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  1. www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
    July 01, 2013 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #2: Statistical Process Control (Slide Presentation) This slide presentation was presented on May 14, 2013. Presenter: Jill Marsteller, PhD, MPP Discussant: Stephen Al…
  2. www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
    February 01, 2017 - Monitoring Ventilator-Associated Events: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Monitoring Ventilator-Associated Events Say: Today, we will discuss monitoring ventilator-associated events. Slide 2: Learning Objectives Say: After this session, you will…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Monitoring Ventilator-Associated Events SAY: Today, we will discuss monitoring ventilator-associated events. Slide 1 Learning Objectives SAY: After this session, you will be able to describe the …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-slides.pptx
    January 01, 2017 - Presentation: Program Overview Measure Descriptions for Daily Care Processes AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-44-EF January 2017 DCP Measure Descriptions ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, yo…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
    September 15, 2016 - Implementation Quick Start Guide: Teach-back 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? .....................................................................................…
  6. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3O-Comprehensive_Antibiogram_Toolkit_Phase_3_Implementation.pdf
    May 01, 2014 - Phase 3 Implementation Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit Phase 3 Implementation After the antibiogram has been developed, the nursing home team will need a plan for how t…
  7. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
    July 02, 2020 - 1 Learning Community Affinity Group Summary-at-a-Glance: Operational Adjustments while Resuming In-Person Cardiac Rehabilitation Programs July 2, 2020 Event Purpose and Overview • Purpose: To share and acquire strategies for how to adjust operations while resuming in-person cardiac rehabilitation p…
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
    January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD Workplace Safety Supplemental Item Set for the SOPS Nursing Home Survey Naomi Yount, PhD Senior Study Director Westat 31 Workplace Safety Supplemental Item Set • Designed as a supplemental item set that can be added towa…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
    January 01, 2013 - Nursing Intervention to Remove Non-necessary Urinary Catheters Mohamad Fakih, MD, MPH Professor of Medicine Wayne State University School of Medicine Medical Director, Infection Prevention and Control St. John Hospital and Medical Center Barbara Lucas, MD, MHSA Project Consultant Michigan Health & Hospital Associatio…
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIA.pdf
    January 01, 2010 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals CPQSC: Institution Characteristics Advocate – Oak Lawn Advocate – Park Ridge Lurie Children’s Prentice Mount Sinai Stroger Type of Institution Children’s Hospital with pediatric residency program and fell…
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIA.pdf
    January 01, 2010 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals CPQSC: Institution Characteristics Advocate – Oak Lawn Advocate – Park Ridge Lurie Children’s Prentice Mount Sinai Stroger Type of Institution Children’s Hospital with pediatric residency program and fell…
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-hhoi-team-leader-survey.pdf
    May 13, 2022 - HHOI Team Leader Survey Page 1 HHOI Team Leader Survey Please complete the survey below. Thank you! The purpose of this survey is to evaluate clinic level characteristics among teams participating in the Heart Healthy Ohio quality improvement initiative. Participation in this survey is voluntary and it is free t…
  13. 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 …
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
    July 01, 2017 - 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 training consists of interactive exercises and does not have any associated slides. Introduction Say: Yesterday you were introduced to the compon…
  15. www.ahrq.gov/research/findings/studies/index.html?page=31
    January 01, 2024 - Learn Health Syst 2023 Apr; 7(2):e10325. doi: 10.1002/lrh2.10325..
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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