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www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
January 01, 2025 - bring together other stakeholders (e.g., educators, laboratorians, payers, policymakers,
clinical leaders
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
November 01, 2023 - ● Minute 38:30 – Hear from our study leaders at UH: EMPOWER overview with Dr. Hijaz & Dr.
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - This creates significant challenges for risk managers, providers, and clinical
leaders to effectively
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - Frontline staff and unit leaders need time and resources to work together to investigate causes of CAUTI
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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
January 01, 2024 - Nurses were recruited through nurse leaders and word of mouth.
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www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - We had support from the quality improve team and the educational leaders at our health system for the
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - A consulting firm experienced in disclosure training was hired to provide training to key leaders in
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - This meeting of thought leaders resulted in action items for the NAM and AHRQ to address to accelerate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Is there a change agent
available to influence opinion leaders?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - Discussions have been “systems focused,” with practical “take-home
points” for providers and quality leaders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - nursing homes, experienced nursing home nurses,
consultant pharmacists at intervention sites, and leaders
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - Virginia Center for Health Innovation The 5th Starfield Summit aims to bring together a diverse group of leaders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
March 01, 2004 - Leaders enhanced the effectiveness of the information.
5.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Antibiotic Stewardship and MRSA Reduction
SAY:
Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5
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 children enrolled in Medicaid
and the Children…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - Communication Strategies to Promote Resident Safety
Communication Strategies To Promote Resident Safety
AHRQ Pub. No. 16-0003-13-EF
September 2016
AHRQ Safety Program for Long-Term Care: CAUTI
1
Objectives
After participating in the session, attendees will be able to—
Identify possible barriers to effective com…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Say:
The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …
-
www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care
Teamwork and Error in Neonatal Intensive
Care
Eric J. Thomas, MD, MPH
Robert L. Helmreich, PhD
J. Bryan Sexton, PhD
Gwen Sherwood, RN, PhD, FAAN
Robert Lasky, PhD
Thomas Kallarackal
Sharon Crandell, MD
Jennipher Mulhollem
Dates:…