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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/121-importance-mrsa-prevention-one-pager.docx
    April 01, 2025 - Surgical Site Infection (SSI) Facts SSIs account for 20 percent of all healthcare-associated infections.1 SSIs are a major cause of morbidity and mortality.2 SSIs lead to rehospitalization and increased costs ($3–10 billion annually).2,3 SSIs due to MRSA lead to higher morbidity and mortality.4 Staphylococcus aureus an…
  2. www.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Nursing Decolonization Protocol: Bed Bathing With 2% Chlorhexidine Gluconate (CHG) Pre-Impregnated Cloths The following protocol details the process for performing skin decolonization using impregnated 2% chlorhexidine gluconate (CHG) cloths. Protocol Overview · Daily CHG bathi…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Nursing Decolonization Protocol: Basin Bed Bathing With 4% Chlorhexidine Gluconate Liquid (Diluted to 2%) The following protocol details the process for performing skin decolonization with chlorhexidine (CHG) liquid diluted in a basin. Protocol Overview · Daily CHG bathing for …
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-c.docx
    January 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Reducing CAUTI in Hospitals AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix C. Sample Bladder Scan Policy Purpose To provide guidelines for the use of a bladder scanner. Definition The bladder scan measures ultrasonic reflections within th…
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Research Agenda Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…
  7. www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
    February 01, 2024 - University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated $350,000 in avoidable costs. Impl…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
    November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health…
  9. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 3. Resident Information Sheet: Antibiotic-Resistant Bacteria One of your tests showed that you have a type of bacteria that cannot be treated with the antibiotics you h…
  10. www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
    January 01, 2014 - St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture Search All Impact Case Studies January 2014 St. Jude Children's Research Hospital, an institution focused on pediatric cancer and other catastrophic diseases, treats nearly 8,000 patients annually and has used AHRQ's "Hospital Survey on Pat…
  11. www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
    December 01, 2017 - Surgical Site Infection Investigation Tool AHRQ Safety Program for Surgery Introduction Problem Statement Your team cannot always predict which patients will develop a surgical site infection, but you can learn from them when they occur. To improve, perioperative teams need a structured appr…
  12. Section 5, Table 6 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
    January 01, 2013 - Section 5, Table 6 1 Table 6: Evidence for Timely Fluid Bolus for Treatment of Children with Severe Sepsis or Septic Shock Type of Evidence Key Findings Level of Evidence (USPSTF Ranking) Citations Clinical guidelines Pediatric considerations in severe sepsis: In children, definitions of sepsis are…
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-health-literacy-cgcahps-adult-2357-3a.docx
    June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Health Literacy Population Version: Adult Supplemental Items for the CAHPS® Clinician & Group Survey 3.0 Topic: Health Literacy Population Version: Adult Language: English Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental ite…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
    June 02, 2025 - EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.3a i EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION What is the purp…
  15. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
    June 02, 2025 - Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective 1 Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective Pascale Carayon, Ph.D. Procter & Gamble Bascom Professor in Total Quality, Department of Industrial and Systems Engineering Director, Center …
  16. www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
    January 01, 2025 - Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home Principal Investigator: Kathleen Elizabeth Walsh, M.D., M.S., Boston Children’s Hospital, Boston, MA  Co-PI: Eric Kirkendall, M.B.I., M.D., Wake Forest School of Medicine, Winston-Salem, NC  AHRQ Grant No.: HS26644 Project Per…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
    September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction The History of Patient Roles Imp…
  18. digital.ahrq.gov/ahrq-funded-projects/prevent-diabetes-mellitus-predm-clinical-decision-support-intervention
    January 01, 2023 - Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers Project Final Report ( PDF , 287.12 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do…
  19. digital.ahrq.gov/ahrq-funded-projects/randomized-clinical-trial-smartphone-virtual-reality-pain-management-during
    January 01, 2024 - A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition Project Description Publications The use of a virtual reality app has the potential to be a cost-effective way to alleviate pain, reduce the need for opioids, and imp…
  20. digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2010
    January 01, 2010 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2010 Project Name Technology for Optimizing Population Care in a Resource-Limited Environment Principal Investigator Atlas, Steven J. Organization Massachusetts General Hospital Funding Mech…