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  1. www.ahrq.gov/hai/tools/mvp/modules/vae/tool.html
    January 01, 2017 - Ventilator-Associated Event Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Date __________     Month __________     Hospital __________     Unit __________ Use this tool to track your progress in reducing ventilator-associated event (VAE) rates by using this inform…
  2. www.ahrq.gov/policymakers/chipra/measure_retirement/index.html
    February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B. Appendix C. Appendix D…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
    April 01, 2025 - Science of Safety6 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/vol2/Layde.pdf
    January 01, 2003 - Medicine report To Err Is Human.1 That report called for mandatory reporting of serious patient safety incidents … and voluntary reporting of other errors or incidents.
  5. www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
    January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker) Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference Principal Investigator: David E. Newman-Toker Tea…
  6. www.ahrq.gov/policy/electronic/privacy/pii.html
    October 01, 2014 - Notification of Breach Routine Use Language Notice of HHS response plan for the new requirements regarding safeguarding against and responding to the breach of personally identifiable information. October 9, 2007 TO: HHS Privacy Act Contacts FROM: Robert Eckert Director FOI/Privacy Acts Division Off…
  7. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…
  8. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
    July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…
  9. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Overview Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resour…
  10. www.ahrq.gov/hai/tools/mvp/vae.html
    December 01, 2017 - Ventilator-Associated Events and Outcome Measures Module This module has tools and slide sets to help units accomplish three goals: Monitor ventilator-associated events and outcome measures. Reduce ventilator-associated events (VAE). Make evidence-based determinations about the care of ventilated patien…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Data Collection Tool Date __________ Month __________ Hospital __________ Unit __________ Use this tool to track your progress i…
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…
  13. www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
    January 01, 2024 - The  sentinel  report  update  in  December  2001  from  The  Joint  Commission  analyzed  126  incidents … Of  the  126  incidents,  only  81%  were  self‐ reported[2]. 
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
    March 12, 2008 - literature,17, 18 HealthPartners system quality data indicated that the vast majority of our clinic incidents … were related to prescriptions, but only a handful of reported incidents were associated with actual … Patient safety concerns were identified through a review of the clinic quality incidents, observations
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
    April 01, 2023 - United Kingdom determine a fair and consistent course of action toward staff involved in patient safety incidents … Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 01, 2017 - Monitoring Ventilator-Associated Events Module 2 Monitoring Ventilator-Associated Events AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-26-EF January 2017 Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…
  17. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…
  18. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Initia…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
    June 02, 2025 - Infection Preventionist Checklist Who should use this tool? Infection preventionists. Checklist Items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles. 2. Introduce the project to all IP s…

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