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  1. 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 …
  2. References (pdf file)

    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, …
  3. 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 …
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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? …
  11. 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…
  12. 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 …
  13. 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…
  14. 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
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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 …

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