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  1. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Final Report APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Principal Investigator: Wilson D. Pace, MD* Key Personnel: David West, PhD * Deborah S. Main, PhD* John Westfall, MD* Daniel Harris, PhD** Organizational Aff…
  2. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases The Evidence f…
  3. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Examples of Patient Harm Related to Invasive Devices Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Dev…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD 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…
  5. www.ahrq.gov/action-alliance/overview/index.html
    October 01, 2024 - Overview of the National Action Alliance for Patient and Workforce Safety What Is the National Action Alliance? The National Action Alliance for Patient and Workforce Safety is a collective effort of federal agencies and private partners to improve the safety of patients and the healthcare workforce. Working to…
  6. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
    March 01, 2017 - Holds all staff accountable for carrying out agreed-upon activities designed to reduce resident harms
  7. www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Patient reports of preventable problems and harms in primary health care.
  8. www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
    February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Overview of the Comprehensive Unit-based Safety Program…
  9. www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
    January 01, 2024 - Create a Culture of Safety Around Antibiotic Prescribing For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, read the Implementation Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). Presentations Improving antibi…
  10. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Module 5: Response and Disclosure AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. Slide 1 Say: The goal of this module is to: Define…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
  12. www.ahrq.gov/patient-safety/reports/liability/preface.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Preface Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Res…
  13. www.ahrq.gov/news/newsletters/e-newsletter/913.html
    May 01, 2024 - Care Practices , a resource that emphasizes the importance of helping patients reduce or prevent the harms
  14. www.ahrq.gov/news/newsletters/e-newsletter/904.html
    March 01, 2024 - Patient Safety Awareness Week 2024 AHRQ’s lead role in helping to protect patients from avoidable harms
  15. www.ahrq.gov/funding/policies/nofoguidance/index.html
    January 01, 2025 - and the adaptation, refinement, and sustainment of those strategies to address risks, hazards, and harms
  16. www.ahrq.gov/news/newsletters/e-newsletter/944.html
    January 01, 2025 - An assessment of the benefits and harms of energy-based therapies (e.g., CO2 laser, Er:YAG laser and
  17. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Module 7: Resolution AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process. Slide 1 Say: When adverse patient events occur, the patient and their family are looking for answers to t…
  18. 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.     …
  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. www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Develop a Culture of Safety Around Antibiotic Prescribing For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs  (PDF, 328 KB). Presentations Improving …

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