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  1. 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 …
  2. 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…
  3. 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…
  4. 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: …
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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
  11. 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
  12. 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…
  13. 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…
  14. 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 …
  15. 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
  16. 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 …
  17. 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
  18. 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…
  19. 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…
  20. 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…

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