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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative
153
Shared Learning and the Drive to Improve
Patient Safety: Lessons Learned from the
Pittsburgh Regional Healthcare Initiative
Carl A. Sirio, Donna J. Keyser, Heidi Norman,
Robert J. We…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative
105
Using Reported Primary Care
Errors to Develop and Implement
Patient Safety Interventions: A
Report from the ASIPS Collaborative
David R. West, John M. Westfall, Rodrigo Araya-G…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. Wears, Shawna J. Perry,
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro,
Christopher Beach, Pat Croskerry, Ka…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies
453
Institutional Review Board Approval
of Practice-based Research Network
Patient Safety Studies
Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb,
James M. Galliher, Christine W. Duclos, Aaron J. B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety Climate Survey:
Tool Development and Lessons Learned
Lynne M. Connelly, Judy L. Powers
Abstract
Objective: A key tenet of patient safety programs is the elimination of the
“culture of blame.” The On-line P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Working With Patient and Families as Advisors Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 1: Working With Patient and Families as Advisors (Implementat…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - highest percentage of respondents reporting one or more events in
the past year (80 percent); Unit Assistants
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
According to The Joint Commission, failures in communication and teamwork as well as consist…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Administrative
Support Staff
and Physicians/
Other Providers
74%
positive
response
(highest)
Nursing
Assistants
-
www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - Section 2: Explanation of Key Team Leadership Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of team structure, leadership, and leadership tools. If you teach this content or want additional insights into how the material can b…
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www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - CUSP Toolkit Spread Facilitator Notes
CUSP Toolkit
The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
September 01, 2022 - Implementation Guide for Ambulatory Care Antibiotic Stewardship
AHRQ Safety Program for Improving Antibiotic Use
Introduction
Developing or improving antibiotic stewardship activities in ambulatory practices can take time. If you
are just starting to implement antibiotic stewardship activities in your practice, …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2-0-Spanish-5-26-2021.pdf
January 01, 2021 - Hospital Survey on Patient Safety Culture Version 2.0 Spanish
SOPS® Hospital Survey
Version: 2.0
Language: Spanish
• 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 analy…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey-spanish.pdf
June 02, 2025 - Cuestionario sobre la de seguridad de los pacientes en los hospitales
SOPSTM Hospital Survey
Version: 1.0
Language: Spanish
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based survey, and
pre…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
March 01, 2022 - Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 11-6
Nursing Protocol Training
Basin Bed Bathing With 2% Chlorhexidine (CHG)
and Showering With 4% CHG Liquid Soap
AHRQ Pub. No. 20(22)-0036
March 2…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
March 01, 2022 - Computer-Based Training Modules: Bed Bathing With CHG
Decolonization of
Non-ICU Patients With Devices
Section 11-5
Nursing Protocol Training
Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap
AHRQ Pub. No. 20(22)-0036
March 2022
1
Targeted Decolonization In…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish.pdf
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety - Spanish
SOPS® Nursing Home Survey
Version: 1.0
Language: Spanish
• 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 da…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Publication No. 17-0003-18-EF
May 2017
SAY:
The Monitoring for Perinatal Safety bundle
provides information on the use of electronic
fetal mo…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
June 02, 2025 - High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Technical Specifications
Section II: Detailed Measure Specifications
A. Description
Reporting on the extent to which high risk women are delivered at facilities
with 24/7 on-site blood banking ser…