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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/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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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
  8. 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…
  9. 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
  10. 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…
  11. 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…
  12. 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…
  13. 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, …
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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