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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/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Improving Communication and Teamwork in the Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Objectives
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
January 01, 2020 - SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript
October 2019 https://www.ahrq.gov/sops/index.html 1
Introducing the New
SOPS Hospital Survey 2.0
October 30, 2019 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AH…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
June 01, 2014 - Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work?
Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It
Work?
June 2014 Webcast
Speakers
Steven Martino, PhD, Behavioral Scientist, RAND, Pittsburgh, PA
Rachel Grob, PhD, Senior Scientist, Cent…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016
June 2018
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2016
Summary
New patient safety data for 2014 through 2016 continue to show a do…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
December 01, 2017 - Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013)
Webinar Transcript
Paul Tedrick
American Hospital Association – Chicago
July National Content Call
July 9, 2013
11:00 AM CT
Operator: The following is the July National Content Call for Paul Tedrick, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
July 09, 2013 - Paul Tedrick
Paul Tedrick
American Hospital Association – Chicago
July National Content Call
July 9, 2013
11:00AM CT
Operator:
The following is the July National Content Call for Paul Tedrick, with the American Hospital Association of Chicago on Tuesday, July 9, 2013 at 11:00 a.m. Central Time. Excuse me, everyone…
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www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED
A. Title Page
Project Title: Developing a Framework to Study and Improve Communication to Enhance
Diagnostic Quality in the ED
Principal Investigator Information:
PRASHANT MAHAJAN, MBA, MD, MPH …
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www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - Background for AHRQ Quality Indicators
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Toolkit
Prepared by RAND and …
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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Next Page
Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…
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www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
December 01, 2012 - Assemble the Team, Facilitator Notes
CUSP Toolkit
The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.
Contents
Slide 1. Cover Slide .
Slide 2. Learning Objectives .
Slide 3. The Unit-Based CUSP Team .
Slide 4. CUSP Team Memb…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects
The Science of Improving Patient Safety
and Identifying Defects
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery – …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations
259
Developing a Veterans Health Administration
(VHA) Serious Injury Surveillance System that
Includes Adverse Event Hospitalizations
Robert R. Campbell, Douglas D. Bradham, Aurora S…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Appendixes
2021 National Healthcare Quality and Disparities Report
Appendixes
Appendix A: Data Sources Used for 2021 NHQDR
Appendix B: Definitions and Abbreviations Used in 2021 NHQDR
Appendix C: Measures Used in the 2021 State Maps
U.S. DEPARTMENT OF
…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
November 01, 2020 - Note:
Importance: Hospice care includes practical, psychosocial, and spiritual support for the patient
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www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Principal Investigator: Scott D. Halpern, M.D., Ph.D.
Perelman School of Medicine, University of Pennsylvania
Other key team …
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www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - Final Progress Report: Composite Measures of Surgical Performance
Title Page
Project Title: Composite Measures of Surgical Performance
Principal Investigator: Justin B. Dimick, MD, MPH
Team Members: John Birkmeyer, MD (Mentor)
Organization: The Regents of the University of Michigan
Inclusive Dates of the Project…