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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
    June 02, 2025 - ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' Fault Tree Diagram File Name: ASC Fault Tree_with_change.RFP Gate347 SSI Risk Q:0.00436584 Gate2 Pt SSI risk Q:0.0281772 From Page 2 Gate18 Bug moves to SS Q:0.154943 F…
  2. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
    July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…
  4. www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/dashboard.html
    February 01, 2025 - A Facilitator’s Primary Care Toolkit to Improve Heart Health Resource: ABCS Toolkit for the Practice Facilitator (PDF, 20 MB, 176 pages) This toolkit introduces the ABCS of heart health—aspirin use by high-risk individuals, blood pressure control, cholesterol management, and smoking cessation—and provides ch…
  5. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
    June 02, 2025 - TeamSTEPPS Training Evaluation Form TeamSTEPPS Training Evaluation Form The TeamSTEPPS course evaluation form that follows is designed for a 2 day course based on the TeamSTEPPS curriculum released in 2023. If the course you are evaluating does not include all the material covered in a 2 day cours…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/107-cusp-psychological-safety.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention CUSP Program: Psychological Safety ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU CUSP Psychological Safety 1 Educational Objectives Define psychological safety Explain the impo…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Engaging Physicians in MRSA Prevention ICU & Non-ICU Issue1-5 Physicians play crucial roles in quality and safety, as leaders, champions, committee members, and participants in planning and executing change. Each role is vital in the success of any undertaking to…
  8. www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion-slides/assertion-slides.html
    October 01, 2014 - Appropriate Assertion (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on December 14, 2010. Contents Slide 1. On the CUSP: Stop BSI Assertion Slide 2. Communication Styles Slide 3. Aggressive- The Goal is to Dominate and Win! Slide 4. Passivity- The Goal is …
  9. Conflict Resolution (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/Conflict-Resolution-Oct-12-2010-508.ppt
    January 01, 2010 - Conflict Resolution Conflict Resolution David Thompson, DNSc, MS, RN Jill Marsteller, PhD, MPP * What is Conflict? Perception of mutual interference A process that begins when goals of one party are frustrated by another Requires interdependence/interaction Views of Conflict Conflict Good (interactioni…
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
    August 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Fundamental Concepts for Understanding Cognitive Load Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cogniti…
  11. Team Roster (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
    April 01, 2022 - Team Roster ICU Comprehensive Unit-based Safety Program (CUSP) Team Roster Objective: To assemble a team of influential leaders and staff members necessary to drive successful implementation of the AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI. Name Team Role Key Characteristics Sugge…
  12. www.ahrq.gov/patient-safety/reports/engage/appd.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix D. Organizations and Web Sites Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduc…
  13. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/building-better-primary-care.pptx
    October 01, 2018 - PowerPoint Presentation Building Better Primary Care: New Tools for Getting Evidence into Practice An AHRQ EvidenceNOW Webinar August 22, 2018 *The Webinar will begin shortly.* Welcome Building Better Primary Care: New Tools for Getting Evidence into Practice HOUSEKEEPING: Participant lines muted Chat techni…
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
    June 01, 2021 - Approach to Residents With Reported Penicillin Allergy Ask about the associated antibiotic, timing, and outcome of the reaction o What antibiotic was the resident taking when he or she had the reaction?_________________ o What year was it or how old was the resident when the reaction happened? ______________…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-2-tech-specs.pdf
    June 02, 2025 - Sickle Cell Disease Technical Specifications Sickle Cell Disease Measure 15: Appropriate Emergency Department Fever Management for Children with Sickle Cell Disease Description The percentage of children identified as having Sickle Cell Disease presenting to an emergency department with fever during the me…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) Introducing the AHRQ SOPS Health IT Patient Safety Supplemental Items Naomi Yount, PhD Westat Health IT Patient Safety Supplemental Items • Supplemental item set that can be added to the end of the Hospit…
  17. www.ahrq.gov/news/blog/ahrqviews/arm-in-arm-with-academyhealth.html
    June 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Arm in Arm with AcademyHealth, AHRQ is Poised to Build on Successes in Health Services Research JUN 27 2024 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. We are halfway through AHRQ’s 35 th an…
  18. www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
    October 01, 2023 - Grantee Profile Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance Barbara Wells Trautner, M.D., Ph.D. Professor of Infectious Diseases and Health Services Research Michael E. DeBakey VA Medical Center Baylor College of Medicine Barbara Wells Trau…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d6_pdi_implementationplan.docx
    June 02, 2025 - AHRQ Quality Indicators Toolkit Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Implementation Plan What is the purpose of this tool? The purpose of the implementation plan is to provide a format in which to: Define the tasks/actions required to implement each selected…
  20. 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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