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  1. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Patient Outcome Survey (mailed version) 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…
  2. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - Strategy 6E: Rapid Referral Programs Contents 6.E.1. The Problem 6.E.2. Intervention #1: The Referral Agreement    6.E.2.a. Key Elements    6.E.2.b. Example 6.E.3. Intervention #2: The Referral Expert References   Download Strategy 6E: Rapid Referral Programs (PDF, 241 KB)        …
  3. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6m-group-visits.html
    March 01, 2020 - Strategy 6M: Group Visits Contents 6.M.1. The Problem 6.M.2. The Intervention 6.M.3. Benefits of This Intervention 6.M.4. Implementation of This Intervention 6.M.5. The Impact of This Intervention References    Download Strategy 6M:   Group Visits  (PDF, 232 KB)         6.M.1. The…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
    June 02, 2025 - Prologue -- Where the Rubber Meets the Road 1 Prologue Where the Rubber Meets the Road Lucian L. Leape Traditionally, a primary focus of patient safety research has been to analyze data to identify problems and demonstrate that a new practice will lead to improved quality or safety. Much less research att…
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-5-table-4.pdf
    January 01, 2014 - Table 4. Evidence for Prompt Antimicrobial Therapy for Treatment of Children With Severe Sepsis or Septic Shock Table 4: Evidence for Prompt Antimicrobial Therapy for Treatment of Children with Severe Sepsis or Septic Shock Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations C…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - Challenges in Measuring Implementation Success. 3rd Annual NIH Conference on the Science of Implementation
  7. www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
    July 01, 2018 - Measuring Emergency Department Performance Section 4. Identifying Strategies Section 5.
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-1-ef.pdf
    November 01, 2015 - ● Measuring confirmatory testing and receipt of antibiotic prescriptions within the first 90 days
  9. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
    July 01, 2024 - The terminology of social emergency medicine: measuring social determinants of health, social risk,
  10. www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
    January 01, 2024 - Final Progress Report: Videotaping communication between physicians and nurses: A methods study TITLE PAGE Title of Project: Videotaping communication between physicians and nurses: A methods study Principal Investigator and Team Members: Milisa Manojlovich (PI), Molly Harrod, Timothy Hofer, Sarah Krein (co-inves…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; ■ Identifying the existing process ■ Identifying the existing outcome(s) ■ Identifying the desired outcome(s) ■ Identifying and documenting the gap(s) Who should use t…
  12. www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
    February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Tools for Sustainability: Premortem and Scorecard Say: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
    December 01, 2017 - Presentation: Turning Data Into Action Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about using data as part of your team’s improvement efforts. 1 USING SAF…
  14. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …
  15. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Labor and Delivery Unit Safety Say: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…
  16. Ldusafety Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Labor and Delivery Unit Safety SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 01, 2017 - Monitoring Ventilator-Associated Events Module 2 Monitoring Ventilator-Associated Events AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-26-EF January 2017 Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…
  18. Tool: SSA (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
    January 01, 2017 - Tool: SSA Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…
  19. www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix C. Site Visit Protocol Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. S…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Preoperative Decolonization Program Decision Making and Readiness for Implementation Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Review and Share the Evidence for Decolonization A surgical site infection (SSI) is an …

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