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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4q Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on retained forei…
  2. 110-Ss-Lfd-Sample (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool—Sample 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 i…
  3. www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
    June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities: Training Modules Improving Patient Safety in Long-Term Care Facilities: Training Modules Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 1. Detecting Change in a Resident’s Condition Module 2. Comm…
  4. www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
    March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This guide is a practical resource designe…
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy References 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 Appe…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
    April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office 101 Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, James D. Bramble, Wendy Taylor, Kevin G. Moores Abst…
  7. www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
    March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD Abs…
  8. www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
    January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Principal Investigator: David J. Taber, PharmD, MS, BCPS Professor Medical University of South Carolina Department of Surgery 96 J…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
    March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD Abs…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Central Line-Associated Bloodstream Infections SAY: Welcome to this presentation on the Prevention of Central Line-Associated Bloodstrea…
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
    September 08, 2015 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for chil…
  12. www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
    January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology Final Progress Report Title of Project: Improved Patient Safety with Information Technology Principal Investigator: J. Marc Overhage, MD, PhD Team Members: Irmina Gradus-Pizlo, MD Chris Steinmetz, MD Karen Wolf, MD JingJin Li, PhD…
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
    July 01, 2011 - A Tale of Three Practices: How Medical Groups are Improving the Patient Experience 1 CASE STUDY A Tale of Three Practices: How Medical Groups are Improving the Patient Experience July 2011 Introduction Medical practices are facing increasing pressure to improve their patient experience survey scores…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 4: Selecting Care Management Interventions Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Progra…
  15. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 2. Communicating Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicati…
  17. www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix V. JAMIA Draft Manuscript Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administ…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 3. Falls Prevention Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Cond…
  19. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
    July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started Issue Brief Simulation To Improve Patient Safety: Getting Started e PATIENT SAFETY This page intentionally left blank. e Issue Brief Simulation To Improve Patient Safety: Getting Started Prepared for: Agency for Healthcare Research …

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