-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
May 01, 2017 - Evidence
Strong
recommendation
Moderate-quality
evidence
Benefits clearly
outweigh harms
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
March 01, 2009 - was
conducted on October 1, 2007, on 20 abstracts selected from a literature search on potential
harms
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
March 01, 2017 - These tools are used in combination with clinical or operational efforts to minimize harms such as falls
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - These tools are used in combination with clinical or operational efforts to minimize harms such as falls
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - restoration of functional status, avoidance of prolonged fasting periods) and best practices for preventing harms
-
www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
October 01, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide
Is Our Pharmacy Meeting
Patients’ Needs? A Pharmacy
Health Literacy Assessment Tool
User’s Guide
This user’s guide was produced under contract to the Agency for Healthcare Research
and Quality (AHRQ) under Contract No.…
-
www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities
Final Report
1. Title Page
Principal Investigator: Ellen Taylor
Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer
healthcare facilitie…
-
www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study
Principal Investigator: Gershon, RRM
Safety in the Home Healthcare Sector: A pilot study (Final Report)
Safety in the Home Healthcare Sector:
A Pilot Study
Final Report
September 30, 2010
Grant Number: R03 HS018284-01
Project Period: 10…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
April 01, 2022 - AHRQ Nursing Home Survey on Patient Safety Culture: User’s Guide
NURSING
HOME
SURVEY ON
PATIENT
SAFETY
CULTURE:
USER’S GUIDE
PATIENT
SAFETY
AHRQ Nursing Home Survey on Patient Safety
Culture: User’s Guide
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Distribution of Temperatures for Low Birth Weight Neonates
Distribution of Temperatures for Low Birth Weight
Neonates
Section 1. Basic Measure Information
1.A. Measure Name
Distribution of Temperatures for Low Birth Weight Neonates Admitted to Level 2 or Higher
Nurseries in the First 24 Hours of Life
1.B. Mea…
-
www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - ChartBook On Patient Safety
CHARTBOOK
ON
PATIENT SAFETY
National Healthcare Quality and Disparities Report
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
http:www.ahrq.gov
This document is in the public domain and may be used and reprinted witho…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
April 01, 2022 - Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Transcript
How To Create Team Buy-In and Motivation To Get to Zero Infections…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
September 03, 2014 - Defects, or errors in systems, lead to unwanted outcomes such as harms (harming a patient) or adverse
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Sustaining Zero CLABSIs (Transcript)
May 8, 2012
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - “Doing something that harms a
patient.”
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - Communication and Optimal Resolution (CANDOR)
C ommunication and O ptimal R esolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This AHRQ toolkit, based on the CANDOR process, is inten…