-
www.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - AHRQ Tools Improve Care, Safety for St. Luke’s University Health Network Obstetric Patients
Search All Impact Case Studies
November 2019
St. Luke’s University Health Network—a non-profit, integrated network providing services at nine hospitals and more than 300 sites in Pennsylvania and New Jersey—is improv…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
July 01, 2023 - Clinical Case Scenarios
AHRQ Safety Program for Perinatal Care, Phase 2
The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scena…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/051-sample-script-patient-ed-chg-shower.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Teaching Patients How To Shower With CHG:
Key Points & Sample Script
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Properly teaching patients the importance of and how to practice decolonization at home is crucial to pr…
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site
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 a…
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/integrate-cusp-approach.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
How To Integrate a CUSP Approach
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonization
Tool…
-
www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
Search All Impact Case Studies
April 2008
Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
-
www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
July 01, 2025 - Quality and Safety Review System (QSRS)
Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…
-
www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - What Is Patient Safety Culture?
Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Prologue_Keyes_Vol3.pdf
June 02, 2025 - Prologue: The Shift toward Performance and Tools
Prologue
The Shift toward Performance and Tools
Margaret A. Keyes, M.A.
The articles in this volume provide a number of perspectives on performance and tools used to
improve the safe delivery of health care. They include a wide variety of approaches that
…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety
and Quality in Healthcare
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to convene a cross agency working …
-
www.ahrq.gov/ncepcr/reports/primary-care-research/introduction.html
January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Introduction
Previous Page Next Page
Table of Contents
Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Introduction
Methods
Results
Summary
References
Appendix A. Grants Database Search Terms & …
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
Page 1 of 26
Interim Update on 2013 Annual Hospital-Acquired Condition
Rate and Estimates of Cost Savings and Deaths Averted
From 2010 to 2013
Summary
Preliminary estimates for 2013 show a further 9 percent decline in the rate of hospital-acqu…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - How To Measure Pressure Injury Rates and Prevention Practices
How To Measure
Pressure Injury Rates
and Prevention Practices
ADD Hospital Name Here
Module 5
1
Basic Quality Improvement Principle
If you can’t measure it, you can’t improve it.
2
2
Quality Improvement Principle
Pressure injury rates and preven…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-spanishitems.pdf
June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0: Items and Composite Measures Spanish
SOPSTM Hospital Survey
Items and Composite Measures
Version: 2.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collectio…
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/references.html
July 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit
References
Previous Page
Table of Contents
Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit
Introduction
Overview
About the Measure
Key Driver Diagrams
Quality I…
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on March 20, 2012.
Contents
Slide 1. The Organizational Embrace of CUSP to Improve Patient Safety
Slide 2. Objectives
Slide 3. Speakers
Slide 4. Holy Cro…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Clean Equipment and Environment Promotes Safe Resident Care
AHRQ Safety Program for Long-Term Care: CAUTI
Slide 1: Clean Equipment and Environment Promotes Safe Resident Care
Training Module 2
Slide 2: Objectives
Upon completion of this session, long-term care (LTC) staff will be able to—
Descri…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Module 3: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Problem Solving and Escalation – Standards Component Kit
Contents
1. What Are Problem Solving and Escalation? 2
2. What Is a Problem and What Is a Solution? 2
3. Wher…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Nurse-Driven Early Mobility Protocols
SAY:
This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to establish and sustain a…
-
www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
January 01, 2017 - Nurse-Driven Early Mobility Protocols: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Nurse-Driven Early Mobility Protocols
Say:
This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to esta…