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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-final-synthesis-report.pdf
September 01, 2025 - This publication focused on
defining area-based socioeconomic indicators for monitoring healthcare disparities
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 14. Delirium
Delirium 14-1
14. Delirium
Authors: Lynn Hoffman M.A., M.P.H., Aline Holmes D.N.P., R.N., Jennifer Riggs, Ph.D., R.N., and
Stephanie Schneiderman, M.P.P.
Introduction
Patient safety research and quality improvement efforts have been underway in the delirium harm …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Supporting Measure Implementation
Overview
Measure implementation is a fundamental component of delivering high-quality healthcare ser…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
Overuse of Imaging for the Evaluation of Children with
Post-Traumatic Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
1.B. Measure Num…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
April 05, 2017 - Pediatric Lower Respiratory Infection Readmission Measure
Pediatric Lower Respiratory Infection Readmission
Measure
Section 1. Basic Measure Information
1.A. Measure Name
Pediatric Lower Respiratory Infection Readmission Measure
1.B. Measure Number
0131
1.C. Measure Description
Please provide a non-technic…
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www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Universal ICU
Decolonization Toolkit:
An Enhanced Protocol
HAIs
Healthcare-
Associated
Infections
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
PREVENT
Universal ICU Decolonization: An
Enhanced Protocol
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
September 19, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
Part 3: Trends in Access and Priorities of the National Quality Strategy
National Healthcare Quality and Disparities Report
Chartbook on Health Care for Hispanics
1
2014 QDR Chartbooks
2014 QDR …
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism
Venous Thromboembolism 16-1
16. Venous Thromboembolism
Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S.
Introduction
Background
Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary
embolism (PE). …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants
Harms Due to Anticoagulants 7-1
7. Harms Due to Anticoagulants
Authors: Sarah J. Shoemaker-Hunt, Ph.D., Pharm.D., and Brandy Wyant, M.P.H.
Introduction
Anticoagulants are a critical therapy in the prevention and treatment of various types of
thromboembolic disorders. Key in…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript
July 2018 https://www.ahrq.gov/sops/index.html 1
New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals
July 25, 2018 – Webcast Transcript
Speakers:
Joann Sorr…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
June 01, 2020 - SOPS™ 101 Webcast Transcript
November 2018 https://www.ahrq.gov/sops/index.html 1
Understanding SOPS Surveys: A Primer for New Users
October 23, 2018 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety C…
-
www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health
August 6, 2015
Download accessible version of slides (PDF, 1.1 MB)
The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1]
Operator: Ladies and gentlemen, than…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
June 01, 2022 - Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript
Understanding SOPS Surveys: A Primer for New Users
February 19, 2020 – Webcast Transcript
Speakers:
Naomi Yount, Ph.D.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westat (Moderator)
Laura Gra…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Evidence Behind Decolonization Strategies for MRSA
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Evidence Behind Decolonization
1
Educational Objectives
Discuss the imp…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
February 01, 2023 - Burnout in Primary Care: Assessing and Addressing it in Your Practice
1
NATIONAL CENTER
FOR EXCELLENCE IN
PRIMARY CARE RESEARCH
BURNOUT IN
PRIMARY CARE
ASSESSING AND ADDRESSING
IT IN YOUR PRACTICE
Burnout is a serious and growing problem in primary care practices.
Burnout is a workplace-based condition where p…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
January 01, 2016 - 2016 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
2016 CAHPS Clinician & Group Survey Database
2016 Chartbook: What Patients Say About Their
Health Care Providers and Medical Practices
The content of this document may be used and reprinted without permi…
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www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
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www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - Final Progress Report: ESDP in Community Hospitals
Holland R03 Final Report 1
Title Page
Include the following:
•Title of Project.
ESDP in Community Hospitals
•Principal Investigator
Diane E. Holland, PhD, RN
Team Members.
Cheryl Brandt, PhD, RN, Co-I
Vy Nguyen, Study Coordinator
Adriana Delgado, MAdm, CCRP, St…
-
www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Team members:
Barbara L. Wilson, PhD, RN
Principal Investigator (PI)
Associate Professor
University of Utah College of Nursing
Barbara.wilson@nurs.utah.edu
R…