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www.ahrq.gov/hai/tools/mvp/vae.html
December 01, 2017 - Ventilator-Associated Events and Outcome Measures Module
This module has tools and slide sets to help units accomplish three goals:
Monitor ventilator-associated events and outcome measures.
Reduce ventilator-associated events (VAE).
Make evidence-based determinations about the care of ventilated patien…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Slide 18: Key Safety Elements: Patient and Family Engagement
Unit approach incorporates—
Mechanisms
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Slide 9: Team Characteristics
Say:
Unit teams should also contain mechanisms for collaboration … Have mechanisms for anticipating and reviewing team members' issues. … Ensure necessary evaluation mechanisms are in place. … team members to establish that essential structures exist for project success, including evaluation mechanisms
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Science of Safety and Identifying Defects in Care of Mechanically Ventilated …
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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/hai/tools/mrsa/044-vap-prevention-essential.docx
October 01, 2024 - Ventilator-Associated Pneumonia (VAP) Prevention Essential Practices1
Avoid intubation if possible.2-3
Consider alternative strategies, such as, high flow O2 or noninvasive positive pressure ventilation.
Consider each patient’s clinical scenario to determine the most appropriate strategy.
Minimize sedation.2-5
Determ…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/vap.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources fo…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/overview.html
April 01, 2024 - Funding Mechanisms
Of AHRQ's 124 unique primary care grants, 120 were research focused and 4 were conference
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/communication-strategies-slides.html
February 01, 2017 - Communication Strategies for Sustainability: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Communication Strategies for Sustainability
Slide 2: Learning Objectives
After reviewing this module, you will be…
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fac-guide.html
January 01, 2017 - Benefits of Subglottic Secretion Drainage Endotracheal Tubes: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Benefits of Subglottic Secretion Drainage Endotracheal Tubes
Say:
In this module, you will learn about the benefits of subglottic secretion drainage endotrach…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Appendix C: VTE Measurement and Tracking
Previous Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Appendix C: VTE Measurement and Tracking
Previous Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Appendix B: Risk Assessment Models, Protocols, and Order Sets
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. An…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Appendix B: Risk Assessment Models, Protocols, and Order Sets
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. An…
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www.ahrq.gov/hai/tools/mvp/technical-bundles-early-mobility.html
March 01, 2017 - Early Mobility
Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PDF , 1 MB)
This guide provides an overview of the importance of early mobility to the mechanically ventilated patient, explains how early mobility improves patient outcomes, and assists in deve…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - • Establish reporting mechanisms for clinicians and patients to flag AI-
related safety issues.
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www.ahrq.gov/hai/tools/enhanced-recovery/implementing/presentations.html
June 01, 2023 - Presentations on the ISCR Evidence
Use the presentations and facilitator guides in this section to gain buy-in from stakeholders. The presentations explain pathway components, techniques to implement them, evidence-based recommendations, and in some cases caveats for specific patient populations.
Oral Antib…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-3-a-tables.pdf
June 02, 2025 - Section 3-A, Tables
Outcome Transfused Not transfused P value
Patients 131 109
Average entry Hb 6.9 g/dL 8.1 g/dL < 0.001
Hospital mortality 8 (6.1%) 1 (0.9%) 0.043
Average oxygen days 8.0 ± 10.4 days 4.0 ± 6.6 days < 0.001
Mechanical ventilator days 5.6 ± 9.1 days 2.4 ± 4.1 days 0.002
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - System accountability
Processes, policies
Prevention mechanisms
Individual accountability
At-risk behaviors … can we learn why errors were truly made, and how we can implement policy, process, and improvement mechanisms
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www.ahrq.gov/hai/tools/mvp/technical-bundles-ltvv.html
March 01, 2017 - Low Tidal Volume Ventilation
Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PDF , 1 MB)
This guide provides an overview of how low tidal volume ventilation can improve outcomes for all mechanically ventilated patients, how to implement the us…