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  1. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …
  2. www.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
    December 01, 2022 - The Case for Cardiac Rehabilitation Each year, over 1 million Americans have a coronary event or undergo a cardiac-related procedure that makes them eligible for cardiac rehabilitation (CR). Research shows that this medically supervised program can greatly improve patient outcomes, such as a decreased chance of…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
    November 01, 2015 - Tool 8: Conditions of Participation Handout Tool 8: Conditions of Participation Handout Purpose In November 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed revision to the Conditions of Participation (COPs). CMS specified new and unique elements that are particularly germane to reducing M…
  4. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/guide.html
    March 01, 2017 - Module 6: Sustainability: Material Use Guide AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Learning Objectives: Define sustainability and recognize the importance of maintaining positive change. Understand the link between sustainability and spread. Learn how to create and implement a…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish.pdf
    September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety - Spanish SOPS® Nursing Home Survey Version: 1.0 Language: Spanish • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing da…
  6. www.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
    July 01, 2022 - To get a road show started, it is a good idea to provide leadership with examples of close calls the
  7. www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-6.html
    July 01, 2022 - To get a road show started, it is a good idea to provide leadership with examples of close calls the
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
    June 02, 2025 - Quality Improvement Assessment 1 Quality Improvement Assessment Your name: _________________________________ Practice: _____________________________ We would like to know more about your quality improvement (QI) training and experiences. This information will be used to tailor our QI training for…
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixA.pdf
    June 02, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix A 1 Appendix A. Diagnostic Calibration Debrief Tool (1 of 2) This tool can help you plan and summarize your efforts to calibrate your diagnostic performance and includes space for your self-assessment, peer feedback, and ideas fo…
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare1.html
    October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence 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 in the Context of Rurality …
  11. www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
    October 01, 2014 - the theoretical ways to address a quality gap build from a quote from Victor Fuchs that raises the idea
  12. www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
    January 01, 2025 - realization of mutual understanding involved the concept that disclosure is far more than just a good idea … formally emerge with specific recommendations or statutes, there was a degree of unanimity in the idea … the goals of some of the participants might be unrealistic.  N/A  I didn’t come away with a clear idea
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Appendix C. Interview Guide Previous Page   Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion Referenc…
  14. www.ahrq.gov/nursing-home/materials/staffing.html
    June 01, 2021 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders This resource guide from the Project ECHO and IHI Teams was written by and for directors of nursing, administrators, and other nursing home leaders. It outlines steps to reduce or eliminate urgent staff shortages, particularly shortages of …
  15. www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
    December 01, 2017 - Patient and Family Engagement in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah:  Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Res…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
    July 07, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Research and Educational Trust. Welcome to the fifth mini-presentation in the CAUTI ED cohort …
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix D. PDSA Worksheet The purpose of this worksheet is to develop, document, and test small changes, through the use of the Plan-Do-Study-Act (PDSA) cycle, that lead to impr…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-phase-two-plan.pdf
    December 01, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care Plan for Phase Two Tara Servati, M.P.H. Patient Experience Specialist for the Ambulatory Care Network, New York-Presbyterian New York, NY Study Phase 2 How can narrative information be reported to practice leaders and clinic…
  19. Teamworknotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
    June 02, 2025 - SAY: The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you understand the importance of effective communication and transparency, identify barriers to communication, and apply the effective teamwork and communication tools from CUSP and TeamSTEP…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
    December 01, 2017 - Facilitator: I have reviewed your Self-Assessment and I now have a better idea about how the On-Time … Facilitator: The idea is that the discussions that you have should be short and focused and the information … Your idea about meeting when the nursing assistants are already all assembled is also a great idea to … Facilitator: That sounds like a great idea.

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