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www.ahrq.gov/news/newsroom/case-studies/ktcquips87.html
October 01, 2014 - Six Texas Hospitals Improve Care With AHRQ Medication Reconciliation Toolkit
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusing…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit
TeamSTEPPS Video Debrief Guide: SBAR on Inpatient
Medical Unit
Video Objective
To demonstrate each step of SBAR and emphasize the importance of standard communication and use
of the tool.
TeamSTEPPS Tool or Concept
SBAR.
Brief Video Descriptio…
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/calculating-sample-size.html
August 01, 2024 - Calculating the Starting Sample Size for CAHPS Surveys
The starting sample size you need to achieve the desired number of completed CAHPS questionnaires for analysis and reporting should take several factors into account: The accuracy of the contact information. The mode or modes of data collection. Any prior s…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/121-importance-mrsa-prevention-one-pager.docx
April 01, 2025 - Surgical Site Infection (SSI) Facts
SSIs account for 20 percent of all healthcare-associated infections.1
SSIs are a major cause of morbidity and mortality.2
SSIs lead to rehospitalization and increased costs ($3–10 billion annually).2,3
SSIs due to MRSA lead to higher morbidity and mortality.4
Staphylococcus aureus an…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - The
rate increased with women's age, decreased with community-level income, and was highest for
White … of opioid-related stays, followed by Black women,
but the difference between White and Black women decreased … of the smoke inhalation-related ED
visits in Sacramento Valley were highest on the day of the fire, decreased
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www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
January 01, 2024 - Emergency
department crowding and decreased quality of pain care.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heart-failure-hospital.pdf
January 01, 2019 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 - Infographic
This Is a Sample Two Line
Infographic Arial BK - 24 PT
Source: The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point
Arial. The source should be in …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide73.html
October 01, 2014 - 73. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The "5 Rs"
Rewards
The clinician should ask the patient to identify potential benefits of stopping tobacco use. The clinician may suggest and highlight those tha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-g.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix G. Urinary Catheter Project Fact Sheet.
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix G. Urinary Catheter Project Fact Sheet
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes
Evaluation of Medications Removed from Automated
Dispensing Machines Using the Override Function
Leading to Multiple System Changes
Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - When asked, however, if
the number of alerts should be decreased as the nurse has more experience as
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www.ahrq.gov/hai/tools/safety-hai-prevention/index.html
January 01, 2025 - AHRQ Safety Program for Healthcare-Associated Infection Prevention
The Agency for Healthcare Research and Quality (AHRQ), in conjunction with NORC at the University of Chicago and the Johns Hopkins University, created the AHRQ Safety Program for Healthcare-Associated Infection (HAI) Prevention to implement a bu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
May 13, 2014 - guides our actions and decisions, and hopefully change our ICU culture about urinary catheters and decreased … What we found was that the use of Swan-Ganz catheters really has decreased. … note there is there was a big range of use back in 2001 to 2003 in the MICU, and that we’ve actually decreased
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
December 01, 2017 - guides our actions and decisions, and hopefully change our ICU culture about urinary catheters and decreased … What we found was that the use of Swan-Ganz catheters really has decreased. … note there is there was a big range of use back in 2001 to 2003 in the MICU, and that we've actually decreased
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www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
January 01, 2024 - At all sites, the proportion of benzodiazepine prescriptions
decreased from approximately 17% of PIMs … Additionally, at site 3,
the proportion of musculoskeletal relaxants decreased significantly compared
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www.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
February 01, 2024 - Chesapeake Regional Healthcare’s Success in Preventing Falls in Hospitals
The hospital can be a dangerous place for a patient, due in part to the unfamiliar environment. This can increase the patient’s risk for falling while hospitalized. Approximately 25% of hospital falls result in injuries, including fractur…
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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-Campbell_94.pdf
March 30, 2008 - In addition to increases in
reported near misses, the
rate of events with major
outcomes also decreased
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - In the same timeframe, HAPIs in the pilot unit decreased markedly.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide139.html
October 01, 2014 - 139. Treatment Recommendations: Medications-Nicotine Lozenge (continue
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC only
Prescribing instructions
Lozenge use -The lozenge should be allowed to dissolve in the mouth rather than chewi…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-detailed_measure-specs.pdf
August 01, 2014 - Sepsis in the ED Detailed Measure, Technical Specifications
Q-METRIC Sepsis Measure 1, ED Protocol for Children with Sepsis Syndrome
U18HS020516
Page 41
Submitted August 2014
Sepsis
Measure 1: Protocol for Identifying and Treating Children with Sepsis
Syndrome in the Emergency Department
Desc…