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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Acknowledgements.pdf
June 02, 2025 - Acknowledgements
Acknowledgments
The present Advances in Patient Safety: New Directions and Alternative Approaches, like
its predecessor, Advances in Patient Safety: From Research to Implementation, contains
well over a hundred patient safety papers distributed across four volumes. In undertaking
a project of t…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/038-ss-nasal-iodophor-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Nasal Iodophor Decolonization Protocol for Staff
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Background: Nasal Iodophor
· Does not require a physician order and can be used for nasal decoloni…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
June 02, 2025 - HCBS CAHPS Survey Database: What You Need to Know - GINSBERG
5
AHRQ’S CAHPS® PROGRAM
Caren Ginsberg, Ph.D., CPXP
Director, CAHPS and Surveys on Patient Safety Culture
(SOPS) Programs
Center for Quality Improvement & Patient Safety, AHRQ
6
AHRQ’s Core Competencies
• Health Systems Research: Invest in research…
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/mini.html
July 01, 2023 - Mini-Session Training Content
If you teach content from the Situation Monitoring Module in an even shorter format, focus on one or two specific situation monitoring tools that have been selected based on the participants’ needs. For this format, we recommend that you do the following:
Using the overall Team…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 8: Medication Reconciliation Process Physician Focus Group—Interview Questions
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medicati…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Trans…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist
AHRQ Safety Program for Perinatal Care
CEO/Senior Leader Checklist
CEO/Senior Leader Checklist
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science o…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-9.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.9. Training Curriculum
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
…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Trans…
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 8: Medication Reconciliation Process Physician Focus Group—Interview Questions
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medicati…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
March 01, 2022 - CHG Bathing
Patients With Devices: Prevent Infections During Your Hospital Stay PATIENTSection 10-7
BATHE Daily With Chlorhexidine (CHG) Cloths
AHRQ Pub. No. 20(22)-0036
March 2022
During your stay, bathing will occur every day with a special antiseptic (CHG) that removes germs and prevents infection better t…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-ginsberg.pdf
June 02, 2025 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Welcome from AHRQ
Welcome from AHRQ
Caren Ginsberg, PhD
Director, CAHPS & SOPS Programs, AHRQ
AHRQ’s Core Competencies
• AHRQ is a research and development agency in the U.S.
Department of Health and Human Services
► Healt…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Acknowledgements.pdf
June 02, 2025 - Acknowledgements
Acknowledgments
The present Advances in Patient Safety: New Directions and Alternative Approaches, like
its predecessor, Advances in Patient Safety: From Research to Implementation, contains
well over a hundred patient safety papers distributed across four volumes. In undertaking
a project of t…
-
psnet.ahrq.gov/node/41967/psn-pdf
May 10, 2013 - A comparative review of patient safety initiatives for
national health information technology.
May 10, 2013
Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health
information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014.
htt…
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psnet.ahrq.gov/node/47134/psn-pdf
March 04, 2019 - Association of hydrocodone schedule change with opioid
prescriptions following surgery.
March 4, 2019
Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid
Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamasurg.2018.2651.
https://psnet.ahrq.…
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psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
March 29, 2023 - Newspaper/Magazine Article
Pharmacists play key role in patient safety.
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March 6, 2005
Description of a successful model from Duke…
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psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - Minding the gaps: assessing communication outcomes of
electronic preconsultation exchange.
January 3, 2017
Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic
Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54.
https://psnet.ahrq.gov/issue/mind…
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psnet.ahrq.gov/issue/resilient-health-care-society
October 09, 2019 - Multi-use Website
Resilient Health Care Society.
Citation Text:
Resilient Health Care Society. Sweden.
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Novem…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/plan-do-check-act-cycle
January 01, 2023 - Plan-Do-Check-Act Cycle
Acronym
PDCA
Also Known As
Deming Cycle
Plan-Do-Study-Act (PDSA) Cycle
Shewhart Cycle
Description
Plan-do-check-act (PDCA) is a four step cycle that allows you to implement change, solve problems, and continuously improve processes. Its cyclical nature a…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/focus-group
January 01, 2023 - Focus Group
Also Known As
Discussion Forum
Description
A focus group is comprised of a collection of several individuals who all discuss a particular subject, voicing and discussing their opinions and ideas on that subject.
Uses
To collect preliminary data for surveys or int…