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www.ahrq.gov/news/newsroom/case-studies/201613.html
September 01, 2016 - Sudan Teaching Hospitals Use AHRQ’s Patient Safety Culture Survey and TeamSTEPPS
Search All Impact Case Studies
September 2016
Two hospitals in the northeast African country of Sudan—Omdurman Teaching Hospital and the National Ribat University Hospital—are using AHRQ tools to improve patient safety.
Omdur…
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www.ahrq.gov/takeheart/training/module-7/index.html
December 01, 2022 - Module 7: Troubleshooting Your Automatic Referral System
YouTube embedded video: https://www.youtube-nocookie.com/embed/dyN2Lj8LSOU
Video: Troubleshooting Your Automatic Referral System (1:00:27)
Slides: Troubleshooting Your Automatic Referral System (PDF, 1.3 MB)
Implementation Guide: Troublesho…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/1-lise-rybowski-intro.pdf
May 11, 2011 - Microsoft PowerPoint - 1. Lise Rybowski_Intro.ppt [Compatibility Mode]
4/29/2011
1
Who Are You Talking To? Who Are You Talking To?
New Insights Into the Audience for New Insights Into the Audience for
www.TalkingQuality.ahrq.govwww.TalkingQuality.ahrq.gov
Consumer Reports on Health Care QualityConsumer Reports …
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Strategy 3: Nurse Bedside Shift Report
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Qua…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ahrq-network-factsheet.pdf
February 01, 2022 - AHRQ's Role in Nursing Home COVID-19 Response
AHRQ’s Role in Nursing Home COVID-19 Response
BACKGROUND
Nearly 20 percent of the known COVID-19 deaths in the United
States have been nursing home residents and staff. Advanced
age, underlying frailty, and communal living con…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-8b.pdf
June 02, 2025 - Section 8.B, Eligible Population and Performance Rates
Mu…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - They established a standard process for blood pressure
measurement upon admission and during labor to
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www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
May 01, 2014 - Chart Reviews or Audits
The purpose of a chart review is to establish a
baseline for measurement against … For adult patients, the annual height measurement will be transferred onto the
current visit for 1 year … or until the next annual measurement is due.)
35
BMI Calculation Protocol (Example: Medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System
207
Ten Considerations for Easing
the Transition to a Web-based
Patient Safety Reporting System
Sharon K. Ulep, Sheryl L. Moran
Abstract
Moving to a Web-based system for tracking patient safety events is a goal o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness
Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An
Experimental Ap…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability
7
Applying Patient Safety Indicators (PSIs)
Across Health Care Systems:
Achieving Data Comparability
Peter E. Rivard, A. Rani Elwy, Susan Loveland, Shibei Zhao, Dennis
Tsilimingras, Anne Elixhauser, Patrick S. R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - Through this consistent measurement, validation, reporting and rewarding, you can really achieve and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Measurement and feedback of CLABSI data to improvement teams and senior leaders.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - Through this consistent measurement, validation, reporting and rewarding, you can really achieve and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - In Situ Simulation: Challenges and Results
In Situ Simulation: Challenges and Results
Mary D. Patterson, MD; George T. Blike, MD; Vinay M. Nadkarni, MD
Abstract
In situ simulation, simulation that is physically integrated into the clinical environment, provides
a method to improve reliability and safety in h…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture
Improving Patient Safety in Hospitals: A Resource List
for Users of the AHRQ Hospital Survey on Patient
Safety Culture
I. Purpose
This document provides a list of references to websites and othe…