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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
October 23, 2013 - References
References
1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY,
Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission
prevalence and variability across hospitals. JAMA. 2013;309(4):372–380.
2. Pelletier AJ, Mansbach JM, …
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet)
Development of a Web-Based Patient Safety
Resource: AHRQ Patient Safety Network (PSNet)
Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD;
Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - The Emergency Department & Catheter Insertions
Slide Presentation
Slide 1
The Emergency Department & Catheter Insertions
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brigham and Women’s…
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www.ahrq.gov/research/findings/final-reports/ptflow/section5.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 5. Preparing to Launch
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-diabetes.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trend…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - PowerPoint Presentation
Nursing Home Antimicrobial
Stewardship Guide
Determine Whether To Treat
Toolkit 2. Common Suspected Infections: Communication and Decision Making for
Four Infections
Tool 4. Tools To Improve Communication and Decision Making
www.ahrq.gov/NH-ASPGuide ● May 2014
AHRQ Pub. No. AHR…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Principal Investigator: Ronilda Lacson, MD, PHD
Team Members:
Ramin Khorasani, MD, MPH
Ivan Ip, MD, MPH
Sonali Desai, MD
Allen Ka…
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)
Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
Myrtede …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/meta/meta-analyses-refs.pdf
January 01, 2007 - Treating Tobacco Use and Dependence, 2008 Update: References for Studies in Meta-analyses
1
References for Studies Included in Meta-analyses
Table 6.4. Meta-analysis (1996): Impact of
having a tobacco use status identification
system in place on rates of clinician
intervention with their patients who smoke (n…
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www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
January 01, 2024 - She also noted that senior faculty can be asked to supervise QI projects on palliative care topics
assigned
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/qica-scoring.pdf
January 01, 2018 - Completing and Scoring the Quality Improvement Change Assessment (QICA)
COMPLETING AND SCORING THE
QUALITY IMPROVEMENT CHANGE ASSESSMENT (QICA)
INTRODUCTION TO THE QICA
The QICA is intended to help clinical practices understand their current level of care for
patients with regard to prevention and chronic illn…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
June 01, 2023 - Engaging Frontline Staff With ISCR Process and Outcome DataAHRQ Safety Program for Improving
Surgical Care and Recovery
Purpose of tool: To engage frontline staff in the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR) by showing process and outcomes data…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/15-engaging-stakeholders-facilitator.docx
June 01, 2023 - Facilitator Guide for Engaging Stakeholders: Developing a Vision for Your Improving Surgical Care and Recovery ProgramAHRQ Safety Program for Improving
Surgical Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Engaging Stakeholders
Hello, I’m ____. As a member of the Improving Surgical Care and…
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www.ahrq.gov/nursing-home/resources/search.html?page=1
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others
Slide Presentation
Slide 1
Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others
Susan M. Hohenhaus, LPD, RN, CEN, FAEN
Executive Director
Emergency Nurses Association
Slide 2
Learni…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/musculo.html
June 01, 2018 - Chartbook on Effective Treatment
Musculoskeletal Diseases
Previous Page Next Page
Table of Contents
Chartbook on Effective Treatment
Acknowledgments
Effective Treatment
Effective Treatment Trends and Measures
Cardiovascular Disease
Cancer
Chronic Kidney Disease
Diabetes
HIV and AIDS …