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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)
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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…
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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)
…
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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…
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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…
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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…
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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
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www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
July 01, 2018 - Measuring Emergency Department Performance
Section 4. Identifying Strategies
Section 5.
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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
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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,
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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…
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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…
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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…
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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…
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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: …
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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…
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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 …
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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…
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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…
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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…
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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 …