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  1. www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
    January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…
  2. www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
    April 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Transcript) March 20, 2012 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that ti…
  3. www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
    December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) Webinar Transcript May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Operator 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:0…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
    May 12, 2015 - May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Speaker 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:00 a.m. Central Time. Speaker 2: Excuse me everyone. We now have all of our speakers in conference. Ple…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
    April 01, 2018 - Guide Promotional Postcard Did you know...Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event An estimated …
  6. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
    September 01, 2015 - Until reassignment occurs, patients will be seen by the appropriate provider as determined by the clinic
  7. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
    July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
  8. www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
    October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries Search All Impact Case Studies April 2008 Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
  9. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
    October 01, 2016 - Tool 2. Talking With Residents’ Family Members—short checklist version · What are antibiotics? Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria. · How do people get bacterial infections? Normally, your immune system helps control the bacteria…
  10. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 2. Talking With Residents’ Family Members—short checklist version  What are antibiotics? • Antibiotics are medicines that fight infections caused by bacteria. Antibiot…
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
    November 02, 2017 - Focus Groups Conducting focus groups occurs early in the survey development process to ensure that survey … parents were not able to report consistently on care coordination, which in the inpatient setting often occurs
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - and preventable ADEs, 51 percent occurred during the administration stage.15 Because administration occurs
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
    November 01, 2017 - in care plans, and Carry out investigations, including root cause analysis, when an injurious fall occurs … For every meeting that occurs at your facility, indicate the type of meeting, the meeting leader, staff
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
    February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Functional Specifications Current a…
  15. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
    August 01, 2022 - Gap Analysis Facilitator's Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes: Identifying the existing process. Identifying the existing outcome(s). Ide…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
    December 01, 2004 - If an error occurs in a process in the hospital, the adverse event is likely to occur in the hospital … This is not the case in ambulatory care, where an error that occurs in the practice setting may result
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
    April 01, 2019 - CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report 1 Overuse of Imaging for the Evaluation of Children with Primary Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Primary Headache 1.B. Measure Numbe…
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
    August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos U N C H E A L T H C A R E S Y S T E M U N C H E A L T H C A R E Culture of Safety Improvement Project UNC Medical Center 29 U N C H …
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
    April 01, 2022 - Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUT…

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