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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work?
Evaluation Highlight No. 5
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - promising intervention for the area of diagnosis because they can support
clinicians in their diagnostic decision … making by helping them take correct diagnostic steps and ensuring
that possible diagnoses are not overlooked
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-1 – Standardized Nursing Protocol:
Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse
Bathing Cloths and Showering
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-2 – Standardized Nursing Protocol:
Basin Bed Bathing With 2% Liquid Chlorhexidine
(CHG) and Showering With 4% CHG Liquid Soap …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects: Applying the “Swiss cheese model” of System Failure
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects: Applying the “Swiss C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Quality Improvement
What is the purpose of this tool? This tool provides a case study from one hospital that
participated in the field test and evaluation of the QI Toolkit. It offers …
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
November 17, 2021 - Executive Summary of SNAC Healthcare Quality Measurement Report
- 1 -
AHRQ NATIONAL ADVISORY COUNCIL (NAC)
DISCUSSION ON THE SUBCOMMITTEE OF THE NATIONAL ADVISORY
COUNCIL (SNAC) HEALTHCARE QUALITY MEASUREMENT REPORT
EXECUTIVE SUMMARY
- 2 -
EXECUTIVE SUMMARY
On Nov…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual
Appendix C. Operations Manual
The Health Care Safety Hotline: Operations Manual
Denise D. Quigley, RAND Corporation
Shaela Moen, RAND Corporation
Robert Giannini, ECRI Institute
Lauren Hunter, RAND Corporation
Operations Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
May 14, 2013 - Paul Tedrick
American Hospital Association - Chicago
May 14, 2013
11:00AM Central Time
Operator:
This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14, 2013 scheduled for 11AM Central Time. Ladies and gentlemen, thank you for your patience in holding. We now have our speakers i…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.html
December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013)
Webinar Transcript
Paul Tedrick
American Hospital Association - Chicago
May 14, 2013
11:00AM Central Time
Operator: This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14…
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - communication, (2) coordination, (3) external factors, (4) training,
(5) equipment factors, (6) surgical decision … making, (7) instrument changes, and (8) patient factors. … The other key effect the pandemic had on our decision making was in response to the increasing stress
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
Supporting Patient and Family
Engagement: Best Practices
for Hospital Leaders
The Guide to Patient and Family Engagement in Hospital Quality …
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www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation
TITLE
Title: Regional Approach for THQIT in Rural Settings – Implementation
Principal Investigator: Francis M. Richards
Organization: Geisinger Clinic on behalf of the Geisinger Health
System Dates of Project: September 30, 2005, t…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation
Severe Hypertension Scenarios
Safety Program for Perinatal Care II Teamwork Toolkit
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Frontline
SPPC-II
SCRIPT
In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
March 04, 2009 - CAHPS American Indian Survey
CAHPS American Indian Survey Adult Questionnaire
CAHPS® American Indian Survey
Version: Adult
Language: English
For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.com.
File name: american-indian-eng-851.docx
Last updated: Marc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
January 20, 2008 - Common Cause Analysis: Focus on Institutional Change
Common Cause Analysis:
Focus on Institutional Change
Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN;
Annette Bollig, MSN, RN; James Steven, MD, SM
Abstract
The Children’s Hospital of Philadelphia has created a mechanism …
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - Sleepiness and Decision Making
Harrison and Horne (2000) reviewed two decades of literature on the impacts … of sleep
deprivation (SD) on decision making. … The impact of sleep deprivation on decision making: A review. J Exp
Psychol 2000;6(3):236–249.
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 1.
Detecting Change
in a Resident’s
Condition
Student
Workbook
These training materi…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
May 01, 2018 - obtaining accurate patient histories, impair the ability to engage patients in joint patient-provider decision-making
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the…