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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide
REdesigning SystEms to
Improve Teamwork
and Quality for Hospitalized
Patients: RESET Project
Implementation Guide
Prepared by the RESET Investigators Version 2.0: September 2019 Funded by …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - Treating Tobacco Use and Dependence
Quick Reference Guide for Clinicians
This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet
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…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/cauti-interim.pdf
September 01, 2013 - Eliminating CAUTI: A National Patient Safety Imperative
Eliminating CAUTI:
A National Patient
Safety Imperative
Interim Data Report on the National
On the CUSP: Stop CAUTI Project
A Project of:
Health Research & Educational Trust
Michigan Health & Hospital Association Keystone Center for Patient Safety & Qua…
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www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU
Final Progress Report
NPSF Joint Medical-Legal Conference at SMU
October 27 – 29, 2003
Principal Investigator: John J. Nance, JD
Team members: Thomas Wm. Mayo, JD
Robert Krawisz
Deborah Cummins, PhD
Organization: National Patient Safety Found…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
September 01, 2019 - 2018 National Healthcare Quality and Disparities Report: Introduction and Methods
c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update
NATIONAL
HEALTHCARE
QUALITY &
DISPARITIES
REPORT
2018
Introduction
and Methods
This document is in the public doma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training
Examining the Effectiveness of Debriefing at the
Point of Care in Simulation-Based Operating Room
Team Training
Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD;
Sheila W. C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Clinical Inertia and Outpatient Medical Errors
293
Clinical Inertia and Outpatient Medical Errors
Patrick J. O’Connor, JoAnn M. Sperl-Hillen,
Paul E. Johnson, William A. Rush, George Biltz
Abstract
Clinical inertia is defined as lack of treatment intensification in a patient not at
evidence-based goals for …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - What Exactly Is Patient Safety?
What Exactly Is Patient Safety?
Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD;
Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD;
Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD
Abstract
We articulate an intellectual h…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Resource List - AHRQ Ambulatory Surgery Center Survey
SOPS Ambulatory Surgery Center Survey Resource List 1
Improving Patient Safety in Ambulatory Surgery
Centers: A Resource List for Users of the AHRQ
Ambulatory Surgery Center Survey on Patient Safety
Culture
I. Purpose
This document provides a list of ref…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
June 02, 2025 - Fielding the CAHPS Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
Fielding the CAHPS Child Hospital Survey
Document No. 93
Fielding the CAHPS® Child Hospital
Survey
Sampling Guidelines and Protocols
Contents
Introduction..................................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five sample reports are provided here. The reports are:
• High-Risk Transfer Report (a medium-risk rep…
-
www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes
FINAL PROGRESS REPORT
Incident Reporting Practices in Nursing Homes
PI: Nicholas G. Castle, Ph.D.1
1. University of Pittsburgh
A610 Crabtree Hall
Graduate School of Public Health
130 DeSoto Street, Pittsburgh, PA 15261
Telephone: (412) 383-7…
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements
AHRQ GRANT FINAL PROGRESS REPORT
Title: Improving Patient Safety through Provider Communication Strategy Enhancements
Principal Investigator: Kay Daugherty, RN, PhD
Team Members: Catherine Dingley, RN, F…
-
www.ahrq.gov/sites/default/files/publications/files/cauti-interim.pdf
September 01, 2013 - Eliminating CAUTI: A National Patient Safety Imperative
Eliminating CAUTI:
A National Patient
Safety Imperative
Interim Data Report on the National
On the CUSP: Stop CAUTI Project
A Project of:
Health Research & Educational Trust
Michigan Health & Hospital Association Keystone Center for Patient Safety & Qua…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
January 01, 2018 - Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript
Understanding CAHPS Surveys: A Primer for New Users
January 2018 Webcast
Speakers
Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency
for Healthcare Research and Quality
Dale Shaller, M…
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html
January 01, 2017 - Low Tidal Volume (Lung Protective) Ventilation Literature Review
AHRQ Safety Program for Mechanically Ventilated Patients
Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - References
Low Tidal Volume (Lung Protective) Ventilation Literature Review
Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well as a shorter length of stay (LOS). The Society for Healthcare Epide…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
June 02, 2025 - Fielding the CAHPS Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
Fielding the CAHPS Child Hospital Survey
Document No. 93
Fielding the CAHPS® Child Hospital
Survey
Sampling Guidelines and Protocols
Contents
Introduction..................................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOC-PIV-Field-Guide.pdf
June 01, 2015 - Therefore, board staff recommends keeping applications short, without
multiple complex layers of improvement