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psnet.ahrq.gov/primer/never-events
June 15, 2024 - June 12, 2024
Deficiencies in Facility Leaders' Response to Critical Surgical Events
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
April 01, 2025 - Tailoring your
message to leaders so that it (1) emphasizes how UI
Before launching a UI screening … • Study leadership set up meetings with leaders of their Primary Care Institute (PCI) to gain buy-in … • The study team shared with ancillary staff and providers that leaders of their PCI were supportive … • Team leaders and/or staff who occupy key roles
such as medical directors. … • Team-oriented and participatory leaders who can fos-
ter collaboration and can generate support for
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www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - In some
facilities, hospital leaders provided additional training on RCAs for their staffs during October
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - high-stakes technical procedures—should be observed and taught to students before they become transition leaders
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - these kinds of changes and how this person relates in the overall organizational structure to project leaders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - Involves patients and family as—
Members of the health care team
Advisers who work with clinicians and leaders
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - these kinds of changes and how this person relates in the overall organizational structure to project leaders
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
April 01, 2025 - The report should be of interest to
leaders of healthcare organizations who must develop strategies … To implement changes in organizational structure, nursing leaders will need
to work with health system … leaders to determine the feasibility of changes and the expected
net impact on workforce costs. … To enact appropriate government-level policies,
governmental leaders ideally need input from experts … Resilience, job
satisfaction and anticipated turnover in
nurse leaders.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
May 01, 2016 - Practice leaders must determine how sharing visit
notes will work for their practice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - component of a successful reporting system includes a mechanism for user feedback that continuously informs leaders
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cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Presentation.pdf
January 01, 2022 - April 2022 CDS Connect Work Group Call
April 2022 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 – 3:02 Roll Call, Michelle Lenox (MITRE)
3:02 – 3:05 Review of the Agenda, Maria Michaels (CDC)
3:05 - 3:35 Roundtable and Discussion on Partnering Experience:
Amy Price (Stanford); Danny van Leeuwen (Hea…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
December 01, 2017 - Self-Assessment Worksheet for Pressure Ulcer Healing
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
This self-assessment tool is an important first step in implementing the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions and improve …
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Frameworks for Change and Improvement
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overvi…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-slides.html
February 01, 2017 - Engaging Senior Executives in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Engaging Senior Executives in Care of Mechanically Ventilated Patients
Slide 2: Learning O…
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digital.ahrq.gov/sites/default/files/docs/page/2006ScamurraUnger_051711comp.pdf
June 05, 2006 - WNYHealtheNet, LLC: A Collaborative Administrative Transaction Network Model
WNYHealtheNet, LLC
A Collaborative Administrative Transaction Network Model
Presented by: Tom Unger – Program
Manager, WNYHealtheNet, LLC
www.wnyhealthenet.org
presented to:
AHRQ Patient Safety and Health IT Conference
Successful Imple…
-
psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Pharmacist's Perspective
June 1, 2016
Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team-updated.pdf
October 01, 2016 - Toolkit 1. Start an Antimicrobial Stewardship Program
Nursing Home
Antimicrobial Stewardship Guide
Implement, Monitor, & Sustain a Program
Toolkit 1. Start an Antimicrobial Stewardship Program
Tool 1. Gather a Team
1. Choose members to serve on the antimicrobial stewardship program team. Depending
on the si…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/140-ssi-investigation-tool-cusp-completed.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
This is a sample of a completed SSI Investigation Tool. The names and values in the below tool are entirely fictional and provided solely for illustrative purposes.
Surgical Site Infection Investigation Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Join…