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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
    January 01, 2004 - information flow has been reinforced by the Institute of Medicine and more recently noted by national leaders
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
    October 01, 2018 - phase two we really are asking the question, how can narrative information be reported to practice leaders … down into a few different parts where we assessed the user, and the user in this case is the practice leaders … Often the frustration I feel that comes from a lot of our health care leaders is really that idea of
  3. Saworksheet (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
    June 02, 2025 - On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if new clinical interventions are needed, and how they determine w…
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
    June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…
  5. www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
    January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation Final Progress Report Improving Patient Safety and Disease Management While on Contact Isolation Daniel Morgan (PI) Anthony Harris (Mentor) University of Maryland School of Medicine Dates of Project: 7/01/09–6/30/14…
  6. 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…
  7. www.ahrq.gov/sops/bibliography/index.html?page=5
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 251-300 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  8. www.ahrq.gov/es/sops/bibliography/index.html?page=5
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 251-300 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  9. 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:…
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
    December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion Slide Presentation Slide 1 Breaking Down Barriers to Aseptic Catheter Insertion Milisa Manojlovich, PhD, RN, CCRN Associate Professor University of Michigan School of Nursing Stacy Martin, RN, BSN, CIC Manager, Infection Prevention Moffitt Cance…
  11. 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…
  12. www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=0
    Practice-based Research Networks Registry Results Displaying 1 - 50 of 204 PBRNs Pagination 1 2 3 4 5 next › ›› last » Last » A. T. Still University, School of Osteopathic Medicine in Arizona PBRN Acronym: ATSU SOMA PBRN Network Type: Mixed…
  13. www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html
    Practice-based Research Networks Registry Results Displaying 1 - 50 of 204 PBRNs Pagination 1 2 3 4 5 next › ›› last » Last » A. T. Still University, School of Osteopathic Medicine in Arizona PBRN Acronym: ATSU SOMA PBRN Network Type: Mixed…
  14. www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
    June 01, 2020 - Making Acute Care More Patient-Centered Long Web Description Principal Investigator: David Bates, M.D., Brigham & Women’s Hospital, Boston, MA AHRQ Grant No.: HS23535 Project Period: 09/30/14–09/29/19 Description: The goal of this learning laboratory was to develop tools to engage patients, famili…
  15. www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
    January 01, 2024 - end users whose language we could adopt in education and communication with providers and hospital leaders … As such, we devoted substantial effort to meeting with hospital leaders and peer stakeholders, using … possible by our very close collaboration with the CHOP Physiologic Monitoring Task Force and hospital leaders
  16. www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
    August 01, 2023 - The TAKEheart team developed materials and resources using CRCP and engaged CR leaders in their review … • CR leaders who had the authority to implement QI activities and engage with relevant departments … To keep the leadership informed during the project, the project can provide written updates to leaders
  17. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
    April 01, 2020 - How leaders are leading. Jt Comm J Qual Saf 2003 Jun; 29(6):297-308. 131 . … Becoming a high reliability organization: operational advice for hospital leaders.
  18. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
    September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? 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…
  19. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
    October 01, 2022 - and State health agencies, private foundations, public and private purchasers of healthcare, and leaders … organized Emergency Medicine All Threats (EMAT), an informal network of NYC-area emergency medicine leaders
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
    November 30, 2013 - Two team leaders co-facilitate project activities; one is a nurse and the second can be from nursing … Team leaders share responsibilities to coordinate and implement activities and coordinate calls with

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