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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - When a safety issue occurs in your facility, how does your facility address it?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Staff – Frequently Asked Questions:
Safety and Side Effects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The products we are recommending for surgical site infection (SSI) preven…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
June 02, 2025 - Job Aid: Process Mapping
Primary Care Practice Facilitator
Training Series
1
Job Aid: Process Mapping
Overview
Process mapping, also called workflow mapping, allows a practice to "see" an entire work
process from beginning to end.
When to use process mapping
Use process mapping to help a p…
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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors
Medication Error Reduction, Technologies, and Human
Factors Final Report
Pascale Carayon, PI,
Tosha B. Wetterneck, co-PI
Roger Brown Professor, UW School of Nursing
Pascale Carayon Principal investigator; Professor, Department of
…
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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-Lynch_37.pdf
March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study
Medication Management Transactions and Errors
in Family Medicine Offices: A Pilot Study
John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc
Abstract
Objective: The objective of this study wa…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Aggressiveness, whether active or passive, occurs when someone attacks or ignores others' opinions in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
February 23, 2008 - Department of Veterans Affairs (VA), an emergency
airway management event occurs outside of the operating … Specifics of the VA Policy
The VA national policy addresses emergent and urgent airway management that occurs
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
July 01, 2017 - were hospitalized is different from identifying changes in risk and intervening before hospitalization occurs
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - For example, assuming that the top event SSI occurs, the criticality of basic event A is the probability
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - If an adverse outcome occurs, take the following immediate steps:
1. … SAY:
When an incident occurs, it will be investigated and analyzed (e.g., a root cause analysis may
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children
213
Methodological Challenges in Describing
Medication Dosing Errors in Children
Heather McPhillips, Christopher Stille, David Smith, John Pearson,
John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis
Abstract
Alth…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System
331
Post-fielding Surveillance of a Guideline-
based Decision Support System
Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B.
Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu,
Mark A. Musen, Brian B. Hoffman, …
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ppe-covid19-audit-tracking-tool-userguide.pdf
April 01, 2021 - USER GUIDE: Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities
USER GUIDE: Personal Protective Equipment (PPE)
COVID-19 Observational Audit Data Tracking Tool for Use in
Skilled Nursing Facilities
Introduction
This user guide p…
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www.ahrq.gov/patient-safety/reports/hotline/appa.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Appendix A. Recommendations for Ideal Consumer Reporting Systems
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consume…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
September 01, 2015 - Chartbook on Women's Health Care
Healthy Living: Infant Mortality
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care Coo…
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are the critical time periods of antibiotic decision making. Clinicians are encouraged to use the Four Moments framework for all patients receiving antibiotics and whenever the need for antibiotics is being considered.
…
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www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - Grantees Focusing on Hispanic and Latino Populations
Peter Yellowlees, M.D.
“I have found it fascinating to see the way that almost all patients speak differently, using simpler phrases and less words, when using an interpreter. Their descriptions of clinical symptoms and histories is much ric…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety …
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure
For some measures, it may be necessary to explain what the plan or provider can do to improve its performance. Providers are often concerned that they are being rated on measures over which they believe they have limited influence. When the public …