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  1. www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/learning-tools.html
    February 01, 2025 - CLABSI and CAUTI Learning Tools This step identifies two types of tools that can be revisited any time a central line-associated bloodstream infection (CLABSI) or catheter-associated urinary tract infection (CAUTI) occurs on your unit. They both support a thorough review of the event to identify and address the…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  4. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
    January 01, 2014 - HAC National Scorecard 2014-16 8,000 Inpatient Deaths Averted HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report “National Scorecard on Rates of H…
  5. www.ahrq.gov/hai/index.html
    December 01, 2024 - Over a million HAIs occur across the U.S. health care system every year, leading to the loss of tens
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
    April 01, 2022 - may not be a best practice: A "Yes" response does not mean this practice is favorable (i.e., should occur … and CAUTI tiered interventions that support the prevention practices, policies, and procedures that occur … and CAUTI tiered interventions that support the prevention practices, policies, and procedures that occur … enhancing clinical effectiveness (i.e., lack of communication creates situations where medical errors can occur
  7. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
    October 01, 2020 - Slippage can occur as a result of multiple organizational factors such as staffing conditions, administrators … Does sustainability or spread occur first? … sustainability and spread of change is a continuous and overlapping cycle in which components of each occur
  8. www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
    July 01, 2022 - To be effective, prompts or reminders need to occur during the appropriate time within the clinician's … Such transfers may occur based on patient or provider request, specialty services required, or additional
  9. www.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - primary care could improve safety in that setting where more than 70 percent of medical encounters occur … Introduction Near-miss events are errors that occur in the process of providing medical care that are … had made in hopes that changes could be made in the care process to make such an error less likely to occur
  10. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/double-mastectomy.pdf
    February 01, 2016 - AHRQ Mastectomy SB Infographic v15 As this infographic shows, the rate of double mastectomies per 100,000 women more than tripled between 2005 and 2013. Mastectomies overall – both single and double mastectomies – increased 36 percent during that period. The rise in mastectomies occurred despite breast cancer…
  11. www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/comunidad-grantee-profile.pdf
    January 01, 2023 - Comprehensive Long COVID Care for Underserved Communities: Innovative Delivery and Dissemination Models (COMUNIDAD) Geographic Service Area South central Texas region The UT Health Post-COVID-19 Recovery Clinic is leveraging the ECHO (Extension for Community Healthcare Outcome) Superhub at UTHSCSA’s Center for Resea…
  12. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
    September 01, 2015 - Chartbook on Women's Health Care Patient Safety Previous Page Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coordination Effect…
  13. Tool: Premortem (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
    January 01, 2017 - Tool: Premortem Problem Statement Projects often fail due to many circumstances. Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception. Understanding potential barriers and complications to project implementation and success BEFORE the launch of a new program can miti…
  14. www.ahrq.gov/data/qualityindicators/index.html
    January 01, 2025 - Indicators in Inpatient Settings (PQIs) capture all cases of potentially preventable complications that occur
  15. www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
    December 01, 2012 - Updates can take the form of a huddle at the status board or can occur among individual team members
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
    April 30, 2022 - each other, contributions, strengths, and weaknesses 3c Verbalizes adjustments in plan as changes occur
  17. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - prophylaxis," the more proximal steps in the care delivery pathway are where care redesign will likely occur … those with total knee arthroplasty. 9-12 Both underestimates and overestimates of HA-VTE rates can occur … Run charts can be annotated along the x axis where new interventions or events occur.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
    May 01, 2017 - Slippage can occur as a result of multiple organizational factors such as staffing conditions, administrators … Does sustainability or spread occur first? … sustainability and spread of change is a continuous and overlapping cycle in which components of each occur
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - For example, missed cases could occur if an accidental laceration is not clearly documented in the medical … Code all re- intubations that occur after surgery and extubation.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
    March 15, 2016 - For example, missed cases could occur if an accidental laceration is not clearly documented in the medical

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