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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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 This page left intentionally blank …
  8. 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…
  9. 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 .........................…
  10. 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 .........................…
  11. 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 .........................…
  12. References (doc file)

    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 …
  13. 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…
  14. 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…
  15. 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 …
  16. 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 This page intentionally left blank. e Issue Brief Simulation To Improve Patient Safety: Getting Started Prepared for: Agency for Healthcare Research …
  17. 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…
  18. 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(…
  19. 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 …
  20. 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 …

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