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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool - Example ICU & Non-ICU Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed. What is a defect? A defect is any cli…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.pdf
    June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention a…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
    January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-27-EF January 2017 Overview of CUSP for MVP ‹#› AHRQ Safety Program for Mechanically Ventilat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49404/psn-pdf
    June 01, 2003 - Not a Miscarriage June 1, 2003 Learman LA. Not a Miscarriage. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/not-miscarriage The Case A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital Survey Version: 2.0 Language: English For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and pro…
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Competencies To Improve Diagnosis in Health Professions Education  Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosi…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.pdf
    June 01, 2017 - Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant Program Amplify Your Impact on Child Health Care Quality: Webinar Learning from the CHIPRA Quality Demonstration Grant Program February 11, 2016 22 Agenda • Welcome and introductions: Renee Fox, CMS, and…
  8. www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use Slide Presentation Slide 1 Leveraging Cultural Change to Reduce Urinary Catheter Use Linda Greene, RN,MPS,CIC Manager Infection Prevention Highland Hospital Jennifer Tuttle, RN, MSNEd Adult Critical Care Unit Tucson Medical Center Images:…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Patient and Family Involvement in Care of Mechanically Ventilated Patients SAY: This module is about patient and family involvement in patient care. Slide 1 Learning Objectives SAY: At the end of…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
    March 01, 2022 - Addressing Questions Asked by Staff: Chlorhexidine for Bathing Decolonization of on-ICU Patients With Devices N Section 14-1 – Addressing Questions Asked by Staff: Chlorhexidine for Bathing Why does the hospital use special soap for bathing and showering in patients with medical devices? This hospital i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49520/psn-pdf
    September 01, 2006 - DNR in the OR and Afterwards September 1, 2006 Lo B. DNR in the OR and Afterwards. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/dnr-or-and-afterwards The Case An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility (SNF) and suffered a fractured femur. After initial eval…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49845/psn-pdf
    October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages October 1, 2018 Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages The Case A 1-month-old preterm infant in the ne…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
    June 01, 2021 - Presentation: Program Overview Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Assessment of RTI 1 Objectives Recognize the signs and symptoms of a suspected respiratory tract infection Ident…
  14. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
    March 01, 2017 - Module 4: Teamwork and Communication AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 4: Teamwork and Communication Slide 2: Objectives Describe effective communication and teamwork. Describe why teamwork training and improved communication optimizes resident safety. List barri…
  15. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
    June 02, 2025 - Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership Implementation Guide - Module 2 System Change: Laying the Foundation and Leadership Module Purpose Following the call to action in Module 1, the purpose of this module is to lay the foundation for systems change. Topics i…
  16. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
    June 01, 2017 - A Frontline Management System To Sustain Improvement in Safety Practices Contents 1. Why a Frontline Management System? 2. Components of the Frontline Management System 3. Interactions of Components 4. Using the Model for Improvement 5. Additional Resources 1. Why a Frontline Management System? M…
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
    April 01, 2022 - Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Se…
  18. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
    March 01, 2017 - Communication Strategies To Promote Resident Safety AHRQ Safety Program for Long-Term Care: CAUTI Slide 1: Communication Strategies To Promote Resident Safety Slide 2: Objectives After participating in the session, attendees will be able to— I dentify possible barriers to effective communication w…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
    April 01, 2022 - Building an Engaged CUSP Team Slides Building an Engaged Comprehensive Unit-based Safety Program Team AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Objectives Identify tools and resources available to support your CLABSI and/or CAUTI improvemen…
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-post-intervention-va.pdf
    February 23, 2018 - Practice Member Survey Dear Survey Respondent, You are receiving this survey because your practice is participating in the Heart of Virginia Healthcare (HVH) project. Now in its third and final year, the HVH project is asking staff and clinicians in each practice to complete …