-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave5.html
July 01, 2025 - rarely make errors, clinicians may become less vigilant over time and fail to catch the few that do occur—an
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
June 02, 2025 - Appendix A. Recommendations for Ideal Consumer Reporting Systems
Appendix A. Recommendations for Ideal Consumer
Reporting Systems
A 2010 report by Research Triangle Institute (RTI) and Consumers Advancing Patient Safety,
Designing Consumer Reporting Systems for Patient Safety Events, outlined recommendations
for…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-interpreter-hpcahps-adult_2157-4a.docx
June 02, 2025 - Some items cover events that occur with low frequency in the general population.
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
October 01, 2024 - In the CUSP model, defects are understood as the product of the systems in which they occur.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Unlike simulations that occur in a laboratory setting, in situ
simulation is a strategy that takes place … Severity
How severe the outcome
is to the patient should
failure occur. … Cost is certainly a factor, but as simulation becomes more commonplace, efficiencies will occur.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/enabling-real-time.pdf
January 01, 2023 - Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices
Enabling Real-Time Identification of Burnout Risk
Among Clinicians in Primary Care Practices
AHRQ Impact: Researchers have developed a
prediction tool to identify primary care practices
at high-risk of clinician burnout…
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-leiferman.html
May 01, 2024 - Mental health conditions, including perinatal or maternal depression that occur during pregnancy and
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/interpreter-hpcahps-adult-spanish-2157-4b.docx
June 02, 2025 - Some items cover events that occur with low frequency in the general population.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - Best outcomes are most likely to occur when the Antibiotic Stewardship Team shares common goals and … Stewardship Team leaders should
be able to motivate staff when deviations from the Safety Program occur—for … Moments of antibiotic prescribing on 5–10
residents each month to understand what
changes may need to occur
-
www.ahrq.gov/data/infographics/hac-scorecard-2014-16.html
November 01, 2019 - 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 Hospital-Acquired Conditions ."
HAC National Scorecard 2014…
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - There are five potential health problems that occur as a result of taking an antibiotic.
1.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
October 01, 2016 - There are five potential health problems that occur as a result of taking an antibiotic.
1.
-
www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - technology, and a new
online data-capture-response tool to prevent patient identification errors that occur … technology, and a new
online data-capture-response tool to prevent patient identification errors that occur
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - movement gave rise to new concepts such as: Never events 18 (the most egregious events that should never occur … focuses on system design, constraints, and standardization to prevent harm and asserts that problems occur
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
June 02, 2025 - Next, you need to understand how the many types of transitions currently occur.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Hospital ___________ Unit___________ Month ___________
Please record the following occurrences for all patients in your unit within the selected month.
________
Total number of patients on mechanical ventilation
________
Total number of episodes of mechani…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
March 01, 2022 - Nursing Practice Guide
Section 9-5 – Decolonization of Non-ICU Patients With Devices
Nursing Practice Guide
Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decolonization intervention.
Engagement and Collaboration
CHG Bath
Documentation
N…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
March 01, 2022 - Nursing Practice Guide
AHRQ Pub. No. 20(22)-0036
March 2022
Section 9-5 – Decolonization of Non-ICU Patients With Devices
Nursing Practice Guide
Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decolonization intervention.
CHG = c…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
November 01, 2019 - Aspiration Pneumonitis/Pneumonia
Diagnosis
• Aspiration pneumonitis is an abrupt chemical injury caused by inhalation of sterile gastric
contents.
o It can progress quickly to a decline in respiratory status followed by rapid improvement
within 48 hours of the insult.
o Chest x rays appear similar to multi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - Forster, et al.4 provide data demonstrating that many adverse events occur
at the time of hospital discharge … Errors occur when latent
conditions or system failures occur that are the consequences of failures in … Many adverse effects
occur during the peridischarge period, and many could be prevented with
relatively … industries as a proactive,
systematic way of examining processes for possible ways in which failure can
occur … • Patient education must occur throughout the hospitalization, not only
at the time of discharge