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  1. www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
    November 01, 2015 - one nurse educator said: “Most of our patients are critically ill, so we do need the Foleys so we can measure … You want it measured, but they're not agreeing in how to document it or how to measure it.”
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
    January 01, 2002 - During the initial site assessment, leaders and staff established the measures to assess whether the
  3. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - How do we measure our pressure ulcer rates and practices? 6. … , as well as the assessment of other risk factors that are not captured in these scales. … Remember that risk assessment scales are only one part of a pressure ulcer risk assessment. … Both the Norton and Braden scales have established reliability and validity. … Other scales may be used instead of the Norton or Braden scales.
  4. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - How do we measure our pressure ulcer rates and practices? 6. … , as well as the assessment of other risk factors that are not captured in these scales. … Remember that risk assessment scales are only one part of a pressure ulcer risk assessment. … Both the Norton and Braden scales have established reliability and validity. … Other scales may be used instead of the Norton or Braden scales.
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
    January 01, 2022 - concrete, actionable examples of aspects of care already being measured; emphasize elements of composite measures … Narrative items that measure domains covered in the CAHPS survey reveal opportunities to improve survey … The most direct way to address bias is to try to measure it in the system and observe it in the processes … How Patient Comments Affect Consumers’ Use of Physician Performance Measures.
  6. www.ahrq.gov/news/newsroom/case-studies/201520.html
    July 01, 2015 - Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS® Search All Impact Case Studies July 2015 Amery Hospital & Clinic, a 25-bed acute care critical access hospital in rural Wisconsin, used AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site in…
  7. www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
    October 01, 2014 - Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture Search All Impact Case Studies May 2007 The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety Culture as an anonymous, Web-based initiative to assess staff attitudes and beliefs about patient…
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide The Comprehensive Unit-based Safety Program (CUSP) Previous Page Next Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensiv…
  9. www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
    September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care SEP 14 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. The theme of World Patient Safety Day…
  10. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B Gap Analysis Structured Interview Questions The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices. Leadership and Cul…
  11. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…
  12. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
  13. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/perioperative-hand-hygiene.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Hand Hygiene in the Perioperative Setting Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases The Evidence for MRSA Decolonization Nas…
  14. www.ahrq.gov/news/newsroom/case-studies/201806.html
    October 01, 2018 - Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools Search All Impact Case Studies October 2018 Bridgeport Hospital, a 383-bed safety net hospital in Bridgeport, Connecticut, used two AHRQ tools to improve care in its facility. With AHRQ’s Door-to-Doc patient safety toolkit , …
  15. www.ahrq.gov/ncepcr/tools/confid-report/index.html
    March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamentals Part Two: Design of Physi…
  16. www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal3.html
    January 01, 2013 - Other Findings Hospital Survey on Patient Safety Culture In order to measure the second major project
  17. www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
    October 01, 2014 - Series Overview Closing the Quality Gap: Revisiting the State of the Science Overview of new series of evidence reports on quality improvement strategies. Contents Background Topic Selection and Scope Development Principles Key Questions Organizing Framework References     Background …
  18. www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
    January 01, 2025 - We began our work in SA 3 by evaluating outcomes that are conventionally used to measure harm (e.g., … progression at diagnosis or the onset of symptoms outside of healthcare settings, we could not reliably measure … transmission associated with healthcare-associated infections.(46, 47) We built upon this prior work to measure
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
    May 02, 2016 - to one team- based care leader and physician at Bellin Health, the model builds in a “backup safety measure
  20. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
    July 01, 2023 - This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated

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