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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Decolonization Implementation
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Decolonization Implementation
SAY:
Hello. Welcome to this presentation on the implementa…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
September 01, 2016 - Case Study: Improving Customer Service at Health Share of Oregon
Case Study
1
Improving Customer Service at Health Share of Oregon
Introduction
There are many ways to evaluate the delivery of
customer service in a health plan. Chief among
these strategies is the assessment of enrollees’
experiences with cust…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - served to coordinate tasks and also kept workloads open and transparent,
providing accountability and ensuring
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cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
November 06, 2020 - Refugee CDS Module Implementation Checklist
Refugee Health CDS Implementation Checklist
Task
Category
Task Owner
Completed
Resource Identity, Owner, or Location
Identify Clinical Champion to serve as Implementation Leader
People
Identify Impacted Clinicians and other End Users
People
Identif…
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psnet.ahrq.gov/node/72498/psn-pdf
January 01, 2021 - Changes in weekend and weekday care quality of
emergency medical admissions to 20 hospitals in
England during implementation of the 7-day services
national health policy.
November 25, 2020
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency
medical admissions to 20 hos…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/node/867640/psn-pdf
February 26, 2025 - Patient safety of virtual primary care: a qualitative study
examining risks and mitigation strategies.
February 26, 2025
Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks
and mitigation strategies. Health Policy Tech. 2025;14(1):100966. doi:10.1016/j.hlp…
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - Does patient-centered design guarantee patient safety?:
Using human factors engineering to find a balance
between provider and patient needs.
October 6, 2016
France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient
Saf. 2008;1(3):145-153. doi:10.1097/01.jps.0000191550…
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psnet.ahrq.gov/node/72755/psn-pdf
February 17, 2021 - Renal medication-related clinical decision support (CDS)
alerts and overrides in the inpatient setting following
implementation of a commercial electronic health record:
implications for designing more effective alerts.
February 17, 2021
Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…
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psnet.ahrq.gov/node/860715/psn-pdf
January 17, 2024 - Development of prescribing indicators related to opioid-
related harm in patients with chronic pain in primary care-
a modified e-Delphi study.
January 17, 2024
Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related
harm in patients with chronic pain in primary care—…
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psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - Opioid prescribing after nonfatal overdose and
association with repeated overdose: a cohort study.
June 21, 2016
Larochelle MR, Liebschutz JM, Zhang F, et al. Opioid Prescribing After Nonfatal Overdose and Association
With Repeated Overdose: A Cohort Study. Ann Inter Med. 2016;164(1):1-9. doi:10.7326/M15-0038.
htt…
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www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
December 01, 2012 - Board Checklist
CUSP Toolkit
Who should use this tool? Senior leaders.
Checklist items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
June 02, 2025 - Checklist Items
Leader Responsible
Date
Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
3. Set expectation for unit-level culture assessment.
4. Require at least a 60 percent participation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/putoolkit_module1_tools.docx
March 01, 2013 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 1 Tools
1E: Resource Needs Assessment (Revised)
Sullivan N. Chapter 21. Preventing in-facility pressure ulcers. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 2013. Agency for …
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/prevention-modules.html
April 01, 2022 - CLABSI and CAUTI Prevention Modules
These modules offer simple steps ICU teams can take to ensure the evidence-based clinical changes that prevent CLABSI and CAUTI are sustained in your unit. The CLABSI prevention and CAUTI prevention modules provide information on how to disrupt the lifecycle of a catheter dev…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
December 01, 2017 - Federal Balance Budget Act of 1997: Excerpts
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
The Federal Balanced Budget Act of 1997, Public Law 105-33, increased the attention given to performance monito…
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psnet.ahrq.gov/node/73207/psn-pdf
May 05, 2021 - Diagnostic accuracy of prehospital triage tools for
identifying major trauma in elderly injured patients: a
systematic review.
May 5, 2021
Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major
trauma in elderly injured patients: a systematic review. J Trauma Acut…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-iodophor.docx
March 01, 2022 - Nasal Iodophor
MRSA Carriers With Devices: Prevent Infections During the Hospital Stay STAFFSection 10-5
How To Apply Nasal 10% Povidone-Iodine (Iodophor)
AHRQ Pub. No. 20(22)-0036
March 2022
Apply nasal povidone-iodine antiseptic swabs twice daily for 5 days to all adult non-ICU patients with medical device…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
July 01, 2023 - Board Checklist
AHRQ Safety Program for Perinatal Care
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork c…
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psnet.ahrq.gov/node/37499/psn-pdf
January 10, 2017 - Medicare's decision to withhold payment for hospital
errors: the devil is in the details.
January 10, 2017
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in
the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23.
https://psnet.ahrq.gov/issue/medicares-deci…