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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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 …
  10. 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 …
  11. 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 & …
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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