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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
June 02, 2025 - organizational culture supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community … Pharmacy
(2012)
Ambulatory
Surgery
Center
(2015)
11
Overview of AHRQ’s Patient Safety Priorities
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 5 (continued)
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Ra…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.docx
June 02, 2025 - Postdischarge Followup Phone Call Documentation Form
Patient name:
Caregiver(s) name(s):
Relationship to patient:
Notes:
Discharge date:
Principal discharge diagnosis:
Interpreter needed? Y N Language/Dialect:
Prior to phone call:
Review:
Health history
Medicine lists for consistency
Medicine list for ap…
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 5 (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Ra…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Executive Summary
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Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians an…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Toolkit Prelaunch Activities
Decolonization of
Non-ICU Patients With Devices
Section 8 – Toolkit Prelaunch Activities
We recommend that you follow the prelaunch checklist below (Table 8-1) for successful
implementation. As is the case with many infection prevention programs, it will take time to
achie…
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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-Masica_112.pdf
November 30, 2010 - medication use, and to reduce the risk of adverse events, including adverse drug interactions.”16
Pharmacies … Some commercial pharmacies already have an analogous system in place. … Comprehensive medication therapy management:
Identifying and resolving drug-related issues in a
community … pharmacy.
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter8.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Chapter 8. Lessons Learned and Suggestions for Data
Previous Page Next Page
Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delive…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.pdf
June 02, 2025 - 1
Postdischarge Followup Phone Call Documentation Form
Patient name: __________________________________________________________________
Caregiver(s) name(s): ____________________________________________________________
Relationship to patient: __________________________________________________________
Notes:…
-
www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - If you use different pharmacies, make sure each pharmacist knows that you
take a blood thinner.
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
Search All Impact Case Studies
March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/antibiotic-use-commitment-poster.docx
November 01, 2019 - AHRQ Pub. No. 17(20)-0028-EF
November 2019
Our institution is committed to prescribing the most appropriate antibiotics when they are needed and to not prescribing antibiotics when they are not needed.
Please ask a member of your medical team if you have any questions about antibiotics.
Thank you!
Antibiotics are lif…
-
www.ahrq.gov/research/shuttered/toolkitchecklist/medancillary2.html
July 01, 2018 - Medical/Ancillary Services (continued)
Date: __________ Location: ________________ Team Member: _______________________________
Pharmacy
Observations:
General condition:
Existing fixed and removable equipment:
…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
June 02, 2025 - organizational culture supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community … Pharmacy
(2012)
Ambulatory
Surgery
Center
(2015)
Uses for SOPS surveys
• Raise staff awareness
-
www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine
Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan
1. title page
The ED Pharmacist as a Safety Measure in Emergency Medicine
Supported by: Agency for Healthcare Research and Quality
Grant N…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips80.html
October 01, 2014 - Four Missouri Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusin…
-
www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology
Final Progress Report
Title of Project: Improved Patient Safety with Information Technology
Principal Investigator: J. Marc Overhage, MD, PhD
Team Members: Irmina Gradus-Pizlo, MD
Chris Steinmetz, MD
Karen Wolf, MD
JingJin Li, PhD…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 2. What is Care Coordination?
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 T…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix A
Five Whys
In this example, there is only one path shown, but answers can create multiple paths and more questions.
Event Summary: The wrong concentration of potassium (K+) was used in the compounding of TPN. This was discovered almost 2 months later.
1s…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…