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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
    April 14, 2015 - April 14, 2015 Sustaining Change Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…
  2. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
    March 01, 2017 - A Unit Guide To Infection Prevention for Long-Term Care Staff Acknowledgments Content leads for the preparation of this document were as follows: Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC Infection Preventionist Lutheran Home/Lutheran Life Communities Arlington Heights, IL Steven J. Sc…
  3. www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
    January 01, 2024 - AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process TITLE PAGE Project Title: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process Principal Investigator: Anjali Joseph, PhD, EDAC Tea…
  4. www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
    January 01, 2024 - Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System K-08 Final Progress Report Evaluating e-Prescribing in a Community-Based, Integrated Health System Principal Investigator Emily Beth Devine, PharmD, MBA, PhD, BCPS, FASHP Primary Mentors Sean D. Sullivan, PhD, David K…
  5. www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
    January 01, 2024 - Final Progress Report: Shared Online Health Records for Patient Safety and Care FINAL REPORT: December, 18th 2007 Shared Online Health Records for Patient Safety and Care Principal Investigator: Blackford Middleton, MD, MPH, MSc; bmiddleton1@partners.org Brigham and Women’s Hospital Blackford Middleton, MD, MPH,…
  6. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
    July 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Addressing Violence in the Workplace June 27, 2023 2:00-3:00 PM ET Special Guest Speakers 2 Martin Hatlie, JD President & CEO, Project P…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Tool 4) Insert hospital logo here Care Transitions from Hospital to Home: IDEAL Discharge Planning Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 4: IDEAL Discharge Planning (Tool 4) Guide to Patient & Family Engagement If you have condu…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…
  9. www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Rachel A. Umoren, MBBCh, MS Mega…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  11. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/grants/active/dissrt12/dissrt12.pdf
    January 31, 2014 - AHRQ's Health Services Research Dissertation Grant Program: New Starts Fiscal Year 2012 Introduction The mission of the Agency for Healthcare Research and Quality (AHRQ) is to improve the safety, quality, efficiency, and effectiveness of health care for all Americans. To help achieve the Agency's mission, AHRQ suppo…
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
    October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Slide Presentation Slide 1: Best Practices in Pressure Injury Prevention ADD Hospital Name Module 3 Slide 2: Best Practices Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.3. Weight Summary Report 3.3.1. Report Description The Weight Summary Report displays 4 weeks of trended weight information for e…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
    January 01, 2012 - Using Pressure Ulcer Risk Assessment Tools in Care Planning Using Pressure Ulcer Risk Assessment Tools in Care Planning Presented by Elizabeth A. Ayello Ph.D., RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Excelsior College School of Nursing Welcome! Thank you for joining this webinar about how to use pressure ulcer…
  15. www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
    January 01, 2011 - AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011 Introduction Healthcare-associated infections (HAIs) are infections that people acquire while they are receiving treatment for another condition in a health care setting. They are costly, deadly, and largely preventable. A core part of the Ag…
  16. www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
    January 01, 2024 - Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America FINAL PROGRESS REPORT 1. Valuation of a simple tool for chest pain patient risk-stratification in North America Principal Investigator and Team Members: Timothy J. Mader, MD, and Kye E. Poronsky, MA, Bay…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
    June 02, 2025 - Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments An Introduction to Safe Transitions for Patients to New Appointments Ambulatory Care Facility Team Presentation Overview Purpose and Benefits Toolkit Components Team Member Roles and Responsibilities Implementation Steps Resourc…
  18. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - Care for the Caregiver Program Implementation Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To guide an organization in developing and implementing a Care for the Caregiver program. Who should use this tool? The Care for the Caregiver Program Lead How to use this tool: Use this guide…
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 02, 2025 - Hospital Survey on Patient Safety SOPSTM Hospital Survey Version: 1.0 Language: English Note · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and producing re…
  20. www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
    July 01, 2018 - Assess and Adapt: Understanding the Science of Safety and Reliability Slide Presentation Slide 1 Assess and Adapt: Understanding the Science of Safety and Reliability Lisa H. Lubomski, PhD Assistant Professor, Johns Hopkins Medicine Armstrong Institute for Patient Safety & Quality Department of Anest…

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