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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apc.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix C. Training and Learning Network Webinars
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
A…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is
essential for safe, high-
quality care and is
preconditional to …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
January 01, 2020 - When something happens that could
harm the patient, but does not, how often
is it documented in an incident … When something happens that could harm the patient, but does
not, how often is it documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
April 01, 2025 - Decolonization Strategies
Decolonization Strategies
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
Decolonization Implemen…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/leg-bags-faqs.html
July 01, 2017 - In the event of a product-related incident such as infection, there may be liability issues for the user
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - NO: Incident reports, occurrence screens, death
reviews, Global Trigger Tool
YES: Ask patients
Ask
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www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki Grant Number: R03 HS21583-01
AHRQ Grant Final Progress Report
Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki, MD, MSCE
Team Members: Vinay …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - clinical department examining all eligible patient
charts; voluntary reporting (often referred to as “incident … Of these events, only nine (1.2 percent) were
identified using traditional incident reports. … An
evaluation of adverse incident reporting. J Eval Clin
Pract 1999;5(1):5–12.
5. … Barriers to incident reporting in a
healthcare system. … The incident
reporting system does not detect adverse drug events:
a problem for quality improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
December 2016
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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014
December 2016
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…
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www.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - Albuquerque Police Department Uses AHRQ Resources for Crisis Intervention Team Training
Search All Impact Case Studies
May 2017
In 2016, Albuquerque Police Department (APD) became the first law enforcement agency in the Nation to train its officers through videoconferencing with psychiatrists, based on the …
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www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications
Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - Comparison of Decolonization Strategies
This document defines the types of decolonization strategies and what is needed to implement either approach. Mid- to high-level administrative managers and clinical leaders who are interested in implementing decolonization programs at their site may use this document to compare …
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
January 01, 2025 - review by healthcare system
boards of patient and workforce safety harm
data, inclusive of internal incident … review by healthcare system
boards of patient and workforce safety harm
data, inclusive of internal incident … review by healthcare system
boards of patient and workforce safety harm
data, inclusive of internal incident
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www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
January 01, 2024 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges
FINAL PROGRESS REPORT
Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions,
and Discharges
Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor,
Texas A&M …
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www.ahrq.gov/news/newsletters/e-newsletter/933.html
October 01, 2024 - Learner evaluation of an immersive virtual reality mass casualty incident simulator for triage training
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
June 02, 2025 - • An “event” is defined as any type of error, mistake, incident, accident, or deviation,
regardless
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
June 02, 2025 - .
· An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
Previous Page Next Page
Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussio…
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Most healthcare organizations have incident reporting systems, although reporting has included few diagnostic