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www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Leverage Patient Safety Infrastructure
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Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Practices
Us…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.pdf
March 01, 2022 - Standardized Nursing Protocol: Use of Nasal Iodophor (10% Povidone-Iodine)
Decolonization of
Non-ICU Patients With Devices
Section 9-4 – Standardized Nursing Protocol:
Use of Nasal Iodophor (10% Povidone-Iodine)
The following is a standing order protocol for implementing nasal decolonization in adult non-
i…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.docx
March 01, 2022 - Standardized Nursing Protocol for Iodophor
Decolonization of
Non-ICU Patients With Devices
Section 9-4 – Standardized Nursing Protocol:
Use of Nasal Iodophor (10% Povidone-Iodine)
The following is a standing order protocol for implementing nasal decolonization in adult non-intensive care unit (ICU) patients who are m…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standing-order-protocol-mupirocin.pdf
March 01, 2022 - Standing Order Protocol: Nasal Mupirocin
Decolonization of
Non-ICU Patients With Devices
Section 9-3 – Standing Order Protocol:
Nasal Mupirocin
The following is a standing order protocol for implementing nasal decolonization in adult non-
intensive care unit (ICU) patients who are methicillin-resistant S…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
June 02, 2025 - Tool 2: Readmission Review Tool
Tool 2: Readmission Review tool
Purpose
Readmission reviews are designed to elicit the “story behind the story”: going well beyond chief complaint, discharge diagnosis, or other clinical parameters to understand the communication, coordination, or other logistical barriers experienc…
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www.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - COVID-19 Vaccination
Vaccines are the best tool we have to prevent people from getting seriously ill and being hospitalized from COVID-19. Following are resources to help nursing homes effectively communicate about vaccines, implement a vaccination program, and track vaccinations of residents and staff.
…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-OH-profile.pdf
September 01, 2021 - EvidenceNOW: Ohio Cooperative
EvidenceNOW: Building State Capacity is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to improve heart health and help reduce…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
May 01, 2013 - Two More E's and How to Spread
Contents
Slide 1. Two More E's and How to Spread
Slide 2. Learning Objectives
Slide 3. Implementation Framework
Slide 4. Implementation Framework
Slide 5. Endure—Plan for Sustainability
Slide 6. Endure—Plan for Sustainability
Slide 7. Endure—Plan for Sustainability
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
Physician Engagement
*
Story of cardiac surgeon not doing check list. Cardiac SICU one year zero infections, then BAM! two infections linked to one noncompliant cardiac surgeon. Or other example story of physicians not being engaged in QI
*
One of the issues we hear our teams talk ab…
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www.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - Shadowing Another Professional Tool
CUSP Toolkit
Learn about other disciplines to improve the coordination of patient care.
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care provide…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
June 02, 2025 - Shadowing Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication iss…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care
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 fo…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-fac-notes.html
December 01, 2017 - Sustainability and the Premortem Tool: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability and the Premortem Tool
Say:
This module will cover Sustainability and the Premortem Tool.
Projects can fail for many reasons, and the safe surgery project is no exception to this possibilit…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/Dec-2024-IAWG-roster.pdf
January 01, 2024 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
*List current as of December 2, 2024
Name Agency/Department Title
Craig A. Umscheid, M.D.,
M.S.
AHRQ Director, Center for Quality Improv…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
November 01, 2019 - Community-Acquired Pneumonia
DiagnosisCommunity-Acquired Pneumonia
· Most patients have fever, cough, and increased sputum production; many will also have chills (50%), tachypnea (45%), or pleuritic chest pain (30%)
· If symptoms are present, a chest x ray (CXR) should be obtained; the absence of an infitr…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
September 01, 2021 - EvidenceNOW: A Model for Heart Health and Beyond
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FOR EXCELLENCE IN
PRIMARY CARE RESEARCH
EvidenceNOW: A Model for Heart Health and…
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www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
January 01, 2025 - American journal of preventive
medicine. 2005;29(3):218-20.
16.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - Diagnostic error: incidence, impacts, causes and preventive strategies.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slides.ppt
August 01, 2009 - www.tobaccofreekids.org
Chest Foundation: www.chestfoundation.org/tobaccoPrevention/index.php
Guide to Community Preventive
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www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Medications at Transitions
and Clinical Handoffs
(MATCH) Toolkit for
Medication Reconciliation
Medications at Transitions and Clinical
Handoffs (MATCH) Toolkit for Medication
Reconciliation
Prepared for:
Age…