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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
    December 01, 2017 - This process enabled the NPT to better understand program implementation efforts from the same person … Several sites encountered success because of the phenomenon of the “Sunday Worker,” a person so dedicated
  3. www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
    January 01, 2024 - table included the following information about recruitment efforts: number of facilities contacted, persons … Care Coordination and Person-Centric Longitudinal Care.
  4. www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
    September 01, 2018 - Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts.html
    April 01, 2016 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Handouts: Introduction to Pressure Ulcer Prevention Reports Contents Sample Nutrition Report: High Risk Nutrition Report: Exercise To Spot Potential Inaccuracies Sample Weight Summary Report Sample Trigge…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/faqs-final508.pdf
    June 02, 2025 - Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Frequently Asked Questions Frequently Asked Questions | 1 Implementation 1. How do I g…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
    March 01, 2022 - Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 11-6 Nursing Protocol Training Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap AHRQ Pub. No. 20(22)-0036 March 2…
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
    March 01, 2022 - Computer-Based Training Modules: Bed Bathing With CHG Decolonization of Non-ICU Patients With Devices Section 11-5 Nursing Protocol Training Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap AHRQ Pub. No. 20(22)-0036 March 2022 1 Targeted Decolonization In…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring 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 the Comprehensive Unit…
  10. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
    July 01, 2023 - Rapid Response for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Say: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for respon…
  11. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
    July 01, 2023 - Labor and Delivery Unit Safety: Shoulder Dystocia AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the safe management of a delivery complicated by a shoulder dystocia. The key elements are presented within the framework …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
    May 01, 2017 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Publication No. 17-0003-18-EF May 2017 SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal mo…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Coaching Clinical Teams Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Coaching Clinical Teams | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Objectives Coaching Clinical Teams | ‹#› AHRQ Safety…
  14. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profile Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emerging Tre…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
    December 15, 2016 - Implementation Quick Start Guide: Medication Mangement Implementation Quick Start Guide Medication Management The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Implementation Quick Start Guide: Medication Management Table of Contents What Is the Medication Man…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
    January 01, 2020 - Health status may be related to ratings of care because sicker persons are more likely to give negative … where i is the regression coefficient vector for item i and ipjy is the response to item i from person … (across nonmissing observations) of 𝑧𝑖𝑝𝑗. 𝑢𝑖𝑝𝑗 is defined by the weight for item i from person
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/instructions-for-analyzing-data-50.pdf
    June 01, 2025 - Health status may be related to ratings of care because sicker persons are more likely to give negative … where i is the regression coefficient vector for item i and ipjy is the response to item i from person … (across nonmissing observations) of 𝑧𝑖𝑝𝑗. 𝑢𝑖𝑝𝑗 is defined by the weight for item i from person
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
    June 02, 2025 - Risk and trended reports provide insights into why these persons had a new fall. … The purpose of using the reports is to identify persons with risks associated with unsafe behaviors … The purpose of using the reports is to identify persons with risks associated with falls, review care
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
    November 01, 2017 - AHRQ Hospital Pilot Study Final Report Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 290201300003C Manag…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
    November 01, 2017 - AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 2902013…

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