-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Pressure injuries are areas of soft tissue damage caused by pressure or pressure and shear.
-
www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
April 01, 2018 - Some infections are caused by organisms that patients harbor prior to hospital admission.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
March 01, 2017 - and Communication | ‹#›
27
Communicating Adverse Events
Adverse event: An injury to a resident caused
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
March 01, 2017 - The cloudy color of her urine could be caused by asymptomatic bacteriuria, changes in her medication,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - or pain that could be attributed to
pressure damage.7-9
o Observe the skin for pressure damage caused
-
www.ahrq.gov/data/infographics/index.html
July 01, 2025 - Data Infographics
AHRQ Research Data Infographics The Agency for Healthcare Research and Quality (AHRQ) produces evidence to make healthcare safer, higher quality, more accessible, equitable, and affordable. As part of that mission, AHRQ focuses on data and analytics to help healthcare decision makers understan…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community
Using Lean Six Sigma® Tools to Compare
INR Measurements from Different Laboratories
Within a Community
Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB
Abstract
Whene…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide
Slide 1: Debrief Example
Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few minutes I'll be talking to you about how to turn the work yo…
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
January 01, 2020 - What caused complaints today?
What cost too much?
What was wasted?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
0%0%
Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Signs & Symptoms of a UTI
For Residents Without
a Urinary Catheter
� Dysuria
OR
� Fever (>100°F or >2°F above
…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/iodophor-administration.docx
March 01, 2022 - Importance of Iodophor Administration
Decolonization of
Non-ICU Patients With Devices
Section 13-5 – Staff Huddle Reminder:
Importance of Iodophor Administration
· Staphylococcus aureus lives in the nose and can spread to other areas of the body to cause infection
· Iodophor swabs have been proven to remove these b…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture
Improving Patient Safety in Hospitals: A Resource List
for Users of the AHRQ Hospital Survey on Patient
Safety Culture
I. Purpose
This document provides a list of references to websites and othe…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential
ways facility teams may choose to integrate the pressure ulcer healing reports into clinical
practice. A menu of…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Healing
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choo…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - Assessment will make it easier to understand the circumstances of the fall and will help us determine what caused
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Daily Goals During Interdisciplinary Rounds
Slide 2: Learning Objectives
After this session, you will be able to—…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.docx
March 01, 2022 - Importance of Mupirocin Administration
Decolonization of
Non-ICU Patients With Devices
Section 13-4 – Staff Huddle Reminder:
Importance of Mupirocin Administration
· Staphylococcus aureus (S. aureus) lives in the nose and can spread to other areas of the body to cause infection
· The results of a large clinical …
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
June 01, 2021 - Identifying Delirium
IDENTIFYING DELIRIUM
ABCs OF IDENTIFICATION
Acute/subacute
• Altered mental status with
change in attention
Behavioral disturbance
• (Restless, agitated, combative)
Changes in consciousness
• (Jittery, drowsy, difficult to
arouse)
COMMON CAUSES OF DELIRIUM
COMMON…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
June 02, 2025 - Assessment will make it
easier to understand the circumstances of the fall and will help us determine what caused