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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - The purpose of this exercise is to take a pause to reflect on your team’s definition of the diagnostic … TeamSTEPPS To Improve Diagnosis uses the National Academy of Medicine definition of
diagnostic error: … Using this definition, which of the
following may be considered a diagnostic error?
a.
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www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Executive Summary
This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
March 01, 2017 - Executive Summary
Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Accelerating Change and Transformation in Organizations and Networks II
Contract No. HHSA2902010…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Summary
Health Services and Primary Care Research Study: Comprehensive Report
Background
On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act 2018, became law, Congress directed and authorized the Agency for Healthcare Research and Quality (AHRQ) to contract with an independent entity for …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
January 05, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
January 01, 2024 - Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents
Final Progress Report for AHRQ Grant 1R13HS017577-01
Title: Developing Metrics For Measuring Hospital Response Capability For Mass Casualty
Incidents
Principal Investigator: Melissa L. McCarthy, ScD
Te…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Program Overview: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Program Overview
Slide 2: Mead Quotation
"Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has."
—Ma…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Engaging Senior Executives: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Engaging Senior Executives
Say:
In this module we will discuss the importance of senior engagement on your safety program team.
Slide 2: Why Do We Need an Executive?
Say:
Sometimes getting executives involved …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work
Engaging Senior Executives – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Engaging Senior Executives
SAY:
In this module we will discuss the importance of senior engagement on your safety pr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…
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www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/appendix-b.html
October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary
Appendix B: Meeting Attendees’ Biographical Sketches
Previous Page
Table of Contents
Building State Cooperatives for Healthcare Improvement: Meeting Summary
Introduction
Meeting Sessions and Takeaways
Appendix A: Meeting…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Decolonization Strategies
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Decolonization Strategies
SAY:
Hello. Welcome to this presentation on decolonization strateg…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization Program Decision Making and Readiness for Implementation
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Review and Share the Evidence for Decolonization
A surgical site infection (SSI) is an …
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
February 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2)
Contents
5.A. Analyze CAHPS Survey Results
5.B. Analyze Other Sources of Information for Related Information
On Page 2 of 2:
5.C. Evaluate the Process of Care Delivery
5.D. Gather Input from Stakeholders
Refer…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool B.2b
IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ
WINDOWS QI SOFTWARE
Guidance for Using the Windows QI Software and
an Example of Output for On…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Hair Removal
Skin Prep for Incision
Normothermia
Glycemic Control
Supplemental Oxygen
Surgical Services
For: Most Surgery Types
AHRQ Pub. No. 25-0029
April 2025
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Hair Removal
Skin Prep for Incision
Normothermia
Glycemic Control
Supplemental Oxygen
Surgical Services
For: Most Surgery Types
AHRQ Pub. No. 25-0029
April 2025
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility
Clinical Impact of an Anticoagulation Screening
Service at a Pediatric Tertiary Care Facility
Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA;
Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - FAQs about Choosing and Implementing a CRE
Definition. https://www.cdc.gov/hai/organisms/cre/definition.html
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
June 02, 2025 - We asked them how they
would find a definition of what quality means.