Results

Total Results: over 10,000 records

Showing results for "failures".

9741. Introduce CUSP
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
      April 01, 2011 - Introduce CUSP 1 Learning Objectives Review the impact of errors and patient harm and the underlying causes of errors Show how CUSP supports other quality and safety tools Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the CUSP Toolkit Demonstrate how to apply the CUSP T…

9742. Sustaining and Spreading Surgical Safety Improvements: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
      December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustaining and Spreading Surgical Safety Improvements Say: This module will cover Sustaining and Spreading Surgical Safety Improvements. To preface the sustainability discussions, these modu…

9743. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
      December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements Sustaining and Spreading Improvements – Facilitator Notes Slide Title and Commentary Slide Number and Slide Sustaining and Spreading Surgical Safety Improvements SAY: This module will cover Sustaining and Spreading Surgical Safety Improveme…

9744. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 2. Fall Response Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. F…

9745. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Preventing Device-Associated Infections Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…

9746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33655/psn-pdf
      August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety August 1, 2007 Haughom JL. The PeaceHealth Governance Journey in Support of Quality and Safety. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety Perspective In recent years, the…

9747. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
      June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

9748. Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/961.html
      June 01, 2025 - Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs Issue Number 961 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. June 10, 2025 AHRQ Stats: Annual Expenditures for Diet-Related Health Conditions Treatment for m…

9749. Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/944.html
      January 01, 2025 - Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability Issue Number 944 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. January 14, 2025 Editor’s Note:  AHRQ News Now will not publish next week. Our next issue will publish Jan. 28. AH…

9750. National Hospital Week Spotlight on Patient Safety Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/957.html
      May 01, 2025 - National Hospital Week Spotlight on Patient Safety Tools Issue Number 957 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 13, 2025 AHRQ Stats: Changes in Healthcare Spending Among Highest Spenders People in the top 1 percent of healthcare expenses spent a…

9751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33606/psn-pdf
      December 15, 2024 - Opioid Safety December 15, 2024 Opioid Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/opioid-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…

9752. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
      January 01, 2006 - Background for AHRQ Quality Indicators Use this PowerPoint presentation as a template for your presentation to hospital staff. Replace the charts with charts that you create with your data (using the Excel workbook in Tool B.3a) and replace the red text with information relevant to your hospital. Modify as needed to …

9753. The Future of Pediatric Diagnostic Safety Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions The Future of Pediatric Diagnostic Safety Research Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Un…

9754. Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
      August 01, 2015 - Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature Page 1 The National Evaluation of the CHIPRA Quality Demonstration Grant Program Special Innovation Feature, August 2015 The National Evaluation of the CHIPRA Quality Demonstration Gra…

9755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33636/psn-pdf
      July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program July 1, 2006 Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program Perspective What are the key success factors…

9756. Assemble Module Slides Text Description | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/assemble/alt-text.html
      March 01, 2013 - Assemble Module Slides Text Description Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Assemble the Team" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular app…

9757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33755/psn-pdf
      September 01, 2013 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety September 1, 2013 Singer SJ. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/what-weve-learned-ab…

9758. Never Events | PSNet
      psnet.ahrq.gov/primer/never-events
      June 15, 2024 - Never Events Citation Text: Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

9759. Introducing electronic screening tools for developmental delay and autism into pediatric primary care | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.html
      August 01, 2018 - Introducing electronic screening tools for developmental delay and autism into pediatric primary care Special Innovation Feature August 2015 Contents Summary Problems Addressed What the Staff Did Did It Work? Adoption Considerations Endnotes Learn More For More Information Summary Sc…

9760. Reporting Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/reporting-patient-safety-events
      March 30, 2022 - Reporting Patient Safety Events Citation Text: Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…