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  1. 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.
  2. 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…
  3. 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…
  4. 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 …
  5. 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                                                                                                                                                                                          …
  6. 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…
  7. 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…
  8. 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 …
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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 …
  14. 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…
  15. 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…
  16. 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 …
  17. 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 …
  18. 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…
  19. 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
  20. 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.

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