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  1. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 2. Central Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/27493-VanSchaik-report.pdf
    December 31, 2022 - Nurse Facilitator- Assess mental model (helps to assess communication) Invites ALL to self- reflect:  Directed …  Directed to MD leader: What did you think was going on? …  Directed to All: Did others think similarly?
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2_tool20.pdf
    January 01, 2013 - AHRQ Health Literacy Universal Precautions Toolkit, 2nd Edition 64 AHRQ Health Literacy Universal Precautions Toolkit Second Edition Math Resources Tool 20 Overview Research has shown that clinicians have trouble identifying patients with limited health literacy skills.1,2 Patients are unlikely to mention limita…
  4. www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article3.html
    June 01, 2014 - Advances in the Prevention and Control of HAIs Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures Previous Page Next Page Table of Contents …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/icu-clinical-decision-making-transcript.docx
    January 01, 2015 - Chelsea: The following is a recording of Cathy Trudeau with the American Hospital Association of Chicago on Wednesday February 11th 2015 at 2:00 PM central time. Excuse me, everyone, we now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the conclusion of to…
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/icu-clinical-decision-making-transcript.html
    December 01, 2017 - ICU Clinical Decision-Making; Processes to Improve Catheter Insertion and Removal Choices; Science of Safety Concepts to Improve ICU Culture Feburary 11, 2015 Chelsea:  The following is a recording of Cathy Trudeau with the American Hospital Association of Chicago on Wednesday February 11th 2015 at 2:00 PM centra…
  7. www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article3.html
    June 01, 2014 - Advances in the Prevention and Control of HAIs Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures Previous Page Next Page Table of Contents Advances in th…
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
    January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals Part I 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Hospitals Prepared for: Agency for Healthcare Research and Quality U.S. Depa…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - Documentation and Coding for Patient Safety Indicators Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.4 i Documentation and Coding for the AHRQ Quality Indicators Note: This tool was updated based on test software provided by AHRQ as of March 2016 (alpha version…
  10. www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
    January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record 1  FINAL REPORT  Title:  Developing an HIV‐Specific Prevention Index Using the Electronic Medical Record  Principal Investigator: Richard T. Meenan, PhD, MPH, MBA, Center for Health Research ‐ Kaiser Permanente, …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
    January 01, 2005 - Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation 379 Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation David Anthony, VK Chetty, Anand Kartha, Kathleen McKenna, Maria Rizzo DePaoli, Brian Jack Abstract Introduction: The transfe…
  12. www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings Project Title: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings Principal Investigator and Team Members: o Principle Investigator: Shin Hye Park, P…
  13. www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
    January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal Investigator: Donna Woods, PhD, EdM Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
    October 01, 2024 - Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings AHRQ Safety Program for MRSA Prevention Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings Introduction 1 The Importance of MRSA Prevention 1 Four Key Strategies of MRSA Prevention 1 Decolonize Patients 2 Decontamina…
  15. www.ahrq.gov/professionals/systems/primary-care/pcp-costs/huang-costs.html
    May 01, 2015 - Case Studies on the Cost of Medical Home Transformation and Maintenance in the Safety Net AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants Principal Investigator: Elbert Huang, MD, MPH Institution: University of Chicago AH…
  16. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staffing-during-COVID19.pdf
    February 08, 2021 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders AHRQ ECHO National Nursing Home COVID-19 Action Network 1 e Staffng During the COVID-19 Pandemic: A Guide for Nursing Home Leaders Introduction This resource guide was written by and for directors of nursing, a…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/pcp-costs/huang-costs.pdf
    May 01, 2015 - Case Studies on the Cost of Medical Home Transformation and Maintenance in the Safety Net Case Studies on the Cost of Medical Home Transformation and Maintenance in the Safety Net Principal Investigator: Elbert Huang, MD, MPH Institution: University of Chicago AHRQ Grant Number: R03 HS22628 Overvie…
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
    May 31, 2023 - TeamSTEPPS Building Block Exercise Instructions TeamSTEPPS Exercise Instructions Overview TeamSTEPPS trainers use a number of exercises to introduce TeamSTEPPS and begin their trainings. This exercise has been created to support onsite trainings, entirely virtual trainings, or trainings with a blend of…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Transfer Risk Report Table 1. Sample High-Risk Transfer Report Facility Name: Unit: Report Date: Resident Name and Advance Directive Status # ED Visits Within: ED Discharg…
  20. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
    June 01, 2017 - Management Practices for Sustainability Module 4: Observation and Integration Slide 1: Management Practices for Sustainability Module 4: Observation and Integration Management Practices for Sustainability Module 4: Observation and Integration Slide 2: A Frontline Management System To Promote Safety Stan…

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