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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Malpractice Prevention Program.1 This program was created by the
legislature to capture preventable events caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - Short Bowel Syndrome
Pathophysiology
■ Functional disorder caused by alterations of normal intestinal … – Caused by: immature sleep-wake cycles, disruptions in sleep patterns caused by the need
to give … ■ Subglottic stenosis may be caused by intraoperative damage to cricoid, tracheostomy placed
too
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - Short Bowel Syndrome
Pathophysiology
■ Functional disorder caused by alterations of normal intestinal … – Caused by: immature sleep-wake cycles, disruptions in sleep patterns caused by the need
to give … ■ Subglottic stenosis may be caused by intraoperative damage to cricoid, tracheostomy placed
too
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
March 01, 2017 - 4 Things You Should Know About Urine Cultures
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
1. Bacteria in the urine does not necessarily mean a catheter-associated urinary tract infection (CAUTI) is present.
Bacteriuria is the term used to describe a positive urine culture, the presenc…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix A
Five Whys
In this example, there is only one path shown, but answers can create multiple paths and more questions.
Event Summary: The wrong concentration of potassium (K+) was used in the compounding of TPN. This was discovered almost 2 months later.
1s…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6: How To Monitor RED Implementation and Outcomes
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "3…
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6: How To Monitor RED Implementation and Outcomes
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "3…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
December 01, 2017 - Webinar 1: Introduction & Overview: Slide Presentation
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
The Hospital Guide to Reducing Med…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
March 03, 2021 - Improving Patient Experience: Data Analysis Methods webcast - Wellstar
Advancing Methods of Implementing and
Evaluating Patient Experience
Improvement Using CAHPS® Surveys
March 3, 2021
Natalie McNeal, MBA, MHA
Wellstar Community Hospice
Our state-of-the-art facilities include:
11
HOSPITALS
300+
MEDICAL
O…
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
Previous Page Next Page
Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussio…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Staff – Frequently Asked Questions:
Safety and Side Effects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The products we are recommending for surgical site infection (SSI) preven…
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www.ahrq.gov/policy/foia/foiafy09.html
October 01, 2014 - Documents requested were protected by an exemption
and release would have caused harm to the interest
-
www.ahrq.gov/policy/foia/foiafy08.html
October 01, 2014 - Documents requested were protected by an exemption
and release would have caused harm to the interest
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Improving Antibiotic Use – Acute Care
Moment 1: Diagnosing Sepsis
SAY:
Sepsis is a syndrome caused … community-acquired
pneumonia and community-acquired intra-
abdominal and urinary tract infections are not
caused
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
June 02, 2025 - Adverse Drug Events occurring in U.S. Hospitals
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S. Hospitals
Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals.
New data from all payers in 32 States in HCUP show characteristics of the four most frequent …
-
www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network
AHRQ Final Progress Report:
Investigating Failures of Notification and Monitoring in Outpatient Care:
the Safety Promotion Action Resea…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - Title and Commentary Slide Number and Slide
Moment 2: Diagnostic Tests for HAP
SAY:
HAP can be caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - the system (other than the involved individual) that might have
contributed to, facilitated, or even caused … employees feel comfortable sharing openly, as that will lead to a more accurate assessment of what caused … Causal factor: the suspected or confirmed factors that caused the adverse event.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - Assessment will make it easier to understand the circumstances of the fall and will help us determine what caused
-
www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care
AHRQ Grant Final Progress Report
Title:
Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care
Principal Investigator:
Virginia A. Moyer, MD, MPH
Team Members:
Papile, Lucille A., MD, Co-Investigator
Guillory, Char…