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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-phone-interview.pdf
June 02, 2025 - Section 1, FECC Survey—Telephone Interview Version
Version 10.1.2015
FAMILY EXPERIENCES WITH COORDINATION OF CARE SURVEY
TELEPHONE INTERVIEW VERSION
LABEL VALUE TEXT INSTRUCTIONS
1. Your child’s main provider
is the doctor, physician
assistant, nurse or other
health care provider who
knows the most abou…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Making the Case That Improving Antibiotic Use Is a Patient Safety Issue
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making the Case That Improving Antibiotic Use Is a Patient
Safety Issue
Acute Care
Slide Title and Commentary Slide Number…
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www.ahrq.gov/patient-safety/reports/engage/results.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Results
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitations of the Enviro…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How do we implement best practices in our organization?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are th…
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Next Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
Summary
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Bacteremia
Acute Care
Slide Title and Commentary Slide Number and Slide
Best Pr…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 4. Results and Key Findings
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapt…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
…
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
References
Previous Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
…
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www.ahrq.gov/funding/training-grants/pcor/pcortf-di.html
January 01, 2016 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund
Dissemination and Implementation
The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development and dissemination and implementation
AHRQ uses some of…
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www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
July 01, 2023 - Meeting Minutes, November 2022
Virtual Meeting
Minutes from the November 17, 2022, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 21, 2022, Meeting Summary
AHRQ Director’s Highlights
Update on AHRQ Efforts to…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery Types
Slide Title and Commentary
Slide Number and Slide
Perioperative Infection Prevention Strategies
SAY:
This presentation is titled Perioperative Infection Prevention Strategie…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery Types
Slide Title and Commentary
Slide Number and Slide
Perioperative Infection Prevention Strategies
SAY:
This presentation is titled Perioperative Infection Prevention Strategie…
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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-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending
Patient Safety Learning
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS;
Sally Reynolds, M…
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www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers
Risk-Informed Clinical Network for Safe Pediatric
Emergency Transfers
Final Report
October 31, 2012
Principal Investigator: Donna Woods, PhD, EdM
Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014)
Webinar Transcript
AHA – Chicago
June National Content Call
June 10, 2014
11:00 AM CT
Operator: The following is a recording of the Paul Tedrick June National Content Call with the American Hospital Association on …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
May 14, 2013 - Paul Tedrick
American Hospital Association - Chicago
May 14, 2013
11:00AM Central Time
Operator:
This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14, 2013 scheduled for 11AM Central Time. Ladies and gentlemen, thank you for your patience in holding. We now have our speakers i…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.html
December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013)
Webinar Transcript
Paul Tedrick
American Hospital Association - Chicago
May 14, 2013
11:00AM Central Time
Operator: This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14…