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www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes
1. TITLE PAGE
Title: Changes in Hospital Care Organization and Outcomes
Principal Investigator: Ann Kutney-Lee
Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo
Abraham (co-mentors)
Organization: University…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Say:
This presentation will introduce you to Communication and Optimal Resolution,
or the CANDOR process. Some organizations struggle to improve the way they
and their care teams respond to medical harm. The CANDOR process aims to
change that.
Slide 1
Say:
To get started, let’s watch this video.
Video: Do Less…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
June 02, 2025 - Tool 11: Community Resource Guide
Tool 11: community resource guide
Purpose
Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu…
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www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Grand Rounds Presentation
AHRQ Communication and Optimal Resolution Toolkit
Say:
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…
-
psnet.ahrq.gov/node/73145/psn-pdf
April 28, 2021 - In Conversation With... José A, Morfín, MD, FASN
April 28, 2021
In Conversation With.. José A, Morfín, MD, FASN. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
Editor’s Note: José A, Morfín, MD, FASN, is a health sciences clinical professor at the University of
Californ…
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - In Conversation with…Gerald B. Hickson, MD
December 1, 2009
In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
Editor's note: Gerald B. Hickson, MD, is one of the world's leading experts on physician behavior and its
connecti…
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Management of Cardiac Arrest in Unconventional
Locations.
May 16, 2022
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
The Case
Case #1: An 80-year-old man with history of Parkins…
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Final Data From National Efforts To Make Care Safer, 2010–2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Building Your SSI Prevention Bundle
Say:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 2: Learning Objectives
Say:
After reviewing this mod…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Building Your Surgical Site Infection Prevention Bundle
SAY:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 1
Learning Objectives
SA…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare3.html
September 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Three Areas To Immediately Advance Diagnosis In Rural Healthcare
Previous Page Next Page
Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis i…
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - In Conversation With… Rebecca Lawton, PhD
September 1, 2018
Citation Text:
In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 6. Discussion and Policy Implications
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Desi…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - Urine Culturing Stewardship in the ICU Setting Facilitator Notes
CAUTI Module:
Urine Culturing Stewardship in the ICU Setting
Facilitator Guide
Slide Number and Image
This module, titled “Urine Culturing Stewardship in the ICU Setting” is part of the Agency for Healthcare Research and Quality’s Safety Program …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
November 01, 2019 - Improving Communication and Teamwork Around Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Improving Communication and Teamwork
Around Antibiotic Decision Making
Acute Care
Slide Title and Commentary Slide Num…
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
Citation Text:
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Co…
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - Assessing the Safety of Electronic Health Records: What
Have We Learned?
September 1, 2017
Sittig DF, Singh H. Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
Perspec…
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www.ahrq.gov/policy/electronic/plain-writing/language-access.html
July 01, 2025 - Language Access Plan for the Agency for Healthcare Research and Quality
Language Access Principles The Agency for Healthcare Research and Quality (AHRQ) will follow the language assistance principles outlined in this plan when assessing and addressing situations in which individuals with limited English profic…