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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
    December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Outcome Indicators for the HCBS Population Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…
  2. www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/surgical-skinprep-audit.html
    September 01, 2024 - Surgical Skin Preparation Audit Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical skin preparation is an important strategy to prevent surgical site infection. Adequate surgical skin preparation reduces the burden of skin microorganisms prior to incision. Though it seems…
  3. 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 …
  4. 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…
  5. 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…
  6. 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 & …
  7. 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 …
  8. 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…
  9. 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…
  10. www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…
  11. www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
    August 01, 2024 - Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis PATIENT SAFETY e This page intentionally left blank. e Issue Brief 21 Diagnostic Stewardshi…
  12. www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
    January 01, 2024 - Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) Lambert, Bruce L. 5U18HS016973-04 FINAL REPORT UIC CENTER FOR EDUCATION AND RESEARCH ON THERAPEUTICS Tools for Optimizing Prescribing, Monitoring and Education (TOP-…
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
    January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Nursing Home Survey: 2023 User Database Report Part II: Appendix A - Results by Nursing Home Characteristics Appendix B - Results by Respondent Characteristics Prepared …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdf
    January 01, 2015 - Medication Management 1 Medication Management AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging Patients …
  15. www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
    February 01, 2017 - The Four Es of Early Mobility: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients The Four Es of Early Mobility Slide 2: Learning Objectives After this session, you will be able to— List the four Es from T…
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
    September 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Sustaining Antibiotic Stewardship Efforts Ambulatory Care Slide Title and Commentary Slide Number and Slide Sustaining Antibiotic Stewardship Efforts SAY: Welcome to the presentation titled, “Sust…
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
    September 01, 2022 - The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Slides The “Never Antibiotics” Diagnoses: Acute Viral Upper Respiratory Infection: the Common Cold Ambulatory Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(22)-0030 September 2022 Upper Respira…
  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/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…
  20. 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…

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