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  1. www.ahrq.gov/news/newsroom/case-studies/201516.html
    June 01, 2015 - San Diego Universities Collaborate Using TeamSTEPPS® to Boost Professional Education Search All Impact Case Studies June 2015 About 900 students at two San Diego universities have been instructed in the team-based methods of TeamSTEPPS® , AHRQ's evidence-based patient safety training program for health car…
  2. www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change an…
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-hospital-survey-workplace-item-set-webcast-yount.pdf
    June 02, 2025 - SOPS State Hospital Association Webcast - Yount Presentation Research Linking Workplace Safety Culture and Patient Safety Culture Naomi Yount, Ph.D. Westat Data Source • Analyses used data from the pilot test of the SOPS Hospital Survey 2.0 with Workplace Safety Supplemental Item Set in 2021 • 28 Hospitals •…
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
    December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…
  6. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
    June 02, 2025 - Follow-up Practice Survey Codebook Including Core and Optional Items …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
    March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes 401 Technology for Improving Medication Monitoring in Nursing Homes Kate L. Lapane, Kathleen Cameron, Janice Feinberg Abstract A 1997 report entitled Prescription Drug Use in Nursing Homes, by the Department of Health and Human Services’ Office…
  8. www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
    April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Appendix E Previous Page   Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qualitative An…
  9. www.ahrq.gov/news/newsletters/e-newsletter/959.html
    May 01, 2025 - Lab Results Improve Accuracy of AI-Generated Diagnoses Issue Number 959 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 28, 2025 AHRQ Stats: Insurance Types Among High Spenders Medicare and private insurance paid for over three-quarters of expenses among …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives from the Frontlines Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD; Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA Abstract Although patient safety experts have focused on event…
  11. www.ahrq.gov/topics/community-acquired-infections.html
    Topic: Community-Acquired Infections AHRQ has research, tools and resources for clinicians, related to community-acquired infections, such as the Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Antibiotic Stewardship Toolkits Community-Ac…
  12. www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
    January 01, 2024 - Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities Final Report Patient Safety: Physician Assistant Responsibilities and Opportunities An educational conference program of the American Academy of Physician Assistants This program was funded by a grant from the Agency fo…
  13. www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
    January 01, 2024 - Final Progress Report: Improved Patient Safety Through Web-Based Education FINAL REPORT Title of Project: Improved Patient Safety Through Web-Based Education Principal Investigator: William R. Hendee, PhD Principal Team Members: Asta Sorensen, MA Deborah Cummins, PhD Patti Sokol, RN, JD Holly Burt, MLIS…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher. Slide…
  15. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 3. What are the best practices in pressure ulcer prevention that we want to use? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage ch…
  16. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 3. What are the best practices in pressure ulcer prevention that we want to use? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage ch…
  17. www.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign (Text Description) Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MAT…
  18. www.ahrq.gov/hai/hai-carb-funding.html
    November 01, 2021 - Funding HAI and Antibiotic Resistance Research AHRQ’s Healthcare-Associated Infections (HAI) Division funds clinical and health services research to develop the knowledge and practical tools used on the frontlines to prevent infections and make care safer. AHRQ is interested in funding research in all clinical …
  19. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-txt.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign (Text Description) Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MAT…
  20. www.ahrq.gov/nursing-home/resources/self-assessment-questions.html
    June 01, 2021 - Self-Assessment Questions Resource:  Self-Assessment Questions This validated nine-question assessment invented by Mayo Clinic can be used to measure and track six dimensions of distress and well-being. Source:  Well-Being Index Topic(s):  Staff and Resident Well-being Audience(s):  Clinical Leaders; Ma…

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