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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
    January 01, 2005 - Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation 379 Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation David Anthony, VK Chetty, Anand Kartha, Kathleen McKenna, Maria Rizzo DePaoli, Brian Jack Abstract Introduction: The transfe…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings. Slide 1 Educational…
  3. Saworksheet (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
    June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Healing 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Self-Assessment Worksheet for Pressure Ulcer Healing This self-assessment tool is an im…
  4. www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
    December 01, 2012 - Implement Teamwork and Communication: Facilitator Notes The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4…
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - Sickle Cell Disease Pathology and Severity Vaso‐occlusion (the sudden blockage of a blood vessel caused … Septicemia and meningitis caused by Streptococcus pneumoniae are a major cause of mortality in children … acute chest syndrome, a common and life‐threatening condition in children with SCD that can also be caused … Septicemia and meningitis caused by Streptococcus pneumoniae are major cause of mortality in children
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
    January 01, 2017 - respiratory distress syndrome (ARDS), and substandard ventilator management can increase the injuries caused … recruits alveoli and prevents alveolar collapse at end-expiration, thereby reducing “atelectrauma” caused … With Improved Outcomes The benefits of LTVV include a reduction of barotrauma, an injury to the lung caused … Hypercapnia refers to excessive carbon dioxide in the bloodstream, typically caused by inadequate respiration
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
    December 01, 2017 - Menu of Implementation Strategies 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 repor…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
    May 01, 2017 - Module 3: PowerPoint Presentation Management Practices for Sustainability Module 3: Problem Solving and Escalation AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-4-EF May 2017 Module 3: Problem Solving and Escalation | ‹#› AHRQ Safety Program for Ambulatory Surgery Management Practices for…
  9. www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
    October 01, 2023 - Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes Press Release Date: October 10, 2023 A new study funded by the Agency for Healthcare Research and Quality (AHRQ) found that nursing homes using a chlorhexidine bathing routine to clean the skin and nose with over-the-counter antiseptic solutions pr…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Materials: Self-Assessment Worksheet for Pressure Ulcer Prevention Three implementation documents are used to help the nursing home change team integrate the pressure ulcer prevention reports they choose to use into day-…
  11. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
    September 01, 2022 - Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Clinical preventive services (CPS), such as vaccinations and cancer screenings, can help individuals live longer, heal…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-wound-cleaning.pdf
    March 01, 2022 - Staff Huddle Reminder: Wound Cleaning With Chlorhexidine 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.  Cl…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors Previous Page Next Page Table of Contents Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnost…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
    April 01, 2011 - Wound Classification Wound Classification Presented by Dr. Karen Zulkowski, D.N.S., RN Montana State University Welcome! Thank you for joining this webinar about how to assess and measure a wound. 2 A Little About Myself… • Associate professor at Montana State University • Executive editor of the Jour…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
    May 01, 2017 - Module 1- Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 1: Overview A Frontline Management System To Sustain Improvement in Safety Practices Contents 1. Why a Frontline Management System? 2 2. Components of the Frontline Management System 3 3. Interactions of …
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
    March 01, 2022 - Decolonization as a Broad-Based Strategy Most HAIs are caused by bacteria that reside on the skin and … S. aureus caused 120,000 bloodstream infections and 20,000 deaths in the United States in 2017.24 MRSA … Hospitalizations and deaths caused by MRSA, United States, 1999-2005.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
    June 02, 2025 - variances in trends and understand causes of variances; • Identify resident risk factors that may have caused
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Introduction to Falls Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Introduction to Falls Reports Sl…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.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 Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…
  20. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/index.html
    March 01, 2020 - Chartbook on Women's Health Care Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coordination Effective Treatment of Leading Causes…

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