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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
November 01, 2024 - Diagnostic Safety Research
1
Diagnostic Safety Research
at the Agency for Healthcare
Research and Quality
Diagnostic Error
Diagnostic error is a significant and underrecognized threat to patient safety.
Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and
prevent…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
November 03, 2023 - Federal Interagency Workgroup on Improving Diagnostic Safety: July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - Implementation of team care has not affected panel size except in one practice innovation.
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www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
November 01, 2016 - systematic mechanism, at least inside HHS, to align; coordinate; and approve development, maintenance, implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - Rafael Borja
American Hospital Association – Chicago
September National Content Call
September 9, 2014
11:00 AM CT
Operator:
This is a recording for the Kathy Drury Teleconference with American Hospital Association Chicago, Tuesday, September 9, 2014 scheduled for 11:00 a.m. Central Time. Ladies and gentlemen, than…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014)
Webinar Transcript
American Hospital Association – Chicago
September National Content Call
September 9, 2014
11:00 AM CT
Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Associ…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project
283
Expediting Clinician Adoption of Safety
Practices: The UCSF Venous Access Patient
Safety Interdisciplinary Education Project
Nancy E. Donaldson, Rosemary K. Plank, Ann Williamson,
J…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - Safety Climate on Hospital Units: A New Measure
429
Safety Climate on Hospital
Units: A New Measure
Mary A. Blegen, Ginette A. Pepper, Joseph Rosse
Abstract
Objectives: The purpose of this project was to create a measure of safety climate
for hospital inpatient care units and to determine the psychometric …
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www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - This method is particularly useful in implementation studies,
health information technology assessment … surveyed
regarding their communication with the consultant pharmacists at the nursing home prior to
the implementation
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www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
January 01, 2024 - Evaluating efforts to optimize TeamSTEPPS implementation in
surgical and pediatric intensive care units
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - Addiction Technology Transfer Center Network (ATTC)
» HHS Office of Minority Health Behavioral Health Implementation
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www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
March 31, 2020 - These collaborations will develop and disseminate tools to support the systematic
implementation of … Initial efforts included the successful creation of
prescribing guidelines across 72 hospitals, implementation
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Implementation and evaluation of a prototype consumer reporting system for patient
safety events. … An exploration of the implementation of open disclosure
of adverse events in the UK: a scoping review
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www.ahrq.gov/prevention/resources/vision/resources/vision3.html
October 01, 2002 - Chapter 3
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Behavioral Modification and Social Support
The psychosocial aspects of low vision are increasingly recognized as important to the rehabilitation process. The American Academy of Ophthalmology 21 notes that many individuals wit…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Sepsis
AHRQ Safety Program for Improving
Antibiotic Use
1AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Sepsis
Acute Care
Slide Title and Commen…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - a range of innovative products,
including the design of a safer and more efficient OR
prototype, implementation
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www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
January 01, 2004 - Advances in patient safety:
From research to implementation. Vol 2, Concepts and
methodology.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Advances in patient safety:
From research to implementation. Vol 2, Concepts and
methodology.