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  1. 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 …
  2. 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 decisionmaking by helping them take correct diagnostic steps and ensuring that possible diagnoses are not overlooked
  3. 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 …
  4. 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 …
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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 decisionmaking, (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
  12. 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 …
  13. 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…
  14. 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…
  15. 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…
  16. 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 …
  17. 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.
  18. 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…
  19. 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
  20. 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…

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