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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
December 01, 2017 - Your team can identify defects from incident reports,
liability claims, or sentinel events. … for Surgery
What the CUSP Safety Team Needs To Do
Take a defect identified in your clinical area (incident
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - Clinician outcomes include incident reporting, burnout, and even staff turnover.
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - A medication look-alike incident led to an intervention in which education was conducted, medications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - that occurred, teams reconstruct the timeline of the event by placing themselves in the midst of the incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - The estimated cost of a retained foreign object is estimated to be between $166,000 –
$200,000 per incident
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
November 01, 2015 - Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic Prophylaxis
Transcranial Doppler (TCD) Ultrasonography
Screening for Children with Sickle Cell Disease
Appropriate Antibiotic Prophylaxis for
Children with Sickle Cell Disease
Quality Measurement, Evaluation, …
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - Methods
The key components of the Seven Pillars process include the following:
Patient safety incident … The primary source of data was the UIHHSS incident reporting system, which was used to access records … comparison of means from the pre- to post-intervention period revealed increases in mean quarterly number of incident … grantee, “The crux of the program is that health care providers who injure a patient should report the incident … practical constraints arising from the liability insurer’s distance from the point of care,” “delays in incident
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www.ahrq.gov/diagnostic-safety/research/index.html
November 01, 2024 - Research on Diagnostic Safety and Quality
Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…
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www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture
Title of Project: Impact of state policies on nursing home patient safety culture
Principal Investigator: Yue Li, Ph.D., University of Rochester
Team Members: Helena Temkin-Greener, Ph.D., University of Rochester
Xueya Cai, Ph…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
July 01, 2018 - SOPS Nursing Home Survey: What You Need To Know - Caren Ginsberg, Ph.D.
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of the US De…
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fact-sheet.html
January 01, 2017 - Subglottic Secretion Drainage Endotracheal Tube Facts
AHRQ Safety Program for Mechanically Ventilated Patients
Did You Know?
Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
March 01, 2017 - Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The Long-Term Care (LTC) Safety Toolkit is designed to support learning and implementation efforts to improve safety culture in LTC facilities.…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed
Slide Presentation
Slide 1: Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1–Understanding Why Change Is Needed
Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit.
Slide …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
December 14, 2011 - Chart Abstraction Form
Basic Elements
Patient ID Race Ethnicity Gender Payer
Preferred
Language
Age upon
admission (YEARS)
[e.g. for 12.5 year
old, years = 12)
Age upon
admission
(MONTHS) [ e.g.
for 12.5 year old,
months = 6]
1 White Non-Hispanic Female Medicaid English …
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www.ahrq.gov/patient-safety/reports/engage/references.html
May 01, 2023 - Developing a patient safety incident classification system for primary care. … Patient safety in primary care: incident reporting and significant event reviews in British general practice
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - Tool or Measure Set: South Dakota Unusual Incident Reporting for People with Developmental Disabilities
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix C. Article Exclusion List with Reason for Exclusion
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
P…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health Plan - Key Driver Diagram
Key Drivers
Strateg…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data
119
Medical Injury Identification
Using Hospital Discharge Data
Peter M. Layde, Linda N. Meurer, Clare Guse,
John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn,
Karen J. Brasel, Stephen W. Hargarten
Abstract
Objective: Determine the feasi…