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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-participant-worksheet.pdf
June 02, 2025 - TeamSTEPPS Mutual Support Facilitator Participant Worksheet
…
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www.ahrq.gov/sites/default/files/2024-12/moore-report.pdf
January 01, 2024 - Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic
October 31, 2014
Title Page
• Title of Project.
Identifying Unnecessary Irradiation of Patients with Suspected Renal Colic
• Principal Investigator and Team Members.
Christopher L. Moore MD, Cary Gross MD, Ann…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Hospital Transfer Self-Assessment Worksheet
Purpose
The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes
Feeding Tubes
Types of Devices
■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days.
■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial
gastrostomy device.
■ Button/skin-level gastrostomy: …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - Prologue: Laying the Foundation
Prologue
Laying the Foundation
Kerm Henriksen, PhD
The volume starts with papers that look to the future and examine the past with respect to patient
safety; however, its overarching theme is assessment. An underlying premise to any volume that
focuses on assessment is tha…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Leverage Patient Safety Infrastructure
Previous Page Next Page
Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Practices
Us…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Workshee…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-wound-cleaning.docx
March 01, 2022 - Wound Cleaning With CHG
Decolonization of
Non-ICU Patients With Devices
Section 13-3 – Staff Huddle Reminder:
Wound Cleaning With Chlorhexidine
· Do not forget to clean wounds! Cleaning wounds prevents surface bacteria from entering the body and causing infection.
· Clean ALL wounds unless deep or packed. Be sure to…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/iodophor-administration.pdf
March 01, 2022 - Staff Huddle Reminder: 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 sw…
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www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
January 01, 2024 - Respondents mentioned that travel and unexpected changes in their routine caused by illness and/or stress … had caused them to forget their medications or to take them at a time much later than recommended. … Recognition of this pattern caused some individuals to develop additional reminders or systems to prevent
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
October 01, 2014 - This can be caused by a bloodstream infection, a stroke, or simply not doing well with the social setting
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - Module 3: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 3: Problem Solving and Escalati…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 01, 2017 - Module 3: Problem Solving and Escalation - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 3: Problem Solving and Escalation
Say:
In this module, we will focus on two elements in the frontline management system that we have outlined—having well-understood problem-solving and prob…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
Welcome to today's educational session on The Culture of Culturing: The Importance of …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - important to determine whether the resident has fallen down because of another medical problem that caused
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www.ahrq.gov/research/shuttered/hospevactab6.html
July 01, 2018 - Hospital Evacuation Decision Guide (Table 6)
Public Health Emergency Preparedness
Table 6. Factors to Consider in Deciding Whether to Begin a Pre-Event Evacuation
Factor
Issues to Consider
Implications
Event Characteristics
Arrival
When is the event expected to "hit" the …
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Research suggests that adverse events affect LEP patients more frequently, are often caused by
communication … among racial and ethnic minorities
compared to their white counterparts.9,10 This difference may be caused … Adverse event*:
Any injury caused by medical care. … If anything, errors related to LEP are bundled as being caused by “communication
errors,” which does … As we have highlighted throughout this guide, patient safety events are generally not caused by one
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.pdf
March 01, 2022 - Staff Huddle Reminder: 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 infect…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-8.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.8. Kaizen Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
C…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-8.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.8. Kaizen Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
C…