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digital.ahrq.gov/participant-recruitment-research
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer Prevention
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 ne…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization
Pre-Launch Activities
ICU & Non-ICU
Develop a CUSP Team
The Comprehensive Unit-based Safety Program, or CUSP, is a proven patient safety and quality improvement framework that is integrated into the AHRQ Toolkit for MRSA Prevention. A core element of CUSP is the C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
January 01, 2009 - Topic
A Model for Sustaining and Spreading Safety Interventions
Appendix A. Action Plan Tool for Project Sustainability
The Purpose of This Tool
This tool is intended to support sustainability efforts for your catheter-associated urinary tract infections (CAUTI) prevention project team. This
worksheet will help…
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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - The Safety of Medical Devices
June 1, 2011
Nemeth CP. The Safety of Medical Devices. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/safety-medical-devices
Perspective
Edward Tenner is right. Technology does have reverberations, including unintended consequences, or
"revenge effects."(1) While such dra…
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery
Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A.
Final Progress Report
Title of Project: Organization of Care and Outcomes in Cardiac
Surgery
Principal Investigator: Elizabeth A. Martinez, MD, MHS
T…
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digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Ftrd_051211comp.pdf
June 01, 2006 - SW Tennessee's Experience in Using the Connecting for Health Framework Model Contract
Volunteer eHealth Initiative
SW Tennessee’s experience in
Using the Connecting for Health
Framework Model Contract
Vicki Estrin – Program Manager
vicki.y.estrin@vanderbilt.edu
Funding: AHRQ Contract 290-04-0006; State of Ten…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.docx
January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - Spanish
SOPS® Value and Efficiency Supplemental Item Set for the SOPS Hospital Survey 2.0
Language: Spanish
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess th…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustaining and Spreading Surgical Safety Improvements
Say:
This module will cover Sustaining and Spreading Surgical Safety Improvements. To preface the sustainability discussions, these modu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements
Sustaining and Spreading Improvements – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Sustaining and Spreading Surgical Safety Improvements
SAY:
This module will cover Sustaining and Spreading Surgical Safety Improveme…
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
January 01, 2009 - Topic
AHRQ Safety Program for Reducing CAUTI in Hospitals
A Model for Sustaining and Spreading Safety Interventions
Appendix A. Action Plan Tool for Project Sustainability
The Purpose of This Tool
This tool is intended to support sustainability efforts for your catheter-associated urinary tract infect…
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Human Factors Engineering Can Teach You How to Be
Surprised Again
November 1, 2006
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
Perspective
Certain phrases ar…
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digital.ahrq.gov/2019-year-review/executive-summary
January 01, 2019 - Executive Summary
We are at the beginning of a digital revolution in healthcare, and it’s an exciting time with the potential for innovative whole-person care, data- and evidence-based solutions, and improvements in the healthcare system. The evolution of technology and digitization of d…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - Alert Fatigue
Citation Text:
Alert Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Ci…
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www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - Identify Defects Through Sensemaking
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Note : Slide content is presente…
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - Meaningful Measurement in Patient and Family
Engagement
March 10, 2021
Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
Defining Patient and Family Engagement
Pat…
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www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - diagnostic stewardship initiatives.8,15
This issue brief is a call to action for healthcare organization leaders … consultation and changes in test
ordering patterns are types of process changes that can help program leaders … Healthcare leaders can advance diagnostic stewardship by addressing barriers to effective clinician- … To sustain these interventions, healthcare leaders are encouraged to look beyond cost savings alone and
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Survey on Patient Safety Culture (HSOPSC).21
Achieving a safe, informed culture is dependent on how leaders … .36,37 Facilities reporting higher numbers of
medication errors may encourage reporting and may be leaders … informed, safe culture must be socially engineered by executing these
interacting practices.6 Hospital leaders … Consequently, they require
support from their senior leaders and education and tools from network hospitals
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - These reviews allow the educational leaders of the department to see whether residents and staff are … The physicians and leaders are suddenly sharing information, traveling to other places, seeing what the