeeding … concealment, clear definitions of outcomes, intention-to-treat analysis, Table 1—Continued Outcomes Analyzed … (References) Breastfeeding Comparisons Analyzed Results Summary† Breast cancer (70–74) Lifetime

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33715/psn-pdf
    July 01, 2011 - Becoming a Patient Safety Organization July 1, 2011 Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization Perspective While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story …

  4. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
    October 01, 2010 - Spotlight Case July 2008 Spotlight Case October 2010 Dangerous Dialysis * * Source and Credits This presentation is based on the October 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - Application of Safety-II Principles August 28, 2024 Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather than proactive, seeki…

  6. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
    August 01, 2009 - Spotlight Case July 2008 Spotlight Case Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care * Source and Credits This presentation is based on the August 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME/CEU credit is available Commentary by: …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49409/psn-pdf
    July 01, 2003 - Feeling No Pain July 1, 2003 Bogner MS. Feeling No Pain. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/feeling-no-pain The Case A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…

  8. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
    April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities. …

  9. Webinar 5: Reach Out to Collaborate with Partners Across Settings: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web5.html
    December 01, 2017 - Webinar 5: Reach Out to Collaborate with Partners Across Settings: Slide Presentation Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transitional Care Des…

  10. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital 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 pro…

  11. Hospital Survey on Patient Safety (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 02, 2025 - Hospital Survey on Patient Safety SOPSTM Hospital Survey Version: 1.0 Language: English Note · 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 producing re…

  12. SOPS® Nursing Home Survey on Patient Safety (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
    September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety SOPS® Nursing Home Survey Version: 1.0 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 prod…

  13. SOPS Medical Office Items and Composite Measures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
    June 02, 2025 - SOPS Medical Office Items and Composite Measures SOPS® Medical Office Survey Items and Composite Measures Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based sur…

  14. SOPS® Workplace Safety Supplemental Items for Nursing Homes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.pdf
    September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes SOPS® Workplace Safety Supplemental Items for the SOPS Nursing Home Survey Language: English Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOP…

  15. SOPS Workplace Safety Supplemental Items for Hospitals (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
    December 01, 2022 - SOPS Workplace Safety Supplemental Items for Hospitals SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their organization’s …

  16. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
    October 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF October 2017 1 Learning Objectives AHRQ Safety Program for Perinatal Care 2 Rapid Response Perinatal Safety 2 Rapid Respons…

  17. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
    January 01, 2018 - Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Idaho’s experience during the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the C…

  18. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
    June 01, 2021 - Presentation: Program Overview Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Assessment of RTI 1 Objectives Recognize the signs and symptoms of a suspected respiratory tract infection Ident…

  19. Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
    June 02, 2025 - Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership Implementation Guide - Module 2 System Change: Laying the Foundation and Leadership Module Purpose Following the call to action in Module 1, the purpose of this module is to lay the foundation for systems change. Topics i…

  20. Using Data To Drive Change and Improve Patient Safety Slides

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
    April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Slides Using Data To Drive Change and Improve Patient Safety AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 Objectives Describe why data are critical to driving improvement in your intensive care …
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