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  1. 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…
  2. 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…
  3. 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
  4. 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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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—…
  11. Psn-Pdf (pdf file)

    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…
  12. 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.     …
  13. Boardchecklist (doc file)

    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…
  14. 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 …
  15. 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…
  16. 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…
  17. Psn-Pdf (pdf file)

    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…
  18. Nasal Iodophor (doc file)

    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…
  19. 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…
  20. Psn-Pdf (pdf file)

    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…