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2921. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
      September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm and Becoming a Learning Health System Gerard R. Cox, MD, MHA  Assistant Under Secretary for Health for Quality & …

2922. Getting Ready for Change Self-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.pdf
      May 12, 2016 - Getting Ready for Change Self-Assessment Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool A.3 Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and it…

2923. Getting Ready for Change Self-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
      May 12, 2016 - Getting Ready for Change Self-Assessment Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to suppo…

2924. 2018 National Healthcare Quality and DIsparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
      September 01, 2019 - 2018 National Healthcare Quality and DIsparities Report c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2018 This document is in the public domain and may be used and reprinted without permission. Ci…

2925. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
      June 01, 2023 - PowerPoint Presentation Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery How the Approach Has Evolved, with Current Recommendations on the Right Approach AHRQ Safety Program for Improving Surgical Care and Recovery AHRQ Pub. No. 23-0052 June 2023 AHRQ Safety Program for Improvin…

2926. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
      April 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital Survey Version: 2.0 Language: English For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and pro…

2927. SOPS® Nursing Home Survey on Patient Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
      September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety SOPS® Nursing Home Survey Version: 1.0 Language: English · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…

2928. Cuestionario sobre la de seguridad de los pacientes en centros para cirugías ambulatorias (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-spanish.docx
      April 02, 2025 - Cuestionario sobre la de seguridad de los pacientes en centros para cirugías ambulatorias Cuestionario sobre la de seguridad de los pacientes en centros para cirugías ambulatorias En este cuestionario se hacen preguntas acerca de su opinión sobre la seguridad de los pacientes en centros para cirugías ambulatorias. Lo…

2929. Appendix D. Hotline Site Visit Interview Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/appd.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Appendix D. Hotline Site Visit Interview Protocol Previous Page   Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …

2930. SOPS Workplace Safety Supplemental Items for Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
      December 01, 2022 - SOPS Workplace Safety Supplemental Items for Hospitals SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their organization’s …

2931. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
      September 01, 2013 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary 1 Contract Final Report Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs Executive Summary Prepared for: Agency for Healthcare Research…

2932. 6. How do we sustain the redesigned prevention practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 6. How do we sustain the redesigned prevention practices? 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 the…

2933. Patient Outcome Survey (phone version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Patient Outcome Survey (phone version) 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 …

2934. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
      August 01, 2024 - summarizing lengthy clinical notes and documentation, extracting key findings, diagnoses, and treatment plans

2935. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
      December 01, 2021 - Detailed Methods for Medical Expenditure Panel Survey 2021 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 …

2936. 2. Study Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
      June 01, 2020 - 2. Study Methods Health Services and Primary Care Research Study: Comprehensive Report In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…

2937. Appropriate Assertion Call (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
      April 01, 2013 - Appropriate Assertion Call (Transcript) December 14, 2010 Operator: Good day, ladies and gentleman and welcome to the CUSP Content Call. At this time, all participants are in a listen only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should …

2938. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training Instructor Guide Slide 1: Introduction to Falls Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Introduction to Falls Reports Say: In this session we will in…

2939. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 www.…

2940. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…