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2121. PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
      March 01, 2016 - PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.2b i PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Guidance for Using the Windows QI Software and an Example of Output for One Hospital Note: T…

2122. A4A Combo Psi Casestudy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
      June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Case Study of Using the QI Toolkit for Quality Improvement What is the purpose of this tool? This tool provides a case study from one hospital that participated in the field test and evaluation of the QI Toolkit. It offers …

2123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33786/psn-pdf
      May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational Uses May 1, 2015 Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses Perspective Reports of…

2124. Atrial-Fibrillation Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation_executive.pdf
      June 01, 2013 - 1 Comparative Effectiveness Review Number 119 Treatment of Atrial Fibrillation Executive Summary Background Definition and Impact of Atrial Fibrillation Atrial fibrillation (AF) is a supraventricular tachyarrhythmia (any tachycardic rhythm originating above the ventricular tissue) and is characterized by unc…

2125. labor-dystocia-protocol-amended-160728 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/labor-dystocia_research-protocol.pdf
      July 28, 2016 - labor-dystocia-protocol-amended-160728 Source: www.effectivehealthcare.ahrq.gov Published online: July 28, 2016 Evidence-based Practice Center Systematic Review Protocol Project Title: Labor Dystocia Initial publication date if applicable: January 27, 2016 Amendment Date(s) if applicable: July 12, 2016 (…

2126. Prevention of Central Line-Associated Bloodstream Infections (CLABSI) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clabsi.html
      November 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Prevention of Central Line-Associated Bloodstream Infections (CLABSI) Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools …

2127. Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ Safety Program to Lower Bloodstream Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202202.html
      February 01, 2022 - Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ Safety Program to Lower Bloodstream Infections Search All Impact Case Studies February 2022 Using AHRQ's Comprehensive Unit-based Safety Program ( CUSP ), Henry Ford Hospital in Detroit has reduced the incidence of central line-associated bloodstream …

2128. TeamSTEPPS Research/Evidence Base: Safety Culture and Safety Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/improvement.html
      June 01, 2023 - TeamSTEPPS Research/Evidence Base: Safety Culture and Safety Improvement Bognàr, A., Barach, P., Johnson, J. K., et al. (2008). Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.  Annals of Thoracic Surgery  85(4) 1374-81. Select to access the…

2129. Introduction to the Pediatric Best Practices Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
      June 02, 2025 - Introduction to the Pediatric Best Practices Tool Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.4 Introduction to the Pediatric Best Practices Tool What is the purpose of this tool? The purpose of this tool is to provide: • Detailed description of…

2130. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
      May 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality MAY 19 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. On May 11, 2023, the Biden-Harris Administrat…

2131. How To Manage Change
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
      June 02, 2025 - How To Manage Change How To Manage Change ADD Hospital Name Module 2 QI Change Process Change process strategies can be applied to other quality improvement (QI) efforts: Hospital falls Catheter-associated urinary tract infections Deep vein thrombosis or pulmonary embolism after knee and hip replacement Blood inco…

2132. Two More E's and How to Spread | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
      May 01, 2013 - Two More E's and How to Spread Contents Slide 1. Two More E's and How to Spread Slide 2. Learning Objectives Slide 3. Implementation Framework Slide 4. Implementation Framework Slide 5. Endure—Plan for Sustainability Slide 6. Endure—Plan for Sustainability Slide 7. Endure—Plan for Sustainability …

2133. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-7.html
      September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction References Previous Page   Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklists Facto…

2134. Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. | PSNet
      psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
      December 21, 2016 - Study Classic Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. Citation Text: Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…

2135. Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet
      psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
      June 19, 2019 - Study Patient outcomes after the introduction of statewide ICU nurse staffing regulations. Citation Text: Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.00000…

2136. Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet
      psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
      March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…

2137. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential u…

2138. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      August 01, 2018 - How Does Health Care Simulation Affect Patient Care? Joseph O. Lopreiato, MD, MPH | August 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Lopreiato JO. How Does Health Care Simulation Affect Patient Care?. PSNet [inter…

2139. Module 5: Resident and Family Engagement: Material Use Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/guide.html
      March 01, 2017 - Module 5: Resident and Family Engagement: Material Use Guide AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Learning Objectives: Define resident- and family-centered care. Describe the key concepts of resident-and family-centered care in long-term care (LTC) facilities. Explain the imp…

2140. Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. | PSNet
      psnet.ahrq.gov/issue/healthcare-associated-infections-adult-intensive-care-units-multisource-study-examining
      June 28, 2023 - Study Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. Citation Text: Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care u…