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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
June 01, 2015 - How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality?
Evaluation Highlight No. 13
Authors: Rebecca Peters, Rachel Burton, and Kelly Devers
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Sustaining Zero CLABSIs (Transcript)
May 8, 2012
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment Module
Facilitator Notes
SAY:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Implementing Your SSI Prevention Bundle
SAY:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 1
Learning Objectives
SAY:
This module will help you develop …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Implementing Your SSI Prevention Bundle
Say:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 2: Learning Objectives
Say:
This modu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals
A Model for Sustaining and Spreading
Safety Interventions
Contents
Background and Acknowledgments ............................................................................................... 2
How T…
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Meeting Minutes, July 2017
National Advisory Council
Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 2, 2016, Summary Report
Director's Update
Update on Learning Health Care…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Challenges to Real-Time Decision Support in Health Care
Challenges to Real-Time Decision Support
in Health Care
Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care);
Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD;
Colin F. Mackenzie, MBChB, FRCA, FCCM
Abstract
This …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals
Strategies for Improving Patient Safety
in Small Rural Hospitals
Judith Tupper, MS, CHES; Andrew Coburn, PhD; Stephenie Loux, MS; Ira Moscovice, PhD;
Jill Klingner, PhD; Mary Wakefield, PhD, RN
Abstract
The Tennessee Rural Hospital Patient …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care
High-Hanging Fruit: Improving
Transitions in Health Care
Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD
Abstract
Discussions about enhancing the safety of transitions in health care have been disjointed.
Respected health care …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - http://www.ihi.org/knowl
edge/Pages/Tools/Project
PlanningForm.aspx
Institute of
Behavioral
Research
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - You really need to make this a joint effort and the environment of care has to change to afford behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - http://www.ihi.org/knowl
edge/Pages/Tools/Project
PlanningForm.aspx
Institute of
Behavioral
Research
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - Soon, Heights began using Lean in behavioral health because of its large presence among the hospital … Heights Hospital, value streams have included the ED, perioperative surgical services, ambulatory care, behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home
79
Seamless Care: Safe Patient Transitions
from Hospital to Home
Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios,
Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson
Abstract
Background: “Seamless care” is a smooth a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking
Learning From Defects
Through Sensemaking
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program For Surgery – Implementation
This module focuses on the process of Learning from Defects throug…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
October 01, 2015 - Other data sources: DocSite clinical database; Behavioral Risk Factor Surveillance Study, a telephone … Other data sources: DocSite clinical database; Behavioral Risk Factor Surveillance Study, a telephone
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
October 01, 2011 - • Social and behavioral sciences.
• Epidemiology and biostatistics.
• Engineering.
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www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
October 01, 2011 - • Social and behavioral sciences.
• Epidemiology and biostatistics.
• Engineering.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program
223
Identifying, Understanding, and
Communicating Medical Device Use Errors:
Observations from an FDA Pilot Program
Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner
Abstract
The U.S. Food an…