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  1. www.ahrq.gov/action-alliance/webinars/index.html
    June 01, 2025 - National Action Alliance: Webinars The National Action Alliance hosts informational webinars on patient and workforce safety topics that are of interest to partners and practitioners. Registration links for upcoming webinars will appear on this page. Stay up to date on announcements of future webinars and other…
  2. www.ahrq.gov/talkingquality/translate/scores/combine-measures.html
    September 01, 2019 - Combining Healthcare Quality Measures Into Composites or Summary Scores The more data you provide on individual measures, the more likely it is that users will be faced with information overload. Combining measures is one way to quickly reduce the number of data points included in your report. This page discuss…
  3. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/goeschel-summit2016.pdf
    June 02, 2025 - Closing Gaps in Research ~ Organizationsand Healthcare Diagnoses Closing Gaps in Research ~ Organizations and Healthcare Diagnoses Pragmatic Considerations for Getting from Here to There 1 Presenter: Christine Goeschel ScD RN FAAN chris.a.goeschel@medstar.net Perspective MedStar Health ~ FY 2015 • 10 Acute C…
  4. www.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
    February 01, 2024 - Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety We stand for a healthcare delivery system that is free from preventable harm, inspires continuous improvement in the delivery of care across the continuum, and promotes a culture of safety in an …
  5. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-pursuit.pdf
    January 01, 2025 - Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment (PURSUIT) Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment (PURSUIT) Project Overview This study focuses on improving access to standard of…
  6. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
    February 01, 2012 - Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts Technical Review 17 Nutritional Research Series Volume 4: Effects of Eicosapentanoic Aci…
  7. Putoolssect7 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
    February 16, 2011 - Section 7. Tools and Resources 0A: Introductory Executive Summary for Stakeholders 1A: Clinical Staff Attitudes Towards Pressure Ulcer Prevention 1B: Stakeholder Analysis 1C: Leadership Support Assessment 1D: Business Case Form 1E: Resource Needs Assessment 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C…
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
    September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  10. www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
    October 01, 2024 - The SHARE Approach: Facilitator's Guide The SHARE Approach: Facilitator’s Guide Overview The SHARE Approach training combines asynchronous video modules and companion in-person group activities. Who should complete the training? Any member of your practice could benefit from the SHARE Approach train…
  11. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
    May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare Creating and Maintaining a Culture of Safety Series (Session 3) Measuring and Responding to Safety Culture Across Healthcare NATIONAL WEBINAR SERIES April 15, 2025 Housekeeping Instructi…
  12. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
    June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…
  13. www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
    January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection Prevention in Emergency Care: A Systems Approach Principal Investigator: Jeremiah D. Schuur, MD, MHS Team Members: Conference Co-Chair: Connie Price, MD Project Coordinator: Corine Sinnette, MA Organization: Brigh…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Antibiotic Stewardship and MRSA Reduction ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Antibiotic Stewardship and MRSA Reduction SAY: Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
    October 01, 2024 - Slide Presentation: Contact Precautions for MRSA Prevention AHRQ Safety Program for MRSA Prevention Contact Precautions for MRSA Prevention ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Contact Precautions 1 | 2 Discuss the purpose behind using contact pr…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
    June 01, 2010 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers Prepared for: Agency …
  17. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
    August 03, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief 2 Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Prepa…
  18. Sensemakingnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Team Structure and Assembly SPPC‐II Toolkit                                                                                                           Hospital AIM Team Leads SPPC II Team Structure and Assembly Module 2 of 8 ‐ SCRIPT Thank you for participating in the Safety Program for Perinatal Car…
  20. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How Do We Implement Best Practices in Our Organization? (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3.…

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