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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
    March 31, 2004 - safety, the scope of the problem of errors in health care, the systems approach to patient safety, definitions
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
    March 01, 2020 - carriers or infections, but varied in terms of policies from institution to institution, depending on definitions
  3. www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs Title: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs Principal Investigator: John M. Hollingsworth, MD, MS Team Members: Brahmajee K. Nallamothu, MD, MPH (Mentor) Jason Owen-Smith, PhD …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Sustainability Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Sustainability | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Learning Objectives Sustainability | ‹#› AHRQ Safety Program for Ambula…
  5. www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
    February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Tools for Sustainability: Premortem and Scorecard Say: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…
  6. www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability-slides.html
    September 01, 2018 - Chartbook on Care Affordability: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Affordability August 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress ma…
  7. Engageexecnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
    June 02, 2025 - SAY: The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …
  8. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Management of the Resident With a Suspected Urinary Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Management of the Resident With a Suspected Urinary Tract Infection Long-Term Care SAY: Welcome to the presentation titled “Man…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
    June 02, 2025 - eMeasure Title Follow-up Referral after Positive Developmental Screen eMeasure Identifier (Measure Authoring Tool) 376 eMeasure Version number 0.0.005 NQF Number None GUID d47f5664-bd76-4a65-88aa-f73f6fb6a2c8 Measurement Period January 1, 20xx through December 31, 20xx Measure Steward Agency for Healthcare Resea…
  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. Materials VI-A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-vi-a.pdf
    June 02, 2025 - Materials VI-A                                                                                                                                                                                                                                                                                           …
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …
  13. 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…
  14. 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…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
    January 01, 2016 - Patient Safety Culture Composites and Definitions ................................................... … Patient Safety Culture Composites and Definitions Patient Safety Culture Composite Definition: The extent … Patient Safety Culture Composites and Definitions (continued) Patient Safety Culture Composite Definition
  16. www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
    January 01, 2020 - a State or those employed by a company within the State.1 Because these are all slightly different definitions
  17. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - Slide 1 Connecting the Dots: Improving Unit Safety Culture to Stop HAI Katherine J. Jones, PT, PhD University of Nebraska Medical Center Welcome to this webinar which is intended to help you improve unit safety culture to decrease HAIs. * Supported By * AHRQ Partnerships in Implementing Patient Safety Grants (…
  18. www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
    January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…
  19. 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…
  20. www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
    January 01, 2024 - Final Report: Embracing the PBRN Model To Improve the Medication Use Process Embracing the PBRN Model to Improve the Medication Use Process Final Report for Conference Grant 1 R13 HS016844 01 Principal Investigator: Earlene E. Lipowski, PhD Grantee Institution: University of Florida Division of Sponsored Resear…

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