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  1. www.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Results References …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
    April 05, 2013 - Information to Help Hospitals Get Started Key Takeaways Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety. Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…
  5. www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
    May 01, 2018 - High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section 1 High-Risk Deliveries at Facilities with 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a …
  7. www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
    April 01, 2013 - Two More “Es” and How To Spread (Transcript) December 13, 2011 Operator: Excuse me, everyone, and thank you for holding. Please be aware that each of your lines in a listen-only mode. At the conclusion of today’s presentation, we will open the floor for questions. At that time, instructions will be given as …
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
    April 01, 2022 - Central Venous Catheter Removal Facilitator Notes CLABSI Module: Central Venous Catheter Removal Facilitator Guide Slide Number and Image This module, titled Central Venous Catheter Removal, is part of the Agency for Healthcare Research and Quality’s Safety Program for intensive care units (ICUs). The module ad…
  9. www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
    July 01, 2023 - Southern California, Leonard Davis School of Gerontology Kannan Ramar, M.D., F.A.A.S.M., F.C.C.P., Mayo Clinic
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
    June 01, 2010 - If physicians were listed in some other order (e.g., by last name, by ZIP code, by clinic affiliation
  11. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - • Applying the Medications at Transitions and Clinical Handoffs Toolkit in a Rural Primary Care Clinic
  12. www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery Principal Investigator and Team Members: Name Role Medical University of South Carolina Ken Catchpole, PhD Principal Investigator My…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Instructor Guide Slide Presentation Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Prevention Reports AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention …
  14. 0129Table8 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
    January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
    May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors 333 Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino, Sandra A. McDougal, Joann M. Pilliod…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
    March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System 149 Development and Implementation of The University of Texas Close Call Reporting System Sharon K. Martin, Jason M. Etchegaray, Debora Simmons, W. Thomas Belt, Kelly Clark Abstract This report describes the development…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
    March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium 33 The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger Abstract In response to the Agency for Healthca…
  18. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide91.html
    October 01, 2014 - 91. Treatment Recommendations: Counseling (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Intensity of Clinical Interventions Meta-analysis (2000): Effectiveness of and estimated abstinence rates for total amount of contact time (n = 35 studies) T…
  19. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide168.html
    October 01, 2014 - 168. Components of Intensive Treatment (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Medication Every smoker should be offered medications endorsed in this Guideline, except where contraindicated or for specific populations for which there is insu…
  20. Staffsafetyassess (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
    June 02, 2025 - Staff Safety Assessment Purpose of this form: This form is designed to tap into your experience at the front line of patient care to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety. Who should us this tool? Health care providers. How to complete this form: Provi…

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