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www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix E. … We based this decision largely on the expertise of the surgeons on our TEP and the large number of arthroscopies … dehisces or is deliberately opened by a surgeon and is culture-positive or not cultured when the patient … microbes in the Pre-operative and Post Anesthesia Care stages of procedures. … Surgical Procedures and Parameters of Interest (April 8, 2011).
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www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
January 01, 2025 - Laboratory on the theme of improving radiology-related quality
and safety
Scope: Imaging-related care … Purpose
The goal of this grant was to create the NYU Patient Imaging Quality and Safety Laboratory ( … oversimplifying or
ignoring discordant data – and
wholesale system redesign: alterations
in workflow, skills, culture … Patient Imaging Quality and Safety (PIQS) Lab: Improving Safety of the Inpatient Interventional
Radiology … Universal use of nonionic iodinated
contrast medium for CT: evaluation of safety in a large urban teaching
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - For example, in two large national surveys of Americans’ experiences with patient safety, researchers … Respondents with limited education or from cultures that discourage challenging professional authority … Why do you feel this was a safety concern for you? … This type of wording is the norm for collecting patient narratives related to safety issues. … The Challenge: Most studies of narrative reporting about safety experiences have drawn on accounts volunteered
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Optimizing Environmental Cleaning
Surgical Services … of environmental decontamination of perioperative settings. … Slide 10
Monitoring Quality of Cleaning
SAY:
Monitoring the quality of cleaning is a key facet of … Although no one can be in the room when the UV-C light is activated, general safety features such as … No. 25-0029
April 2025
| 1
Optimizing
Environmental Cleaning
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/NQS_overview_slides-2017.pdf
January 01, 2017 - Americans without health
insurance and increases in the number of
Americans with a usual source of … care quality.
9
Priorities Improvement Initiatives
Partnership for Patients, Hospital
Patient Safety … of Communities
Let’s Move! … Improve patient, family, and caregiver experience of care related to quality, safety, and
access across … Adopt or adhere
to approaches to
meet safety and
quality standards.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
April 16, 2022 - supervision, and the current data
insurers periodically to see if their coverage addressing patient safety … Even more importantly, you'll need to determine if your organization has the
culture and capacity to … • Assess Your organization's culture and willingness to make a change such as introducing a new
hybrid … A Review of the Design and Implementation of a Hybrid Cardiac
Rehabilitation Program. … Efficacy and safety of exercise training in patients with chronic heart
failure: HF-ACTION randomized
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-h.pdf
July 07, 2017 - shift is especially difficult for older patients and
people who do not speak English or who come from cultures … where this kind of a
relationship with a doctor is unheard of. … Proponents believe that this intervention has the potential to increase compliance,
improve patient safety … , and enhance quality of care. … : Effects on outcomes of care.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.docx
March 01, 2022 - positive methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) cultures … Because these cloths come bundled as a set of three two-cloth packets, a packet of two cloths can be … Turn off water or stand out of water stream. … After the shower, unwrap devices and use a single packet of two 2% CHG cloths to clean the 6 inches of … the protection and safety provided by targeted decolonization.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) clinical cultures … · Add 1/2 cup of water (Do not dilute more than equal part of water to CHG. … · Dispose of wipes in trash. Do not flush in toilet. … Turn off water or stand out of water stream. … the protection and safety provided by targeted decolonization.
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www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
January 01, 2024 - These factors shaped staff’s sense of safety, efficacy, opportunity, and/or legitimacy, all of which … These factors shaped heath professionals’ sense of safety, efficacy,
opportunity, and/or legitimacy, … all of which affected their belief about the risk and benefit of voice and
willingness to voice. … and benefit of
voice
Willingness to
voice
Sense of:
Safety
Efficacy
Opportunity
Legitimacy … Psychological safety and learning behavior in work teams. Admin Sci Quart
1999;44:350-83.
23.
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - , sought specific errors that by-passed internal
safety oriented systems, and identified components … For many proximal errors, a long string of events would lead to the error occurring with
no safety checks … may have on patient safety. … Using fault tree analysis and probabilistic risk
assessment to improve medication safety in ambulatory … Laboratory safety monitoring of chronic
medications in ambulatory care settings. J Gen Intern Med.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - , medical records, aggregation of data),
• Physical environment (i.e., general safety, fire safety, … Silliness for this activity is encouraged, even if that’s not your typical
unit culture. … As
part of the patient’s background and safety concerns, Dr. … Safety concerns for Ms. … Joint
Commission Journal of Quality and Patient Safety. 2007 Jan;33(1):34‐47.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - , medical records, aggregation of data),
Physical environment (i.e., general safety, fire safety, security … Joint Commission Journal of Quality and Patient Safety. 2007 Jan;33(1):34-47. … Silliness for this activity is encouraged, even if that’s not your typical unit culture. … As part of the patient’s background and safety concerns, Dr. … Joint Commission Journal of Quality and Patient Safety. 2007 Jan;33(1):34-47.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix C. … Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface … Cost estimates not in U.S. dollars
Burke JP,
2003
Infection control—a problem for patient safety … Published before 2002
Shorr AF, 2009
Burden of early-onset candidemia: analysis of culture-positive … the Michigan Keystone Patient Safety Program in ICUs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - of vaccine safety. … Creation of a common vocabulary for vaccine safety research will, in
turn, allow the development of … Evaluation of vaccine safety post-9/11: role
of cohort and case-control studies. … Completeness of safety
reporting in randomized trials. An evaluation of 7
medical areas. … Population based
intervention to change back pain beliefs and disability:
three part evaluation.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - The work of redesign depends on the assessment of the current state of practice and knowledge, so that … dedicated to the redesign of a particular process of care. … workflow, level out the workload, develop a culture of stopping to fix problems, promote the use of … The work of redesign begins with an assessment of the current state of practice in your organization. … of current practice.
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide4.html
October 01, 2014 - Introduction
Step 1: Assessing Your Organization's Needs and Capabilities
Step 2: Fostering a Research Culture … Budget
It is important to be aware of and monitor the status of the budget throughout the project period … Percentage of total budget remaining.
Percentage of time remaining on the grant or contract. … Adjust the frequency of communication based on needs and the level of activity on the project. … Health Sciences
Inquiry
Journal of the American Medical Association
Journal of Health Economics
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
July 01, 2013 - Alder, PhD serves as chief of the Division of Public Health in the University of Utah Department of … Public Health and Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine With Thanks … 22 Division of Public Health
Image of the logo for the University of Utah School of Medicine Department … Quickly identified GI involvement in culture/rapid test-confirmed influenza . … Slide 30 Image of Line Graph
Image of line graph showing a timeline of percentage of visits with positive
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
October 01, 2015 - of hospital quality improvement efforts. … Verbalizes the importance of ongoing monitoring and reporting of process/outcome rates related to improvement … Is responsible for proposing solutions to address barriers in the hospital’s culture and infrastructure … hospital staff.
__ Stays current on issues in patient safety, quality improvement, and risk-management … of indwelling urinary catheters.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapc.html
May 01, 2018 - Evidence of Disparities among Ethnicity Groups
3. … Earnest Moy, MD, MPH, Team Lead, NHQR & NHDR, Center for Quality Improvement and Patient Safety … Office of Management and Budget . … Medicine .
4:15 Experiences of SEER and NHIS . … Kneller Endowed Chair in Family Medicine, Department of Family Medicine, David Geffen School of Medicine