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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…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Turning Data Into Action:
Using HSOPS and SSI Data as Part of a Meaningful Change
Slide 2: Using Safety Culture Surv…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - Preventing CAUTIs in the ICU Setting
Preventing CAUTI in the ICU Setting
Module 1: Overview
AHRQ Safety Program for Reducing CAUTI in Hospitals
AHRQ Pub No. 15-0073-4-EF
September 2015
Learning Objectives
At the end of this educational event, the participant will be able to—
Describe the scope of catheter-associated…
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www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Appendix C: Example Implementation Plan
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Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
…
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www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
April 01, 2025 - Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality
Principal Investigator: Alison Stuebe, M.D., M.Sc., University of North Carolina, Chapel Hill, NC. Co-PIs: Kristin Tully, Ph.D., University of North Carolina, Chapel Hill, NC; Emily Patterson, Ph.D., The Oh…
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www.ahrq.gov/patient-safety/resources/learning-lab/ripchdor-long-desc.html
April 01, 2022 - Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR)
Principal Investigator: Anjali Joseph, Ph.D., Clemson University, Clemson, SC
AHRQ Grant No.: HS24380
Project Period: 09/30/15–08/31/21
Description: The overarching goal of RIPCHD.OR was to use an integrate…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - Implementing the CMS Patient Safety Structural Measure: Slide Presentation
Implementing the CMS Patient Safety
Structural Measure
NATIONAL WEBINAR SERIES
May 13, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the National Action
Alliance website.
• Please use the ‘…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Tyler
SOPS Databases
Rose Tyler, M.S.
SOPS Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
SOPS Databases
Hospital 2.0
Year: 2022
Sites: 400
N: 206,410
Nursing Home
Year: 2023
Sites: 62
N: 3,224
Medical Office
Year: …
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-slides.html
March 01, 2017 - Module 3: Staff Empowerment
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 3: Staff Empowerment
Slide 2: Objectives
Cite staff empowerment concepts.
Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes and quality of life.
Il…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-explain-and-motivate.pdf
December 26, 2018 - Explain and Motivate Complete Checklist
1
TalkingQuality
Your Project Checklist:
Explain and Motivate Use of Health Care Quality Reports
This document contains checklists for the following sections of Explain and Motivate Use of Health
Care Quality Reports:
• Communicating Key Information
• Providing Deta…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
April 01, 2022 - Keystone ICU Project: Prompt Removal3-5Keystone CLABSI Bundle Intervention•Hand hygiene•Maximal sterile barrier … Keystone ICU Project: Prompt Removal3-5
Keystone CLABSI Bundle Intervention
Hand hygiene
Maximal sterile barrier
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/insulin-blood-sugar-2010_research-protocol.pdf
January 01, 2010 - types of hypoglycemic episodes can be a source of
significant distress and anxiety to patients and a barrier … challenge of this technique is associated pain that
affects adherence to this technique and is a barrier
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
June 01, 2013 - of the experts stated the steep learning curve and lack of data
from randomized trials could be a barrier … crypt cell proliferation; inhibiting
crypt cell apoptosis (programmed cell death); and enhancing gut barrier
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Although it is not clear that there was a language barrier in this
case, in one study of Spanish speakers
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - So, the payment model for primary care is a real barrier to doing
many of these nonbillable services
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cdsic.ahrq.gov/sites/default/files/2024-07/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q2%202024_7.18.24.pdf
January 01, 2024 - However, there is limited literature on ROI for PC CDS, which is
a significant barrier to widespread
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - If senior executives claim their busy schedules as a barrier to involvement in the project, the CUSP
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - A barrier to this approach may be confidentiality rules prohibiting sharing of RCAs, particularly those
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cdsic.ahrq.gov/sites/default/files/2024-05/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202024.pdf
January 01, 2024 - However, there is limited literature on ROI for PC CDS, which is
a significant barrier to widespread