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  1. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…
  2. www.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
    March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety MAR 15 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. In 2023, the American healthcare system rem…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - Science of Safety5 The Science of Safety seeks to understand the causes and consequences of accidents and incidents
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…
  5. www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
    June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Previous Page Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality …
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
    December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Steps and Timeline The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
  7. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Patient and Family Engagement Facilitator Notes The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …
  8. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 4: Teamwork and Communication Say: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - Module 3: Falls Prevention and Management Conclusion Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources In Summary Falls prevention…
  10. www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
    October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Main Menu Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, …
  11. www.ahrq.gov/hai/pfp/interimhacrate2013.html
    November 01, 2015 - As a result of the reduction in the rate of HACs, we estimate that approximately 800,000 fewer incidents … Cumulatively, approximately 1.3 million fewer incidents of harm occurred in 2011, 2012, and 2013 (compared
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis 1 PATIENT SAFETY e Issue Brief 9 Improved Diagnostic Accuracy Through Probability-Based Diagnosis This page intentionally left blank. e Issue Brief 9 Improved Diagnostic Accuracy…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state4.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 4. Discussion Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References A…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Not provided Incidents may be underestimated by at least a factor of 20 because they are self-reported
  15. www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16, 2007 Using Barcode Technology to Improve Medication Safety Principal Investigator: Tejal Gandhi, tgandhi@partners.org Brigham and Women’s Hospital Tejal Gandhi MD, MPH, Principle Investigator Eric Poon, MD, MPH, …
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
    April 10, 2017 - Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Section 1. Basic Measure Information 1.A. Measure Name In…
  17. www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Results Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion …
  18. www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
    January 01, 2024 - Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism Optimal Prevention Of Hospital-Acquired Venous Thromboembolism Greg Maynard, M.D., M.Sc. - Principal Investigator Tim Morris, M.D. Ian Jenkins, M.D. Sarah Stone, M.D. Joshua Lee, M.D. Marian Renvall, M.Sc. Ed Fink …
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docx
    May 01, 2017 - Module 5: Component Kit Visual Management Board Component Kit Contents 1. Why Have a Visual Management Board? 2 2. Tips for Using a Visual Management Board 2 3. Plan-Do-Study-Act “Ramp”: Learn To Use a Visual Management Board 2 4. Visual Management Board Example: Elements You Can Use (Figure 1) 4 5. Connections to …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
    May 01, 2017 - Module 5: PowerPoint Presentation Management Practices for Sustainability Module 5: Visual Management AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-4-EF May 2017 | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 A Frontline Management System To Promote Safety Standard Work * Qu…

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