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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study
Principal Investigator: Gershon, RRM
Safety in the Home Healthcare Sector: A pilot study (Final Report)
Safety in the Home Healthcare Sector:
A Pilot Study
Final Report
September 30, 2010
Grant Number: R03 HS018284-01
Project Period: 10…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Introduction
“The most detrimental error is failing to learn from an error.”1
The past decade has
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - disclosed in a way
that meets the public’s needs, yet is balanced with the need for
providers to learn
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
February 01, 2019 - 35
Just in time, we also are going to have an Action Planning webcast next week so if you want to learn
-
www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
January 01, 2024 - If alerts for just three types of errors overwhelm the pharmacists,
this would be very important to learn
-
www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - moreover, linked the principal underlying causes of medical error—
most notably, failures to measure and learn
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - “Learn Locally, Share Globally”
| 57
Case Example
AHRQ Safety Program for MRSA Prevention | ICU
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1
On-Time Falls
Prevention:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Facilitator Training
Implementatio…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital
and ED Visits Reports
Note: This part of the traini…
-
www.ahrq.gov/data/apcd/envscan/summary.html
June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Executive Summary
Previous Page Next Page
Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evi…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
January 10, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
January 10, 2022 - Module 5: Situation Monitoring
Module 5
Situation Monitoring To Improve Diagnosis
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 5, Situation Monitoring To Improve Diagnosis, that you will review as the facilitator.
Individual…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_brochure.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back (Half-page)
Implementation
Quick Start Guide
Teach-back
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is Teach-Back? ...........................................................1
Why Use T…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Alternatives
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Program for in…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-slides.pptx
January 01, 2017 - Presentation: Program Overview
Introduction and Evidence for Early Mobility:
A Protocol To Get Patients Out of Bed Faster
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-48-EF
January 2017
Evidence for Early Mobility ‹#›
AHRQ Safety Program for Mechanically Ventilated Patient…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6v.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 23)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Appendix A. Key Characteristics of Transforming Primary Care Grants
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summar…
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - Troubleshooting Your
Automatic Referral System
Module 7
S h e r r i e K h a d a n g a , M D
a n d L a u r a L u i , M S
PURPOSE
TAKEheart Training and Technical Assistance Co mponents
Training sessions guided by the Million
Hearts®/AACVPR Ca…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-ny.pdf
June 02, 2025 - Practice Survey
P a g e | 1
Practice Survey-demographics/E…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/030-review-ssi-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Review of SSI Prevention Program Tools
Surgical Services
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI | Surgical Services
Review of SSI Prevention Program Tools
1
…