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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…
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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…
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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…
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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…
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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 …
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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
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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…
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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…
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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…
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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…
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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
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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
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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
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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…
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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…
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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
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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…
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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…
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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 …
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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…