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  1. www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - EHR-reported anaphylaxis occurred in approximately 1% of patients, most commonly from penicillins, sulfonamide
  2. www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
    January 01, 2024 - variety of staff at each clinic; therefore, variability and inconsistency in the process may have occurred
  3. www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
    January 01, 2024 - Some oversampling of cases occurred.
  4. www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
    January 01, 2024 - Thirty percent of deliveries at basic-level hospitals occurred at hospitals with a higher quality of
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
    February 01, 2017 - 17 A second phase of reliability testing of the measure also occurred at the same sites where
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - for a fall Pre-coaching (%) (N = 33) Post-coaching (%) (N = 29) Shift during which fall occurred
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
    March 15, 2008 - Therefore, variability and inconsistency in the process might have occurred.
  8. 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 - means of reducing them, root cause analysis provides indepth insight into errors that have actually occurred—in … technique is used reactively, to probe the reason for a bad outcome or for problems that have already occurred
  9. www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
    January 01, 2025 - the average length of stay per admission was approximately 13.8 days, and 82,588 ESRD patient deaths occurred
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
    September 29, 2014 - Cooperation occurred across the spectrum of types of dialysis centers, which was attributed to the advance
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
    November 02, 2017 - Testing of the reporting measures occurred in two rounds in Atlanta and the Washington, D.C., area.
  12. www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
    January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs Reducing Risks by Engineering Resilience into HIT for EDs Principal Investigator: Robert L. Wears, MD, MS, PhD Team Members: John Wreathall Rollin (Terry) Fairbanks, MD, MS Ann M. Bisantz, PhD Shawna J Perry, MD Chris Johnson,…
  13. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix C. Article Exclusion List with Reason for Exclusion Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods P…
  14. ICU Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
    April 01, 2022 - ICU Assessment AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Date Completed by Team: _____________________ ICU Assessment of Current CLABSI & CAUTI Prevention Practices The purpose of this assessment is to understand current central line-associated bloodstream infections (CLABSI) and…
  15. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
    December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Slide Presentation Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospi…
  16. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
    December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change Slide presentation Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center …
  17. www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
    October 01, 2014 - CUSP: A Framework for Success (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on March 7, 2012   Contents Slide 1. CUSP: A Framework for Success Slide 2. Today's Speakers Slide 3. Working Together – The Players Slide 4. Learning Objectives Slide 5. The Mic…
  18. Engageexecnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
    June 02, 2025 - SAY: The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …
  19. www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
    January 01, 2024 - Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents Final Progress Report for AHRQ Grant 1R13HS017577-01 Title: Developing Metrics For Measuring Hospital Response Capability For Mass Casualty Incidents Principal Investigator: Melissa L. McCarthy, ScD Te…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
    January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T Advances in Patient Safety: Vol. 4 Development of a Research Dissemination Tool Development of a Planning Tool to Guide Research Dissemination Deborah Carpenter, Veronica Nieva, Tarek Al…

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