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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
April 01, 2025 - PowerPoint Presentation
Learning From Defects: Applying the “Swiss Cheese Model” of System Failures
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevent…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-4.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Directions for Future Research
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive S…
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www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement
September 17, 2014
Download accessible version of slides (PDF, 2.4 MB)
National Quality Strategy Webinar: Using Quality Measurement for Improvement. September 17, 2014 [Slide 1]
Operator: Ladies and g…
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www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
January 01, 2024 - Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks
To Quantify the Impact of the Existing vs. Enhanced Work Configuration of
Radiation Therapy Technicians on Workload, Sit…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Instructor Guide
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
Say:
In this session we will introduce you to the Preventable Hospital and ED Visits el…
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www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
June 23, 2023 - Patient-Centered Outcomes Research Trust Fund (PCORTF)
External Stakeholder Report
June 2023
i
i
Agency for Healthcare Research and Quality Patient-Centered
Outcomes Research Trust Fund
External Stakeholder Report
Prepared for:
Agency for Healthcare Research and Quali…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-b.pdf
January 01, 2025 - Practice-Level Data Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and mplementation of Patient-Centered Outcomes Research into Primary Care
i
Practice-Level Data Report
January 2025
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications
AHRQ’s Safety Program for Nursing Homes:
On-Time Preventable Hospital and Emergency
Department Visits
Functional Specifications
Current a…
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - References
Summary
Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Perioperative Prophylaxis: Part 2
Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Pro…
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www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine
Consolidated Imaging: Implementing a Regional
Health Information Exchange System
for Radiology in Southern Maine
Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD
Abs…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
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 change?
3. What are the best practices in pressure …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
e PATIENT
SAFETY
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e
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
Prepared for:
Agency for Healthcare Research …
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www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension
Principal Investigator: Soumerai, Stephen B.
AHRQ GRANT FINAL PROGRESS REPORT
RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION
Principal Investigator: Stephen B. Soumerai, ScD
Team Members:
Ken Kleinman, ScD
Sumit R. Majumdar, MD, MPH
I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
CUSP Guide for Reducing Ventilator-
Associated Events in Mechanically
Ventilated Patients
AHRQ Pub. No. 16(…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
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 change?
3. What are the best practices in pressure …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution
The Rural Physician Peer Review Model©:
A Virtual Solution
Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD;
Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD
Abstract
Evaluating …