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7261. Prologue—Volume 2—Systems Thinking and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
      June 02, 2025 - Prologue—Volume 2—Systems Thinking and Patient Safety 1 Prologue Systems Thinking and Patient Safety Paul M. Schyve Patient safety is a prominent theme in health care delivery today. This should come as no surprise, given that “first, do no harm” has been the ethical watchword throughout the history of medi…

7262. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
      May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.4i 1 Selected Best Practices and Suggestions for Improvement PSI 12: Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) Why Focus on DVT/PE…

7263. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4v Selected Best Practices and Suggestions for Improvement PDI 10: Postoperative Sepsis Why focus on postoperative sepsis in children? • Postoperative s…

7264. Lessons on How To Improve Future National Collaboratives | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Lessons on How To Improve Future National Collaboratives Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Executive Summary Report Organization Program Impleme…

7265. 129-Ss-Blank-Lfd (doc file)
      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…

7266. Health Equity | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Health Equity Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research A…

7267. Federal Interagency Workgroup on Improving Diagnostic Safety: July Meeting Summary (pdf file)
      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…

7268. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
      January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…

7269. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
      January 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety --------------------------------------- Weekend Effects and the July Phenomenon in Patient Safety Final Research Report to AHRQ Principal Investigator: Joel S. Weissman, PhD February 6, 2006 Co-Investigators and Study Staff (i…

7270. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
      November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential u…

7271. Medical Team Training Programs in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
      February 01, 2005 - Medical Team Training Programs in Health Care 253 Medical Team Training Programs in Health Care David P. Baker, Sigrid Gustafson, J. Mathew Beaubien, Eduardo Salas, Paul Barach Abstract Numerous medical team training programs have been developed and implemented in response to the patient safety crisis hig…

7272. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety AHRQ TEAM TRAINING GRANT FINAL PROGRESS REPORT Project Title: Evaluating the Impact of Simulated Team Training on Patient Safety Principal Investigator: Daniel J. Scott Team Members: Rajiv Gala (Co-Investigator) John Fore…

7273. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Hand Hygiene in the Perioperative Setting SAY: Welcome to this presentatio…

7274. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
      April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…

7275. Data Measures Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
      January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…

7276. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
      April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Teamwork and Leadership Overview According to the Joint Commission, in 2022, failures in communication, teamwork, a…

7277. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - AHRQ Summit to Address Emergency Department Boarding 2 AHRQ Summit to Address Emergency Department Boarding Technical Report e AHRQ Summit to Address Emergency Department Boarding Technical Report Prepared by Robin M. Weinick, PhD Resonant, LLC Sean Bruna, PhD, MA, MA Agen…

7278. Weighted Summary Statistics: PUF Medicaid Outpatient File (Version 2) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Outpatient-Weighted.pdf
      September 26, 2023 - Weighted Summary Statistics: PUF Medicaid Outpatient File (Version 2) 15:39 Tuesday, September 26, 2023 1 Weighted Summary Statistics: PUF Medicaid Outpatient File Variable Variable Label Count of Non-missing Values (Unweighted) Count of Missing Values (Unweighted) Minimum Maximum Mean Standard Deviation …

7279. Mujer: Conserve su salud despues de los 50 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/prevention/lifestyle/women50sp.pdf
      July 01, 2014 - Mujer: Conserve su salud despues de los 50 1 Mujer: Conserve su salud después de los 50 Edición 2014 2 3 Utilice esta información para ayudar a mantenerse sana a partir de los 50 años. Sepa qué pruebas de detección necesita y cuándo hacérselas, qué medicamentos pueden prevenir enfermedades y las medidas …

7280. 102-How-Integrate-Cusp-Approach-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention How To Integrate a CUSP Approach ICU & Non-ICU Slide Title and Commentary Slide Number and Slide How to Integrate a CUSP Approach SAY: Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…